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Maternal and neonatal death review (MNDR): A useful approach in identifying appropriate and effective maternal and neonatal health initiative in Bangladesh
Örebro universitet, Institutionen för hälsovetenskap och medicin. Centre for Injury Prevention and Research (CIPRB), Dhaka, Bangladesh.
Centre for Injury Prevention and Research (CIPRB), Dhaka, Bangladesh.
Örebro universitet, Institutionen för hälsovetenskap och medicin.ORCID-id: 0000-0003-0185-0851
Örebro universitet, Institutionen för hälsovetenskap och medicin.ORCID-id: 0000-0001-7393-796X
2014 (Engelska)Ingår i: Health, ISSN 1949-5005, Vol. 6, s. 1669-1679Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

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 birthswere 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, stillbirth = 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.

Ort, förlag, år, upplaga, sidor
Scientific Research Publishing, 2014. Vol. 6, s. 1669-1679
Nyckelord [en]
Maternal and Neonatal Health, Death Review, Primary Healthcare, Bangladesh
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:oru:diva-41297DOI: 10.4236/health.2014.614198OAI: oai:DiVA.org:oru-41297DiVA, id: diva2:780275
Tillgänglig från: 2015-01-14 Skapad: 2015-01-14 Senast uppdaterad: 2018-09-06Bibliografiskt granskad

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Biswas, AnimeshEriksson, CharliDalal, Koustuv

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