Author:
de Graaff Esti Charlotte,Leisher Susannah Hopkins,Blencowe Hannah,Lawford Harriet,Cassidy Jillian,Cassidy Paul Richard,Draper Elizabeth S.,Heazell Alexander E. P.,Kinney Mary,Quigley Paula,Ravaldi Claudia,Storey Claire,Vannacci Alfredo,Corcoran Paul,Cronin Robin,Erwich Jan Jaap,Gissler Mika,Gordijn Sanne,de Jesús Guilherme Ramires,Klimont Jeannette,Lecomte Aline,Loghi Marzia,Murphy Margaret,Rodin Urelija,Weber Guy,Wimmer Lindsey,Flenady Vicki,
Abstract
Abstract
Background
Despite progress, stillbirth rates in many high- and upper-middle income countries remain high, and the majority of these deaths are preventable. We introduce the Ending Preventable Stillbirths (EPS) Scorecard for High- and Upper Middle-Income Countries, a tool to track progress against the Lancet’s 2016 EPS Series Call to Action, fostering transparency, consistency and accountability.
Methods
The Scorecard for EPS in High- and Upper-Middle Income Countries was adapted from the Scorecard for EPS in Low-Income Countries, which includes 20 indicators to track progress against the eight Call to Action targets. The Scorecard for High- and Upper-Middle Income Countries includes 23 indicators tracking progress against these same Call to Action targets. For this inaugural version of the Scorecard, 13 high- and upper-middle income countries supplied data. Data were collated and compared between and within countries.
Results
Data were complete for 15 of 23 indicators (65%). Five key issues were identified: (1) there is wide variation in stillbirth rates and related perinatal outcomes, (2) definitions of stillbirth and related perinatal outcomes vary widely across countries, (3) data on key risk factors for stillbirth are often missing and equity is not consistently tracked, (4) most countries lack guidelines and targets for critical areas for stillbirth prevention and care after stillbirth and have not set a national stillbirth rate target, and (5) most countries do not have mechanisms in place for reduction of stigma or guidelines around bereavement care.
Conclusions
This inaugural version of the Scorecard for High- and Upper-Middle Income Countries highlights important gaps in performance indicators for stillbirth both between and within countries. The Scorecard provides a basis for future assessment of progress and can be used to help hold individual countries accountable, especially for reducing stillbirth inequities in disadvantaged groups.
Funder
NHMRC Centres of Research Excellence Grant
NHMRC 2021 Investigator Grant
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology
Reference64 articles.
1. World Health Organization. International Statistical Classification of Diseases and Related Health Problems (ICD), 11th Revisions (ICD-11). 2022.
2. UNICEF, WHO, World Bank Group, United Nations. Never Forgotten: The situation of stillbirth around the globe: Report of the United Nations Inter-agency Group for Child Mortality Estimation, 2022. United Nations Children’s Fund. 2023. https://data.unicef.org/resources/never-forgotten-stillbirth-estimates-report/.
3. Heazell AEP, Siassakos D, Blencowe H, Burden C, Bhutta ZA, Cacciatore J. Stillbirths: economic and psychosocial consequences. Lancet. 2016;387(10018):604–16.
4. Leisher SH, Teoh Z, Reinebrant H, Allanson E, Blencowe H, Erwich JJ. Seeking order amidst chaos: a systematic review of classification systems for causes of stillbirth and neonatal death, 2009–2014. BMC Pregnancy Childbirth. 2016;16(1):295.
5. Hug L, You D, Blencowe H, Mishra A, Wang Z, Fix MJ. Global, regional, and national estimates and trends in stillbirths from 2000 to 2019: a systematic assessment. Lancet. 2021;398(10302):772–85.
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