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.