Back to Search Start Over

"So hard not to feel blamed!": Assessment of implementation of Benin's Maternal and Perinatal Death Surveillance and Response strategy from 2016-2018.

Authors :
Boyi Hounsou C
Agossou MCU
Bello K
Delvaux T
Benova L
Vigan Guézodjè A
Hounkpatin H
Dossou JP
Source :
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2022 Aug; Vol. 158 Suppl 2, pp. 6-14. Date of Electronic Publication: 2021 Dec 27.
Publication Year :
2022

Abstract

Objective: To assess the implementation of the Maternal and Perinatal Death Surveillance and Response (MPDSR) strategy institutionalized in Benin in 2013 to address the alarmingly high maternal and neonatal death rates.<br />Methods: A retrospective, mixed-methods study was performed. We used all maternal and neonatal death notifications and reviews from 2016 to 2018, reviewed the reports of 63 MPDSR working groups, and held two online group discussions. Descriptive quantitative analysis was performed, and content analysis was applied to qualitative data.<br />Results: Deaths were under-notified, with estimated notification rates at 46%-48% for maternal and 16%-21% for neonatal deaths over the 3 years. Review completion rates were low, corresponding to 50%-56% of maternal and 8%-17% of neonatal deaths. Causes of undernotification included very low notification of community-based and private health facility deaths, and fear of blame. Low review completion rates were due to heavy workload, staffing shortages, fear of blame, and weak leadership. Moreover, reviews were of poor quality and the response was weak.<br />Conclusion: Maternal and Perinatal Death Surveillance and Response is operational in Benin. However, this assessment highlights the need to strengthen the notification strategy, continuously build MPDSR committee members' capacities, engage decision-makers for an effective response, and create a better blame-free, accountable, and learning culture.<br /> (© 2021 International Federation of Gynecology and Obstetrics.)

Details

Language :
English
ISSN :
1879-3479
Volume :
158 Suppl 2
Database :
MEDLINE
Journal :
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Publication Type :
Academic Journal
Accession number :
34961924
Full Text :
https://doi.org/10.1002/ijgo.14041