Country will have proper guideline on recording of MPND
Today the country doesn’t have guideline on proper recording on maternal, perinatal and neonatal death (MPND) but by 2018, there will be guideline to have proper recording system.
Although MNDR is conducted quarterly in the districts and annually at the national level, but lacks proper guidance/ guideline., “Appraisal on maternal perinatal and neonatal death surveillance and response (MPNDSR) guideline 2016” was presented during the 4th Biennial Health Conference which ended yesterday.
The objectives of the MPNDSR guideline was to notified of Maternal, Perinatal and Neonatal Deaths and Reporting of Maternal, Perinatal and Neonatal Deaths.
Pema Lethro, Program Officer under Department of Public Health presented that MPNDSR is a form of continuous surveillance linking the health information system and quality improvement processes from local to national levels.
It includes the routine identification, notification, quantification, and determination of causes and avoidability of all perinatal, neonatal and maternal deaths, as well as the use of this information to respond with actions that will prevent future deaths.
Pema Lethro said that Village Health Worker (VHW) and Tshogpa/ Gup should identify and notify deaths to nearest health center within 48 hours.
He added that in the absence of VHW, Tshogpa and Gup should notify and report suspected maternal, perinatal and neonatal deaths in the community to DHO/nearest health center through the sms/call.
Investigation should be carried out only after 21 days of the incident. The investigation and reporting to the RMNHP Program should be done as in health facility deaths.
So he said that they need to acted on the local level, we should not always come to the central agencies. “Anything happened at the local level should be acted upon it.”
Then district health officer (DHO) or institutional head should conduct review, analysis, make recommendation and responds and submit report to the program quarterly including zero reporting.
He also added that then Incharge should identify and notify deaths within 24 hours to DHO/ RMNHP. “This is what we have been doing yet we are going to instituted.”
The guideline also includes that it should also determine death during the pregnancy or 42 days after the termination of pregnancy.
Then each health facility including National and Regional Referral Hospitals, Military Hospitals should report deaths to the DHO monthly by 7th of the following months in the prescribed forms. Even in the absence of deaths, zero reporting should be done.
Finally the DHO should compile and submit complete report to the Reproductive, Maternal and Neonatal Health Program quarterly on 15th of the first month of the following quarter.
Since the main causes of death of maternal, perinatal and neonatal, he added that line listing of all pregnant women and tracking them is the key. All health centers should line list pregnant women in the community and collect information about outcomes of pregnancy.
However, all deaths ( maternal, perinatal or neonatal) that occur on en- route, reporting should be done by the referring hospital.
And, all deaths ( maternal or neonatal) that occur in the higher health facility for all referred cases should be reported by the higher health facility.
Also all deaths ( maternal or neonatal) where the death occurs en route from home to health facility should be reported as communitybased death.
Investigation team should collect the information on causes of deaths which include socio- economic and cultural factors, accessibility of facilities, and quality of care.
Meanwhile, the 4th Biennial Health Conference (BHC), with the theme “Enhancing collaboration, coordination and consolidation in the health sector” concluded with the adoption with the adoption of 26 recommendations on improving health service delivery in the country.