Review of Maternal Death Report System in Junagadh District
Agency : MDR, CBMDR, Maternal Deaths, Health Officers.
Objective : To understand the system of maternal death review at Junagadh and to review verbal autopsy reports of maternal deaths in Junagadh district.
Background : The main purpose of the CBMDR is to identify the various delays and causes leading to maternal deaths, to enable the health system to take corrective measures at various levels. Identifying maternal deaths would be the first step in the process, the second step would be the investigation of the factors/causes which led to the maternal death – whether medical, social, systemic, and the third step would be to take appropriate and corrective measures on these, depending on their amenability to various demand side and communication interventions.
Methodology : A desk review study of the verbal autopsy reports filed by the block health officers and discussion with CDHO and BHO on the procedures with filling up VA forms.
Findings : The forms are not completely, correctly, consistently, clearly and timely filled. Narration is generally missed. The address where ANC received is left out. The treatment received is not complete. The case sheet is not checked and the copy is not available. MDR committee has not been formed. Some of the forms were filled by FHW.
Recommendations : All maternal deaths should be reviewed every month at district level by MDR committee The BHOs and MOs are to be trained in filling up of the forms and explain what is expected from the questions and as per the guideline of the NRHM MDR handbook. The state and district should give a feedback to the district on the data collected. Home visits for pregnant women and infant children should be done by Medical officers at least one beneficiary per day to motivate the field workers and reinforce the trust in public health systems. Reporting system should be strengthened, so that no manipulation of data is allowed at any level.
To understand the system of maternal death review at Junagadh and to review verbal autopsy reports of maternal deaths