Tag Archives: Pilot

Scaling-up Maternal and Perinatal Death Reviews in Bangladesh

The Maternal and Perinatal Death Review (MPDR) system is now being scaled-up in Bangladesh since it was piloted in Thakurgaon district in 2010. Read this case study about the pilot.  Recent developments include:

  • To date, MPDR is being implemented in 14 out of Bangladesh’s 64 districts.
  • In the later part of 2015, the Ministry of Health & Family Welfare revised the existing MPDR guidelines to reflect a countrywide scale-up, which was also highlighted in the Government’s fourth Health Sector Development Programme (2016-2021). As part of these revisions, a simpler version of community verbal autopsy and facility death review tools on maternal and newborn deaths were developed from existing MPDR tools.
  • The MPDR death notification system has been incorporated into the online District Health Information System (DHIS-2) by the Directorate General of Health Services (DGHS). As a consequence, the health system is gradually notifying each maternal and neonatal death from the community into the DHIS-2 database routinely. Read this case study about the transfer to DHIS-2.
  • In 2015, professional experts at the periphery medical college hospitals, including consultants of obstetricians/gynaecologists, paediatricians, and neonatologists,   undertook training to improve the analysis of causes of deaths taken during verbal autopsies at the district and sub-district level.

Update from Dr Animesh Biswas, PhD, Senior Scientist, Reproductive and Child health Unit at Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.

Saving Mothers, Giving Life initiative: lessons learned from a maternal death surveillance and response system in Uganda

Uganda was selected for a pilot project — Saving Mothers, Giving Life – to rapidly reduce maternal deaths through community and facility-based interventions. The model employs a comprehensive approach that builds upon existing district health systems, including strengthening the evidence base for improving maternal and perinatal survival. Read how investing in village health teams has resulted in a 30% reduction in population-based maternal mortality as well as stimulating advocacy efforts and community mobilisation. 

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