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Table 3 Implementation of MDSR in health districts in Guinea, 2016 (N = 23)

From: Evaluation of the maternal deaths surveillance and response system at the health district level in Guinea in 2017 through digital communication tools

Variables

Number

Percentage (%)

Notification and review of maternal deaths

 Notification of maternal deaths in health facilities and communities

  Maternal deaths notified

265

100.0

  Maternal deaths notified within 24 h

230

86.8

 Review of maternal deaths in health facilities and communities (n = 265)

  Maternal deaths reviewed

133

50.2

  Maternal deaths unreviewed

132

49.8

Recommendations

 Implementation of the recommendations of the district review committee

  Yes

9

45.0

  No

11

55.0

 Implementation of the recommendations of the review committees related to the review of notified maternal deaths

  Yes

3

15.0

  No

17

85.0

 Recommendations on which the health districts focused

  Training of members of the Maternal Deaths Review Committees

13

65.0

  Financial support for MDSR activities carried out (Training, Review, Monitoring and Evaluation)

16

80.0

  Reference of all complicated cases on time

10

50.0

  Improvement of reference and counter-reference

9

45.0

  Motivation of village birth attendants and community relays for referral of women to health facilities

12

60.0

  Engagement of the community in mutual health

5

25.0

  Facilitation of the transportation of pregnant women through collaboration with the union of carriers

9

45.0

  Continuous training of health care providers in emergency obstetric and neonatal care

14

70.0

  Provision of health facilities in equipment and medicines

12

60.0

  Promptness in reporting health data

13

65.0

  Dissemination of the recommendations of the different reviews

11

55.0

Maternal mortality ratio

 Calculation of maternal mortality ratio of the district

  Yes

4

17.4

  No

19

82.6

MDSR report

 Publication of the annual report on the MDSR

  Yes

0

0.0

  No

23

100.0

MDSR weaknesses

 Weaknesses in implementing or functioning the MDSR system

  Insufficiency of human resources (in number and quality)

8

34.8

  Insufficiency/Lack of financial resources

6

26.1

  Interference of activities

1

4.3

  Low meeting rate on maternal deaths (once per semester)

1

4.3

  Lack of information on the functioning of the MDSR system

4

17.4

  Insufficiency of dissemination of guidelines and standards in MDSR (updated)

3

13.0