For a better neonatal care
Our country doesn’t have guideline on proper recording on maternal, perinatal and neonatal death (MPND) now but by 2018, there will be guidelines for a proper recording system.
Although maternal neonatal death rate 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 recently.
The objectives of the MPNDSR guideline is to notified of Maternal, Perinatal and Neonatal Deaths and Reporting of Maternal, Perinatal and Neonatal Deaths.
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.
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 where deaths have occurred.
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.
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 Na- tional 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.
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.
As this is going to be an important exercise to find out the reasons for the maternal, perinatal and neonatal death in the country, the guidelines should be well tested with the changing times in order to provide our policy makers with all facts and figures to enable them to take appropriate decisions with will have a long impact in improving the life of our infants.