Implementation of Maternal and Perinatal Death Surveillance and Response (MPDSR)

Implementation of Maternal and Perinatal Death Surveillance and Response ( MPDSR) Maternal and Perinatal Death Surveillance and Response (MPDSR) was designed to measure and track all maternal deaths in real time, to understand the underlying factors contributing to mortality and to provide guidance for how to respond to and prevent future deaths. This is a continuous identification, notification, quantification and determination of causes and avoidability of all maternal and perinatal deaths, as well as the use of this information to respond with actions that will prevent future deaths. GoN prioritized and implemented MPDSR in FY 2073/74 MPDSR with further strengthening and expansion. MPDSR was scaled up in 21 districts out of which 7 districts in this fiscal year (Bajhang, Dailekh, Palpa,Myagdi, Nuwakot, Taplegung and Rautahati, and 99 Hospitals(both public and private) in FY2075/76. Government of Nepal (GoN) developed MPDSR guidelines 2015. In these districts, both community maternal deaths, hospital maternal deaths and hospital perinatal deaths are reviewed and responses planned.

Community-based MPDSR: Community based MPDSR program was implementing in 21 districts 99 hospitals. In community-based MPDSR program community, maternal deaths and perinatal deaths are reviewed and responses planned.
Hospital based MPDSR: Currently 99 hospitals are implementing MPDSR program. In hospitals, each maternal death is reviewed individually and perinatal deaths are reviewed in a monthly basis.

Formation of MPOSR Committees at different levels

As per the MPDSR guidelines 2015, there was National MPDSR Committee chaired by the Director General, Directorate of Health Services and MPDSR Technical Working Group(TWG)chaired by Director, Family Health Division. In addition, there are health facility levels MPDSR committees and palika level committees with separate VA and cause of death assignment teams for community MPDSR program. For each hospital implementing MPDSR, there is MPDSR committee formed as per the level of the hospital.
MPDSR Onsite coaching program
Family Health Division conducted on-site coaching program to support the districts and hospitals for implementing MPDSR program. The on-site coaching program was done in district for community based MPDSR and hospitals for hospital based MPDSR. During this program available data, forms and documents were reviewed and discussion was done which mainly focused to address the preventable issues.

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Review of Implementation of Maternal and Perinatal Death Surveillance and Response (MPDSR)
A review of MPDSR program was conducted in this fiscal year with an objective to review the update progress on MPDSR in implementing hospitals. Review was conducted in Biratnagar, Butwal, Kathmandu and Dhangadhi which covered all implementing hospitals in Nepal 2-3 person from each hospital were invited from each hospital to participate in the review.
One stop Crisis Management Centre (OCMC)
One stop crisis management oorientation program was successfully completed in five different district hospital it Chautara, Sindhupalchowk, Dhulikhel, Kavrepalsnchowk, Sandhikharka, Argakhachi, Taulihawal, Kapilbastu and Prithivichandra (Nawalparasi) hospitals. The objective of the program was to enhance service provider’s knowledge and skill regarding case management.

Issues and constraints and recommendation for Implementation of Maternal and Perinatal Death Surveillance and Response (MPDSR)

Implementation of Maternal and Perinatal Death Surveillance and Response (MPDSR)

Adopted from Annual Report , DoHs 2075/76

Family Welfare Divison

Nirdesh Baral

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Implementation of Maternal and Perinatal Death Surveillance and Response (MPDSR)

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