Confidential Enquiry into Maternal Deaths in Namibia, 2018–2019: A Local Approach to Strengthen the Review Process and a Description of Review Findings and Recommendations

Author:

Heemelaar SteffieORCID,Callard BeatrixORCID,Shikwambi Hilma,Ellmies Jana,Kafitha Wilhelmina,Stekelenburg JelleORCID,van den Akker ThomasORCID,Mackenzie ShonagORCID

Abstract

Abstract Objectives First objective was to strengthen the national maternal death review, by addressing local challenges with each step of the review cycle. Second objective was to describe review findings and compare these with available findings of previous reviews. Methods Confidential Enquiry into Maternal Deaths methodology was used to review maternal deaths. To improve reporting, the national committee focussed on addressing fear of blame among healthcare providers. Second focus was on dissemination of findings and acting on recommendations forthcoming the review. Reviewed were reported maternal deaths, that occurred between 1 April 2018 and 31 March 2019. Results Seventy maternal deaths were reported; for 69 (98.6%) medical records were available, compared to 80/119 (67.2%) in 2012–2015. Reported maternal mortality ratio increased with 48% (92/100,000 live births compared to 62/100,000 in 2012–2015). Obstetric haemorrhage was leading cause of death in the past three reviews. The “no name, no blame” policy, aiming to identify health system failures, rather than mistakes of individuals, was repeatedly explained to healthcare providers during facility visits. Recommendations based on findings of the review, such as retaining experienced staff, continuous in-service training and guidance, were shared with decision makers at regional and national levels. Healthcare providers received training based on review findings, which resulted in improved management of similar cases. Conclusions for Practice Enhanced implementation of Confidential Enquiry into Maternal Deaths was possible after addressing local challenges. Focussing on obtaining trust of healthcare providers and feeding back findings, resulted in better reporting and prevention of potential maternal deaths.

Publisher

Springer Science and Business Media LLC

Subject

Public Health, Environmental and Occupational Health,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health,Epidemiology

Reference35 articles.

1. Creanga, A. (2017). Maternal mortality in the developed world: A review of surveillance methods, levels and causes of maternal deaths during 2006–2010. Minerva Ginecologica, 69(6), 608–617.

2. Geingob, H. (2016). Harambee Prosperity Plan. Goverment document. Office of the President. Retrieved January 19, 2020, from http://www.nied.edu.na/assets/documents/08Governments/13HPP_page_70-71.pdf

3. Heemelaar, S., Josef, M., Diener, Z., Chipeio, M., Stekelenburg, J., van den Akker, T., et al. (2020). Maternal near-miss surveillance, Namibia. Bulletin of the World Health Organization, 98(8), 548–557.

4. Hodorogea, S., & Friptu, V. (2014). The Moldovan experience of maternal death reviews. British Journal of Obstetrics and Gynaecology, 121(Suppl 4), 81–85.

5. Jayakody, H., & Knight, M. (2020). Implementation assessment in confidential enquiry programmes: A scoping review. Paediatric and Perinatal Epidemiology, 34(4), 399–407.

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3