跳至主要内容

Maternal and Neonatal Death Review (MNDR): A Useful Approach to Identifying Appropriate and Effective Maternal and Neonatal Health Initiatives in Bangladesh

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=48164#.VEXI8FfHRK0

Objectives: To identify the effects of Maternal and Neonatal Death Review (MNDR) in terms of improving maternal and neonatal health at the community level in Bangladesh. Methods: Both quantitative and qualitative methods were undertaken for collecting data in Kashipur Union, Bangladesh. Death notifications from households, subsequent data collections from a focus-group discussion (FGD), a group discussion (GD) and in-depth interviews (IDIs) were obtained using structured tools and guidelines. Results: A total of four maternal deaths, 21 neonatal deaths and 15 still births were reported in the MNDR death notification system at Kashipur Union in 2010. Data were presented to local programme managers, who took various initiatives including awareness programmes, pregnancy registration, antenatal care, birth planning, and also the revitalization of a community clinic. The coverage of antenatal care, delivery in clinics, postnatal care and referral of complications increased through the active participation of the community. Community healthcare providers, care recipients and members of the community expressed satisfaction with the quality of maternal and neonatal services. In the preceding two years, maternal and neonatal deaths substantially reduced in Kashipur (in 2011 maternal death = 1, neonatal death = 20, still birth = 8; in 2012 maternal death = 1, neonatal death = 8, still birth = 13). Conclusions: The MNDR system successfully delivered notification of all maternal and neonatal deaths in the defined area and collected information for the formulation and implementation of specific interventions, which resulted in visible and tangible changes in care-seeking and client satisfaction.
Cite this paper
Biswas, A. , Rahman, F. , Halim, A. , Eriksson, C. and Dalal, K. (2014) Maternal and Neonatal Death Review (MNDR): A Useful Approach to Identifying Appropriate and Effective Maternal and Neonatal Health Initiatives in Bangladesh. Health, 6, 1669-1679. doi: 10.4236/health.2014.614198. 
 

[1] Chowdhury, S., Banu, L.A., Chowdhury, T.A., et al. (2011) Achieving Millennium Development Goals 4 and 5 in Bangladesh. BJOG: An International Journal of Obstetrics & Gynaecology, 118, 36-46.
[2] National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International (2009) Bangladesh Demographic and Health Survey 2007. NIPORT, Mitra and Associates, and Macro International, Dhaka.
[3] National Institute of Population Research and Training (NIPORT), MEASURE Evaluation, UNC-CH, USA, ICDDR, B. (2011) Bangladesh Maternal Mortality and Health Care Survey 2010. National Institute of Population Research and Training (NIPORT), MEASURE Evaluation, UNC-CH, USA, ICDDR, B.
[4] Shah, I.H. and Say, L. (2007) Maternal Mortality and Maternity Care from 1990 to 2005: Uneven but Important Gains. Reprod Health Matters, 15, 17-27.
http://dx.doi.org/10.1016/S0968-8080(07)30339-X
[5] Ronsmans, C., Graham, W.J., Lancet Maternal Survival Series Steering Group (2006) Maternal Mortality: Who, When, Where, and Why. Lancet, 368, 1189-1200.
http://dx.doi.org/10.1016/S0140-6736(06)69380-X
[6] World Health Organization (2012) Trends in Maternal Mortality 1990 to 2010. Geneva.
[7] (1992) Programme for the Reduction of Maternal Mortality: Options and Proposals. Center for Population and Family Health, School of Public Health, Columbia University, New York.
[8] Campbell, O. and Ronsmans, C. (1995) Verbal Autopsies for Maternal Deaths: Report of a WHO Workshop, London, 10-13 January 1994. World Health Organization, Geneva.
[9] Anker, M., Black, R.E., Coldham, C., et al. (1999) A Standard Verbal Autopsy Method for Investigating Cause of Death in Infants and Children. World Health Organization, Geneva.
[10] Lassi, Z.S., Haider, B.A. and Bhutta, Z.A. (2011) Community-Based Intervention Packages for Reducing Maternal Morbidity and Mortality and Improving Neonatal Outcomes. Final Report.
[11] World Health Organization (2004) Beyond the Numbers: Reviewing Maternal Deaths and Complications to Make Pregnancy Safer. Geneva.
[12] Dikid, T., Gupta, M., Kaur, M., Goel, S., Aggarwal, A.K. and Caravotta, J. (2013) Maternal and Perinatal Death Inquiry and Response Project Implementation Review in India. Journal of Obstetrics and Gynaecology of India, 63, 101-107.
http://dx.doi.org/10.1007/s13224-012-0264-3
[13] Jafarey, S.N., Rizvi, T., Koblinsky, M., et al. (2009) Verbal Autopsy of Maternal Deaths in Two Districts of Pakistan: Filling Information Gaps. Journal of Health Population and Nutrition, 27, 170-183.
http://dx.doi.org/10.3329/jhpn.v27i2.3329
[14] Hofman, J.J. and Sibande, N.M. (2005) Review of Community Based Maternal Deaths in Mangochi District. Malawi Medical Journal, 17, 81-84.
[15] Management Information System, Directorate General of Health Services (DGHS) (2012) Health Bulletin 2012, Government of the People’s Republic of Bangladesh, Ministry of Health and Family Welfare.
[16] Bangladesh Bureau of Statistics, Statistics Division, Ministry of Planning, Government of the People’s Republic of Bangladesh (2012) Bangladesh Population & Housing Census 2011.
[17] Cresswell, J. and Plano Clark, V. (2007) Designing and Conducting Mixed Methods Research. Sage, Thousand Oaks.
[18] Tashakkori, A. and Teddlie, C. (2010) SAGE Handbook of Mixed Methods in Social & Behavioral Research. 2nd Edition, Sage, Los Angeles.
[19] Supratikto, G., Wirth, M.E., Achadi, E., et al. (2002) A District-Based Audit of the Causes and Circumstances of Maternal Deaths in South Kalimantan, Indonesia. Bulletin of the World Health Organization, 80, 228-235.
[20] Lewis, G. (2008) Reviewing Maternal Deaths to Make Pregnancy Safer. Best Practice & Research Clinical Obstetrics & Gynaecology, 22, 447-463.
http://dx.doi.org/10.1016/j.bpobgyn.2007.10.007
[21] Pearson, L., de Bernis, L. and Shoo, R. (2009) Maternal Death Review in Africa. International Journal of Gynecology & Obstetrics, 106, 89-94.
http://dx.doi.org/10.1016/j.ijgo.2009.04.009
[22] Jafarey, S.N. and Korejo, R. (1993) Mothers Brought Dead: An Enquiry into Cases of Delay. Social Science & Medicine, 36, 371-372.
http://dx.doi.org/10.1016/0277-9536(93)90021-U
[23] Koblinsky, M., Anwar, I., Mridha, M.K., et al. (2008) Reducing Maternal Mortality and Improving Maternal Health: Bangladesh and MDG 5. Journal of Health Population and Nutrition, 26, 280-294.
[24] Dumont, A., Gaye, A., de Bernis, L., et al. (2006) Facility-Based Maternal Death Reviews: Effects on Maternal Mortality in a District Hospital of Senegal. Bulletin of the World Health Organization, 84, 218-224.
http://dx.doi.org/10.2471/BLT.05.023903                     eww141021lx
标签：

评论

发表评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...
发表评论
阅读全文

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...
发表评论
阅读全文