Tag Archives: Social Autopsy

Bangladesh | the roll out of MPDSR

Maternal and perinatal death surveillance and response in Bangladesh was initiated by the Ministry of Health and Family Welfare (MOH&FW) to monitor the overall improvement of maternal and neonatal health. Since its inception, the MoH&FW has been implementing MPDSR in 17 districts across Bangladesh following the pilot programme in Thakurgaon district in 2010. The approval of the national MPDSR guideline has paved the way to scale up MPDSR. From July to September 2016, a number of initiatives have taken place to further MPDSR implementation across the country.

RECENT ACTIVITIES

  • The national guidelines for MPDSR have been approved by the MOH&FW. Printing is underway and the dissemination workshop will take place in October 2016.
  • Plans to scale up MPDSR countrywide by 2021 have been drafted in the results framework of the Health, Population and Nutrition Sector Development Program 2011-2016
  • The MPDSR Training of Trainers manual is under development and will be implemented to train sub-national level facilitators who in-turn will train healthcare providers from multiple disciplines at the district and upazila levels. The upazila team will then train the field-level health care providers on death notification, verbal autopsy (VA), social autopsy and facility death review. Participants will also be trained in data collection and analysis
  • A booklet on MDPSR for health and family planning workers in the field is also being developed in the local Bengali language. A draft will be complete by September 2016. The booklet is expected to be distributed to field-level health workers (health assistants, family welfare assistants, health inspectors, assistant health inspectors, family planning inspectors and sanitary inspectors) by November 2016
  • Simplified tools of MPDSR to help facilitate death notification, VA and facility death reviews, to name a few, are being prepared for dissemination to all 17 districts. Selected variables of VA have been incorporated in the District Health Information System-2 (DHIS-2)
  • A national-level meeting – led by the Director, Primary Health Care and Line Director of Maternal, Neonatal, Child and Adolescent Health of the Directorate General of Health Services – was planned in September 2016 to share experiences in maternal and perinatal death review across 14 districts
  • The national MPDSR guidelines will be shared at six divisional workshops once finalised (expected date: December 2016).
  • The UNICEF South Asian Regional Office has organised a South-to-South exchange visit for the MOH&FW Obstetric and Gynaecological Society of Bangladesh to travel to China in November 2016 to share experiences about auditing maternal near misses

To learn more about Bangladesh’s implementation of MPDSR or components of it, please read the country update from July 2016.

Browse this case study to read about how social autopsy is used as an intervention tool to prevent maternal and neonatal deaths in communities in Bangladesh. The WHO has also published a case study about social autopsy in Bangladesh.

Acknowledgements: This country update was prepared and reviewed by Dr Riad Mahmud, Health Specialist (Maternal and Neonatal Health), Health Section, UNICEF Bangladesh and Dr Animesh Biswas, National Consultant (MPDSR), Health Section, UNICEF, Bangladesh.

Lao-PDR

Social autopsy as an intervention tool in the community to prevent maternal and neonatal deaths: experiences from Bangladesh

Social autopsy in maternal and neonatal health

Social autopsy (SA) is an innovative strategy whereby a trained member leads a group within a community through a structured, standardised analysis of the root causes of a death or serious, non-fatal health event. Continue reading

Early detection of maternal death in Senegal through household-based death notification integrating verbal and social autopsy: a community-level case study

The article by Mosa Moshabela and colleagues in the BMC Health Services Research presents a case study of community-level surveillance in Senegal as part of the Millennium Villages Project (MVP). The mobile technology based (mHealth) platform Childcare+ was used to identify pregnancies, births and deaths. Once this information is entered into the surveillance system, this then prompts a verbal and social autopsy to be conducted. Verbal Autopsy and Social Autopsy (VASA) data was collected using a standardised tool based on the WHO’s Verbal Autopsy questionnaire but with some modifications on questions related to social contributors to mortality (e.g. accessing transport). The VASA data was collected either by hand or using a mobile device and then uploaded to a central database where a pre-set algorithm was used to calculate the likely cause of death and any contributory social factors.

The case study highlights how the routine community-based surveillance system identified inefficiencies at a tertiary level of care as the main contributor to the five maternal deaths in the area. The study concludes that mHealth data collection tools are able to detect small changes in community-level mortality in real-time, can help facilitate rapid-cycle quality improvement interventions when linked with accountability structures such as mortality reviews.