Table 2 Organization of MDSR in health districts in Guinea, 2017 (N = 23)
Variables | Number | Percentage (%) |
|---|---|---|
Focal point | ||
Existence of the Reproductive Health focal point at the district level | ||
Health district office solely | 9 | 39.1 |
Health district office and each health facility | 4 | 17.4 |
Health district office, each health facility and each community | 9 | 39.1 |
Each health facility solely | 1 | 4.4 |
No focal point | 0 | 0 |
Existence of the specific MDSR focal point (district office and facilities level) | ||
Yes | 0 | 0 |
No | 23 | 100.0 |
Maternal deaths notification | ||
Existence of maternal deaths notification forms | ||
Yes | 21 | 91.3 |
No | 2 | 8.7 |
Community-based maternal deaths surveillance | ||
Yes | 21 | 91.3 |
No | 2 | 8.7 |
Notification of maternal deaths made mandatory within 24 h | ||
Yes | 21 | 91.3 |
No | 2 | 8.7 |
Means of maternal deaths notification at the district level | ||
Phone calls | 4 | 17.4 |
Phone calls and phone messages (sms) | 4 | 17.4 |
Phone calls and paper declaration | 7 | 30.4 |
Phone calls, sms and paper declaration | 8 | 34.8 |
Maternal deaths review | ||
Existence of review committee at the health district level and facilities | ||
Yes | 20 | 87.0 |
No | 3 | 13.0 |
Multidisciplinary composition of the review committee (n = 20) | ||
Medical doctors, nurses/midwives and communities | 13 | 65.0 |
Medical doctors, nurses/midwives | 3 | 15.0 |
Medical doctors, nurses/midwives, communities and family | 4 | 20.0 |
Review (audit) of all notified maternal deaths at the first trimester (n = 20) | ||
Yes | 15 | 75.0 |
No | 5 | 25.0 |
Reasons for not reviewing all maternal deaths (n = 5) | ||
Insufficiency of financial ressources | 5 | 100.0 |
Insufficiency of human resources | 5 | 100.0 |
Interference of activities (Overload of work) | 2 | 40.0 |
If the deceased comes from another heath district, often parents are in a hurry | 1 | 20.0 |
Types of data bases of maternal deaths | ||
Electronic register | 12 | 52.2 |
Paper register | 3 | 13.0 |
Electronic and paper register | 8 | 34.8 |
Response plan | ||
Existence of response plan | ||
Yes | 17 | 73.9 |
No | 6 | 26.1 |
Reasons for non-existence of a response plan (n = 6) | ||
Lack of financial support to the health district for maternal deaths reviews | 4 | 66.7 |
Insufficiency of human ressources | 2 | 33.3 |