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VOL. 3, ISSUE 1 (2021)
Maternal death review process in Gujarat: A case study
Authors
Kranti Vora, Paridhi Gupta, Shahin Saiyed, Parth Tailor, Harsh Shah
Abstract
Introduction- Maternal Death Review is an important strategy to improve the quality of maternal healthcare and reduce maternal morbidity and mortality. The objectives of this case study are to gain insight into the maternal death review processes; and to identify key gaps and recommendations for improving the implementation of MDR in Gujarat. Methods- A mixed-method study was conducted in three districts of Gujarat, where quantitative data was obtained from delivery registers, MDR forms, and review minutes. In-depth interviews of all stakeholders at all levels were conducted. Based on the MDR guidelines of India, challenges in the current MDR process were classified in governance, operational, and implementation domains. Results- The majority of the stakeholders were unaware of the MDR guidelines, and their implementation in the health system. Inconsistency and incompleteness of data reduced the quality of MDR. Likewise, MDR discussions during review meetings were not communicated with other health staff showing an organizational or structural weakness. Poor institutional linkages also affected the implementation and up-scaling of the review process. Conclusion- The state government has taken an important step as CBMDR to institutionalize MDR in the health system. Still, the MDR process requires continuous efforts, support, and coordination from all the health departments. Governance and operational/implementation failures were identified as major contributing factors in the poor processing of MDR.
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Pages:01-05
How to cite this article:
Kranti Vora, Paridhi Gupta, Shahin Saiyed, Parth Tailor, Harsh Shah "Maternal death review process in Gujarat: A case study ". International Journal of Gynaecology and Obstetrics Research, Vol 3, Issue 1, 2021, Pages 01-05
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