Practices of Stakeholders engaged in reporting and reviewing maternal deaths in North India
Mahendra K Maurya, Akanksha Singh, Dipak K Bose, Neena Gupta
Background: The current Maternal Mortality Ratio of 101 per 1,00,000 live births (Sample Registration Survey 2017-19) of Himalayan State of Uttarakhand, India calls for strenuous efforts at each level to achieve the Sustainable Development Goal of less than 70 per 1,00,000 live births by 2030. This study assesses the functioning of maternal death reporting and review system and practices of stakeholders engaged in reporting and reviewing maternal deaths. Methods:A cross sectional study was conducted in Uttarakhand, India from 2019 to 2020 by including all Nodal Officers and Facility In-charges engaged in reporting and reviewing maternal deaths. Results:Maternal Death Review Team for Household Verbal Autopsy was constituted only in 61.54 % Level-III Delivery Points. Only 63.33% Level-II Delivery Points had filled and maintained Block level Maternal Death Review register for all women’s death (15-49 years) whereas 56.66 % health facilities had received the expected number of Maternal Deaths from their District Nodal Officers. Both Facility and Community Based Maternal Death Reviews were conducted by Maternal Death Review teams for almost 1/3rd cases. Most of issues and concerns reported during this study pointed to the need to develop an easy- to- use Standard operating procedure to facilitate the systematic reporting and review. Conclusions:Health authorities and staff lack clear understanding on tracking and reporting of maternal deaths. Practices of public health systems stakeholders require frequent supportive supervision following the Standard Operating Procedures suggested through the current study.
Mahendra K Maurya, Akanksha Singh, Dipak K Bose, Neena Gupta. Practices of Stakeholders engaged in reporting and reviewing maternal deaths in North India. International Journal of Multidisciplinary Research and Development, Volume 9, Issue 11, 2022, Pages 25-30