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Evaluation of the Maternal Death Surveillance and response system in Hwange District, Zimbabwe, 2017.
Maphosa, Mpumelelo; Juru, Tsitsi P; Masuka, Nyasha; Mungati, More; Gombe, Notion; Nsubuga, Peter; Tshimanga, Mufuta.
Afiliación
  • Maphosa M; Department of Community Medicine, University of Zimbabwe, Health Studies Office, P. O Box CY 1122 Causeway, Harare, Zimbabwe.
  • Juru TP; Department of Community Medicine, University of Zimbabwe, Health Studies Office, P. O Box CY 1122 Causeway, Harare, Zimbabwe. tsitsijuru@gmail.com.
  • Masuka N; Ministry of Health and Child Care, Matabeleland North Province, Harare, Zimbabwe.
  • Mungati M; Elizabeth Glazer Paediatric AIDS Foundation, Mbabane, Swaziland.
  • Gombe N; Department of Community Medicine, University of Zimbabwe, Health Studies Office, P. O Box CY 1122 Causeway, Harare, Zimbabwe.
  • Nsubuga P; Global Public Health Solutions, Atlanta, USA.
  • Tshimanga M; Department of Community Medicine, University of Zimbabwe, Health Studies Office, P. O Box CY 1122 Causeway, Harare, Zimbabwe.
BMC Pregnancy Childbirth ; 19(1): 103, 2019 Mar 29.
Article en En | MEDLINE | ID: mdl-30922242
BACKGROUND: Maternal Death Surveillance and Response (MDSR) system was established to provide information that effectively guides actions to eliminate preventable maternal mortality. In 2016, Hwange district sent six maternal death notification forms (MDNF) to the province without maternal death audit reports. Timeliness of MDNF reaching the province is a challenge. Two MDNF for deaths that occurred in February and May 2016 only reached the provincial office in September 2016 meaning the MDNF were seven and four months late respectively. We evaluated the MDSR system in Hwange district. METHODS: A descriptive cross-sectional study was conducted. Health workers in the sampled facilities were interviewed using questionnaires. Resource availability was assessed through checklists. Epi Info 7 was used to calculate frequencies, means and proportions. RESULTS: We recruited 36 respondents from 11 facilities, 72.2% were females. Inadequate health worker knowledge, lack of induction on MDSR, unavailability of guidelines and notification forms and lack of knowledge on the flow of information in the system were reasons for late notification of maternal deaths. Workers trained in MDSR were 83.8%. Only 36.1% of respondents had completed an MDNF before. Respondents who used MDSR data at their level were 91.7%, and they reported that MDSR system was useful. Responsibility to complete the MDNF was placed on health workers. Maternal death case definitions were available in 2/11 facilities, 4/11 facilities had guidelines for maternal death audits. It costs $60.78 to notify a maternal death. CONCLUSION: Reasons for late notification of maternal deaths were inadequate knowledge, lack of induction, unavailability of guidelines and notification forms at facilities. The MDSR system is useful, acceptable, flexible, unstable, reliable but not simple. Maternal case definitions and maternal death audit guidelines should be distributed to all facilities. Training of all health workers involved in MDSR is recommended.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Vigilancia de la Población / Recolección de Datos / Muerte Materna Tipo de estudio: Evaluation_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2019 Tipo del documento: Article País de afiliación: Zimbabwe

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Vigilancia de la Población / Recolección de Datos / Muerte Materna Tipo de estudio: Evaluation_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2019 Tipo del documento: Article País de afiliación: Zimbabwe