Maternal and Perinatal Death Surveillance and Response (MPDSR) Government of Nepal initiated reviewing maternal deaths in hospitals since early 90s and gradually expanded to 42 hospitals with inclusion of perinatal death reviews. In 2015, following the WHO technical guidance, Government of Nepal redesigned MPDR into MPDSR to capture maternal deaths in the communities. MPDSR is a form of continuous surveillance process that links health information system and quality improvement processes from local to national levels.
It includes routine identification, notification, quantification and determination of causes and avoidable factors of all maternal and perinatal deaths, as well as the use of this information to respond with actions that will prevent future deaths. The goal of MPDSR is to reduce preventable maternal and perinatal mortalities.
WHO Nepal has liaised closely with Family Health Division, Department of Health Services and is supporting technically and financially to establish the system. WHO Nepal has been supporting to provide trainings, orientations, review workshops, on-site coaching as well as online reporting for MPDSR. Till Chaitra 2074 (April 2018) GoN has rolled out MPDSR in 11 districts and 77 hospitals with trainings at different levels of stakeholders.
In the last two years since 2016, 66 maternal deaths have been reported and reviewed in the community MPDSR system. Similarly around 200 maternal deaths have been identified and reported from the hospitals. The reporting of perinatal deaths have been improving gradually with the numbers reaching to 1200 in the last two years. Locally, the hospital and district MPDSR committees review the deaths, identify avoidable factors and develop actionplans to prevent similar deaths in the future. With the progress in implementation, there is a need of analysis and review of the progress on MPDSR to identify issues and gaps to strengthen MPDSR and develop/revise strategies for preventing maternal and perinatal deaths in the country.
To this context, , Family Health Division, DoHS and WHO Nepal plans to develop a technical report for the last three years (FY 2072-73, 2073-74 and 2074-75) aiming to generate evidence based recommendations for wider dissemination and use.
MPDSR Training Materials :
[embeddoc url=”https://publichealthconcern.com/wp-content/uploads/2019/07/MPDSR-Opening_Session-PHC-2.pptx” download=”all” viewer=”microsoft”]
[embeddoc url=”https://publichealthconcern.com/wp-content/uploads/2019/07/MPDSR_Process-PHC.pptx” download=”all” viewer=”microsoft”]
[embeddoc url=”https://publichealthconcern.com/wp-content/uploads/2019/07/MPDSR_Intro__Rationale-PHC-1.pptx” download=”all” viewer=”microsoft”]