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 |