Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018

Kefyalew Amene Bogale; Tesfahun Abye Meshesha; Abiy Girmay

doi:doi:10.11648/j.jctr.20200804.11

| Peer-Reviewed

Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018

Kefyalew Amene Bogale, Tesfahun Abye Meshesha, Abiy Girmay

Published in Journal of Cancer Treatment and Research (Volume 8, Issue 4)

Received: 21 July 2020 Accepted: 4 August 2020 Published: 23 November 2020

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Introduction: Public health surveillance is an ongoing, systematic collection, analysis, interpretation, and dissemination of data regarding a health-related event for use in public health. Maternal Death Surveillance and Response (MDSR) is form of continuous surveillance linking the health information system to quality improvement processes from local to national levels. Ethiopia has been implementing Maternal Death Surveillance and Response for the last four years. The aim of evaluating Maternal Death Surveillance and Response system at Addis Ababa City Administration was to evaluate the performance and identify gaps of existing system in city administration 2018. Methods: A descriptive cross-sectional study design was used to evaluate Maternal Death Surveillance and Response system at Addis Ababa City Administration, which was conducted from March 12-23/2018. Purposive sampling technique was used to select 13 study units. Primary data was collected using structured questionnaire and crosschecked with available documents. Data was analyzed using Microsoft Office Excel, 2016. Result: Only 67% of study units had appropriate denominator and the denominator at city level was 1168157 (34.6% of total population). All study units had maternal death review committee and the action threshold used by all study units was one maternal death. A total 52 maternal death notifications received by the region from Sept/2016 to Aug/2017, giving case detection rate of 13% of national plan for the city. All notifications were true maternal deaths. Cause of death identified for 50 (96.15%) of deaths and only findings from 7 (14%) deaths used for action. No separate budget was allocated for Maternal Death Surveillance and Response system at all levels. MDSR system implementation at private health facilities was almost neglected and overall average attribute measurement for the system was 63%. Conclusion: Maternal Death Surveillance and Response system establishment objectives will not be achieved by current level of implementation and detection. Data utilization and attributes value was very low. Lack of separate budget affects the system implementation.

Published in	Journal of Cancer Treatment and Research (Volume 8, Issue 4)
DOI	10.11648/j.jctr.20200804.11
Page(s)	64-73
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Maternal Death Surveillance and Response System, Evaluation, Addis Ababa, Ethiopia 2018

References

[1]	Federal Democratic Republic of Ethiopia Public Health Emergency Management. Guidelines for Ethiopia. Ethiopian Health and Nutrition Research Institute Public Health Emergency Management Centre, February 2012, Addis Ababa, Ethiopia.
[2]	WHO Regional Committee for Africa: Integrated Diseases Surveillance in the African Region: A Regional Strategy for Communicable Diseases (AFR/RC48/R2). Harare, Zimbabwe, September 1998.
[3]	Adokiya MN, Awoonor-Williams JK, Barau IY, Beiersmann C, Mueller O. Evaluation of the integrated disease surveillance and response system for infectious diseases control in northern Ghana. BMC Public Health. 2015; 15: 75.
[4]	Pommier de Santi V, Girod R, Mura M, Dia A, Briolant S, Djossou F, et al. Epidemiological and entomological studies of a malaria outbreak among French armed forces deployed at illegal gold mining sites reveal new aspects of the disease's transmission in French Guiana. Malar J. 2016; 15 (1): 35.
[5]	World Health Organization, maternal death surveillance and response (MDSR) technical guide, 2013.
[6]	World Health Organization, UNICEF. Trends in maternal mortality: 1990-2015: estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division.
[7]	Szekeres D. United Nations Millennium Development Goals. Jura: A Pecsi Tudomanyegyetem Allam-es Jogtudomanyi Karanak tudomanyos lapja. 2012: 198.
[8]	Central Statistical Agency (CSA) [Ethiopia] and ICF. 2016. Ethiopia Demographic and Health Survey 2016: Key Indicators Report. Addis Ababa, Ethiopia, and Rockville, Maryland, USA. CSA and ICF.
[9]	FMOH Ethiopia. Health sector Transformation plan 2015/16-2019/20. MOH Ethiopia, Addis Ababa, 2015.
[10]	Demographic and Health Survey (DHS), Ethiopian DHS report, 2011.
[11]	WHO, UNICEF, UNFPA and The World Bank, Trends in Maternal Mortality: 1990 to 2013. 2014.
[12]	Federal Democratic Republic of Ethiopia, Ministry of Health, Maternal Death Surveillance and Response (MDSR) Technical Guide, 2013.
[13]	WHO, Taking Stock Of MATERNAL, NEWBORN and CHILD SURVIVAL 2000–2010 Decade Report, 2011.
[14]	WHO, Department of Maternal, Newborn, Child Health and Adolescence Health (MCA), Highlights, 2012-2013 Progress Report, 2014.
[15]	Yifru Berhan, Asres Berhan, Causes Of Maternal Mortality In Ethiopia: A Significant Decline In Abortion Related Death, 2013.
[16]	Tufh Women and Health Taskforce, Safe Motherhood: Social, Economic, and Medical Determinants of Maternal Mortality, 2006.
[17]	Updated Guidelines for Evaluating Public Health Surveillance Systems Recommendations from the Guidelines Working Group, U.S. Department Of Health And Human Services Centers for Disease Control and Prevention (CDC) Atlanta, GA 303333.
[18]	Federal Democratic Republic of Ethiopia Central Statistical Agency. Population Projection of Ethiopia for All Regions at Wereda Level from 2014 – 2017, August 2013, Addis Ababa.
[19]	http://populationof2018.com/addis-ababa-population-2018.html.
[20]	Arscott-Mills S, Holder Y, Gordon G, System JIS. Comparative Evaluation of Different Modes of a National Accident and Emergency Department-Based Injury Surveillance System: Jamaican Experience. Inj Control Saf Promot. 2002 Dec; 9 (4): 235-9.
[21]	European Centre For Disease Prevention and Control. Data Quality Monitoring and Surveillance System Evaluation – A Handbook of Methods and Applications. Stockholm: ECDC; 2014.
[22]	FMoH Policy Planning Directorate, Health and Health Related Indicators, 2003 E. C (2010/11 G. C).
[23]	Baldissera S, Campostrini S, Binkin N, Minardi V, Minelli G, Ferrante G, Et Al. Features And Initial Assessment Of The Italian Behavioral Risk Factor Surveillance System (PASSI), 2007-2008. Prev Chronic Dis. 2011 Jan; 8 (1): A24.

Cite This Article

Plain Text BibTeX RIS

APA Style

Kefyalew Amene Bogale, Tesfahun Abye Meshesha, Abiy Girmay. (2020). Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018. Journal of Cancer Treatment and Research, 8(4), 64-73. https://doi.org/10.11648/j.jctr.20200804.11

Copy | Download

ACS Style

Kefyalew Amene Bogale; Tesfahun Abye Meshesha; Abiy Girmay. Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018. J. Cancer Treat. Res. 2020, 8(4), 64-73. doi: 10.11648/j.jctr.20200804.11

Copy | Download

AMA Style

Kefyalew Amene Bogale, Tesfahun Abye Meshesha, Abiy Girmay. Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018. J Cancer Treat Res. 2020;8(4):64-73. doi: 10.11648/j.jctr.20200804.11

Copy | Download

@article{10.11648/j.jctr.20200804.11,
  author = {Kefyalew Amene Bogale and Tesfahun Abye Meshesha and Abiy Girmay},
  title = {Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018},
  journal = {Journal of Cancer Treatment and Research},
  volume = {8},
  number = {4},
  pages = {64-73},
  doi = {10.11648/j.jctr.20200804.11},
  url = {https://doi.org/10.11648/j.jctr.20200804.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20200804.11},
  abstract = {Introduction: Public health surveillance is an ongoing, systematic collection, analysis, interpretation, and dissemination of data regarding a health-related event for use in public health. Maternal Death Surveillance and Response (MDSR) is form of continuous surveillance linking the health information system to quality improvement processes from local to national levels. Ethiopia has been implementing Maternal Death Surveillance and Response for the last four years. The aim of evaluating Maternal Death Surveillance and Response system at Addis Ababa City Administration was to evaluate the performance and identify gaps of existing system in city administration 2018. Methods: A descriptive cross-sectional study design was used to evaluate Maternal Death Surveillance and Response system at Addis Ababa City Administration, which was conducted from March 12-23/2018. Purposive sampling technique was used to select 13 study units. Primary data was collected using structured questionnaire and crosschecked with available documents. Data was analyzed using Microsoft Office Excel, 2016. Result: Only 67% of study units had appropriate denominator and the denominator at city level was 1168157 (34.6% of total population). All study units had maternal death review committee and the action threshold used by all study units was one maternal death. A total 52 maternal death notifications received by the region from Sept/2016 to Aug/2017, giving case detection rate of 13% of national plan for the city. All notifications were true maternal deaths. Cause of death identified for 50 (96.15%) of deaths and only findings from 7 (14%) deaths used for action. No separate budget was allocated for Maternal Death Surveillance and Response system at all levels. MDSR system implementation at private health facilities was almost neglected and overall average attribute measurement for the system was 63%. Conclusion: Maternal Death Surveillance and Response system establishment objectives will not be achieved by current level of implementation and detection. Data utilization and attributes value was very low. Lack of separate budget affects the system implementation.},
 year = {2020}
}

Copy | Download

TY - JOUR
T1 - Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018
AU - Kefyalew Amene Bogale
AU - Tesfahun Abye Meshesha
AU - Abiy Girmay
Y1 - 2020/11/23
PY - 2020
N1 - https://doi.org/10.11648/j.jctr.20200804.11
DO - 10.11648/j.jctr.20200804.11
T2 - Journal of Cancer Treatment and Research
JF - Journal of Cancer Treatment and Research
JO - Journal of Cancer Treatment and Research
SP - 64
EP - 73
PB - Science Publishing Group
SN - 2376-7790
UR - https://doi.org/10.11648/j.jctr.20200804.11
AB - Introduction: Public health surveillance is an ongoing, systematic collection, analysis, interpretation, and dissemination of data regarding a health-related event for use in public health. Maternal Death Surveillance and Response (MDSR) is form of continuous surveillance linking the health information system to quality improvement processes from local to national levels. Ethiopia has been implementing Maternal Death Surveillance and Response for the last four years. The aim of evaluating Maternal Death Surveillance and Response system at Addis Ababa City Administration was to evaluate the performance and identify gaps of existing system in city administration 2018. Methods: A descriptive cross-sectional study design was used to evaluate Maternal Death Surveillance and Response system at Addis Ababa City Administration, which was conducted from March 12-23/2018. Purposive sampling technique was used to select 13 study units. Primary data was collected using structured questionnaire and crosschecked with available documents. Data was analyzed using Microsoft Office Excel, 2016. Result: Only 67% of study units had appropriate denominator and the denominator at city level was 1168157 (34.6% of total population). All study units had maternal death review committee and the action threshold used by all study units was one maternal death. A total 52 maternal death notifications received by the region from Sept/2016 to Aug/2017, giving case detection rate of 13% of national plan for the city. All notifications were true maternal deaths. Cause of death identified for 50 (96.15%) of deaths and only findings from 7 (14%) deaths used for action. No separate budget was allocated for Maternal Death Surveillance and Response system at all levels. MDSR system implementation at private health facilities was almost neglected and overall average attribute measurement for the system was 63%. Conclusion: Maternal Death Surveillance and Response system establishment objectives will not be achieved by current level of implementation and detection. Data utilization and attributes value was very low. Lack of separate budget affects the system implementation.
VL - 8
IS - 4
ER -

Copy | Download

Author Information

Kefyalew Amene Bogale

Deepartment of Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
Tesfahun Abye Meshesha

Deepartment of Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
Abiy Girmay

World Health Organization, Addis Ababa, Ethiopia

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Kefyalew Amene Bogale, Tesfahun Abye Meshesha, Abiy Girmay. (2020). Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018. Journal of Cancer Treatment and Research, 8(4), 64-73. https://doi.org/10.11648/j.jctr.20200804.11

Copy | Download

ACS Style

Kefyalew Amene Bogale; Tesfahun Abye Meshesha; Abiy Girmay. Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018. J. Cancer Treat. Res. 2020, 8(4), 64-73. doi: 10.11648/j.jctr.20200804.11

Copy | Download

AMA Style

Kefyalew Amene Bogale, Tesfahun Abye Meshesha, Abiy Girmay. Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018. J Cancer Treat Res. 2020;8(4):64-73. doi: 10.11648/j.jctr.20200804.11

Copy | Download

@article{10.11648/j.jctr.20200804.11,
  author = {Kefyalew Amene Bogale and Tesfahun Abye Meshesha and Abiy Girmay},
  title = {Maternal Death Surveillance System Evaluation at Addis Ababa City Administration, Ethiopia, 2018},
  journal = {Journal of Cancer Treatment and Research},
  volume = {8},
  number = {4},
  pages = {64-73},
  doi = {10.11648/j.jctr.20200804.11},
  url = {https://doi.org/10.11648/j.jctr.20200804.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20200804.11},
  abstract = {Introduction: Public health surveillance is an ongoing, systematic collection, analysis, interpretation, and dissemination of data regarding a health-related event for use in public health. Maternal Death Surveillance and Response (MDSR) is form of continuous surveillance linking the health information system to quality improvement processes from local to national levels. Ethiopia has been implementing Maternal Death Surveillance and Response for the last four years. The aim of evaluating Maternal Death Surveillance and Response system at Addis Ababa City Administration was to evaluate the performance and identify gaps of existing system in city administration 2018. Methods: A descriptive cross-sectional study design was used to evaluate Maternal Death Surveillance and Response system at Addis Ababa City Administration, which was conducted from March 12-23/2018. Purposive sampling technique was used to select 13 study units. Primary data was collected using structured questionnaire and crosschecked with available documents. Data was analyzed using Microsoft Office Excel, 2016. Result: Only 67% of study units had appropriate denominator and the denominator at city level was 1168157 (34.6% of total population). All study units had maternal death review committee and the action threshold used by all study units was one maternal death. A total 52 maternal death notifications received by the region from Sept/2016 to Aug/2017, giving case detection rate of 13% of national plan for the city. All notifications were true maternal deaths. Cause of death identified for 50 (96.15%) of deaths and only findings from 7 (14%) deaths used for action. No separate budget was allocated for Maternal Death Surveillance and Response system at all levels. MDSR system implementation at private health facilities was almost neglected and overall average attribute measurement for the system was 63%. Conclusion: Maternal Death Surveillance and Response system establishment objectives will not be achieved by current level of implementation and detection. Data utilization and attributes value was very low. Lack of separate budget affects the system implementation.},
 year = {2020}
}

Copy | Download