Community-linked maternal death review (CLMDR) to measure and prevent maternal mortality: A pilot study in rural Malawi

BMJ Open

Volumn 5, Issue 4, 2015, Pages

  Bayley, Olivia ^a   Chapota, Hilda ^b   Kainja, Esther ^b   Phiri, Tambosi ^b   Gondwe, Chelmsford ^c   King, Carina ^a   Nambiar, Bejoy ^a   Mwansambo, Charles ^c,d   Kazembe, Peter ^c,e   Costello, Anthony ^a   Rosato, Mikey ^f   Colbourn, Tim ^a  

^a UNIVERSITY COLLEGE LONDON   (United Kingdom)

^b MaiMwana Project   (Malawi)

^c Department of Safe Motherhood Mchinji District Health Management Team ^*  (Malawi)

^d MINISTRY OF HEALTH   (Malawi)

^e Baylor Children's Foundation Malawi   (Malawi)

^f Women and Children First   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMMUNITY; DISEASE SURVEILLANCE; FEMALE; HEALTH CENTER; HEALTH SURVEY; HUMAN; INFORMATION PROCESSING; MAJOR CLINICAL STUDY; MALAWI; MATERNAL MORTALITY; PILOT STUDY; PUBLIC HOSPITAL; RURAL POPULATION; SAMPLE; CAUSE OF DEATH; EPIDEMIOLOGY; EVALUATION STUDY; HEALTH; MATERNAL HEALTH SERVICE; PREVENTIVE HEALTH SERVICE; PROCEDURES; PROGRAM EVALUATION; STATISTICS AND NUMERICAL DATA;

CAUSE OF DEATH; FEMALE; HUMANS; MALAWI; MATERNAL HEALTH SERVICES; MATERNAL MORTALITY; PILOT PROJECTS; PREVENTIVE HEALTH SERVICES; PROGRAM EVALUATION; PUBLIC HEALTH SURVEILLANCE; RURAL HEALTH;

EID: 84929309821     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2015-007753     Document Type: Article

References (29)

1. Kassebaum NJ, Bertozzi-Villa A, Coggeshall MS, et al. Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;384:980-1004.
2. WHO. Keeping promises, measuring results. Commission on information and accountability for women's and children's health. Geneva: World Health Organization, 2011.
3. Lewis G. Beyond the numbers: reviewing maternal deaths and complications to make pregnancy safer. Br Med Bull 2003;67:27-37.
4. Lewis G. Reviewing maternal deaths to make pregnancy safer. Best Pract Res Clin Obstet Gynaecol 2008;22:447-63.
5. Mataya R, Malawi National Confidential Committee on enquiry into maternal death. Report on the Confidential Enquiry into Maternal Deaths in Malawi (2008-2012). Lilongwe, Malawi: Reproductive Health Unit, Ministry of Health, 2013.
6. Kongnyuy EJ, van den Broek N. The difficulties of conducting maternal death reviews in Malawi. BMC Pregnancy Childbirth 2008;8:42.
7. Danel I, Graham WJ, Boerma T. Maternal death surveillance and response. Bull World Health Organ 2011;89:779-9A.
8. Hounton S, De Bernis L, Hussein J, et al. Towards elimination of maternal deaths: maternal deaths surveillance and response. Reprod Health 2013;10:1.
9. Colbourn T, Lewycka S, Nambiar B, et al. Maternal mortality in Malawi, 1977-2012. BMJ Open 2013;3:e004150.
10. National Statistical Office [Malawi]. Malawi MDG Endline Survey 2014, Key Findings. Zomba, Malawi: National Statistical Office, 2014. http://www.nsomalawi.mw/images/stories/data-on-line/demography/MDGEndline/MalawiMDGEndlineSurveyKeyFindingsReport.pdf (accessed 17 Dec 2014).
11. Kongnyuy EJ, Mlava G, van den BN. Facility-based maternal death review in three districts in the central region of Malawi an analysis of causes and characteristics of maternal deaths. Womens Health Issues 2009;19:14-20.
12. Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med 1994;38:1091-110.
13. Combs Thorsen V, Sundby J, Malata A. Piecing together the maternal death puzzle through narratives: the three delays model revisited. PLoS One 2012;7:e52090.
14. Bayley O, Colbourn T, Nambiar B, et al. Knowledge and perceptions of quality of obstetric and newborn care of local health providers: a cross-sectional study in three districts in Malawi. Malawi Med J 2013;25:110-13.
15. Mueller DH, Lungu D, Acharya A, et al. Constraints to implementing the Essential Health Package in Malawi. PLoS ONE 2011;6:e20741.
16. Colbourn T, Nambiar B, Costello A. MaiKhanda-final evaluation report. The impact of quality improvement at health facilities and community mobilisation by women's groups on birth outcomes: an effectiveness study in three districts of Malawi. London: The Health Foundation, 2013:1-364. http://www.health.org.uk/publications/maikhanda/ (accessed 11 Mar 2015).
17. Republic of Malawi Ministry of Health. Malawi 2010 EmONC needs assessment final report. 2010.
18. Combs Thorsen V, Sundby J, Meguid T, et al. Easier said than done!: methodological challenges with conducting maternal death review research in Malawi. BMC Med Res Methodol 2014;14:29.
19. Yoder PS, Rosato M, Riad M, et al. Women's recall of delivery and neonatal care: a study of terms, concepts and survey questions. Calverton, Maryland, USA: Macro International, 2010.
20. Ashwood-Smith H, Simpson H. An observational study of obstetric care quality in Southern Malawi. Malawi Safe Motherhood Report, 2003.
21. Ratsma E, Lungu K, Hofman J, et al. Why more mothers die: confidential enquiries into institutional maternal deaths in the Southern Region of Malawi. Malawi Med J 2005;17:75-80.
22. Vink NM, de Jonge HCC, Ter Haar R, et al. Maternal death reviews at a rural hospital in Malawi. Int J Gynaecol Obstet 2013;120:74-7.
23. Lewycka S, Mwansambo C, Rosato M, et al. Effect of women's groups and volunteer peer counsellors on rates of mortality, morbidity and health behaviours in mothers and children in rural Malawi (MaiMwana): a factorial, cluster-randomised controlled trial. Lancet 2013;381:1721-35.
24. Prost A, Colbourn T, Seward N, et al. Women's groups practising participatory learning and action to improve maternal and newborn health in resource-limited settings: systematic review and meta-analysis. Lancet 2013;381:1736-46.
25. Supratikto G, Wirth ME, Achadi E, et al. A district-based audit of the causes and circumstances of maternal deaths in South Kalimantan, Indonesia. Bull World Health Organ 2002;80:228-35.
26. UNICEF. Maternal and perinatal death inquiry and response: empowering communities to avert maternal deaths in India. New Delhi: UNICEF, 2008. http://www.unicef.org/india/MAPEDIR-Maternal-and-Perinatal-Death-Inquiry-and-Response-India.pdf (accessed 17 Dec 2014).
27. Kalter HD, Salgado R, Babille M, et al. Social autopsy for maternal and child deaths: a comprehensive literature review to examine the concept and the development of the method. Popul Health Metr 2011;9:45.
28. WHO. International statistical classification of diseases and related health problems. 10th revision. Vol. 2. Instruction manual. 2010 edition. Geneva: World Health Organization, 2010:134.
29. National Statistical Office [Malawi]. Census of Malawi 2008. Main Report. Lilongwe, Malawi: National Statistical Office, Government of Malawi, 2010.