Maternal and Perinatal Death Surveillance and Response
This content discusses the Maternal and Perinatal Death Surveillance and Response (MPDSR) process, objectives, and setup in Nepal. It covers the MPDSR committee at hospitals, MPDSR forms and procedures, and the roles and responsibilities of individuals involved in the MPDSR process. The content aims to educate participants on the process and importance of MPDSR in reducing maternal and perinatal deaths.
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Maternal and Perinatal Death Maternal and Perinatal Death Surveillance and Response Surveillance and Response [MPDSR] [MPDSR] Every Mother and Child Counts Counts Every Mother and Child - - MPDSR Process MPDSR Process - -
Objectives Objectives By the end of session, the participants will be able to describe the process of MPDSR in the hospitals, identify the members of MPDSR Committee in the Hospital, District, Regional and National levels and identify the roles and responsibilities of individuals and MPDSR Committee in the Hospital level MPDSR process.
Nepal MPDSR Process Nepal MPDSR Process National System MPDSR Setting where death occurred Hospital Community Name of MPDSR MPDSR review/investigation Notification form PDR form MDR form Forms in use Screening form PDR Summary form Verbal autopsy form Review & Response Review & Response Review & Response Response
Hospital Based MDSR MDR Form within 24 hours MPDSR Response Cause assignment Death Review within 72 hours
Hospital Based PDSR PDR Form within 72 hours Cause of death assignment MPDSR Summarize PDR in PDR Summary form monthly Response Death Review monthly
MPDSR Committee at Hospitals MPDSR Committee at Hospitals (With OBGYN and Pediatric Department) (With OBGYN and Pediatric Department) 1. Chairman, Hospital Management Committee 2. Head of Hospital (Director / MeSu) 3.Head, OBGYN Department 4. Head, Pediatrics Department 5. Nursing Incharge, Pediatric ward / NICU 6. Nursing head, Matron 7. Health section chief of local level where the hospital is located (In case of Private hospital / Medical colleges) 8. PHN / SM Focal person from Health Office 9. Medical Recorder 10. Maternity ward / Labour room incharge secretary 11. Invitee members to be nominated by the committee - Patron - Chairman - Member Member Member Member Member Member Member Member
MPDSR Committee at Hospitals MPDSR Committee at Hospitals ( (WITHOUT WITHOUT OBGYN and Pediatric Department) OBGYN and Pediatric Department) 1. Chairman, Hospital Management Committee 2. Head of Hospital (Director / MeSu) 3. OBGYN Related Dr 4. Pediatrics Related Dr 5. Health office Head of local level where the hospital is located (In case of Private hospital) 6. PHN / SM Focal person from Health Office 7. Medical Recorder 8. Nursing incharge (Matron) 9. Invitee members to be nominated by the committee - Patron - Chairman - Member Member Member secretary Member Member Member
Responsibilities of Hospital MPDSR Committee Responsibilities of Hospital MPDSR Committee A. To review maternal and perinatal deaths in hospital. B. To ensure that all maternal deaths have been notified and properly reviewed. C. To ensure proper management of maternal and perinatal mortality data. D. To give necessary support to the hospital team by summarizing the results obtained. E. As per the review, make necessary coordination with the state, health office and local level MPDSR committee. F. To make action plans and mobilize resources to implement the suggestions received. G. Continuous follow up to ensure implementation of action plan. H. To present the facts and suggestions obtained from review to the health office, Province and Centre.
Responsibilities of Hospital MPDSR Committee Responsibilities of Hospital MPDSR Committee Contd Contd .. .. G. To cooperate and coordinate with various stakeholders in order to enhance the quality of service in the hospital. H. In the annual MPDSR reviews: To present the facts. To review the MPDSR program in the annual and other review programs. G. Make action plan after review, implement and follow up regularly. H. To inform the concerned body about the death of the mother. I. MPDSR To review whether the recommendations of the previous meeting have been implemented in each meeting of the committee. J. Provide computer and laptop, enter information online and make response plan and give responsibility to improve the quality.
Role of Attending Doctor and/or Nurse Role of Attending Doctor and/or Nurse Identify maternal and perinatal deaths within the hospital Notify death to the Doctor In-charge / committee Complete the MDR form within 24 hours and PDR form within 72 hours of death in coordination with the attending staff Support the hospital based MPDSR-Committee to review maternal deaths within 72 hours and perinatal deaths every month
Role of Hospital MPDSR Committee Role of Hospital MPDSR Committee Review MDR forms within 72 hours of death Review summary of PDR forms every month Assign cause of death, identify avoidable factors and prioritizes activities Complete Prioritization and Action Plan forms Report maternal and perinatal death summaries Implement the action plan in coordination with HO Monitor the response
Role of Member Secretary Role of Member Secretary (Maternity ward (Maternity ward incharge incharge/Nursing /Nursing incharge incharge) ) Ensure MDR and PDR forms are filled on time, completeness and quality of information Coordinate and arrange for Maternal Death Reviews within 72 hours of death Coordinate for monthly perinatal death review meetings
Role of Medical Recorder Role of Medical Recorder Summarize PDR Summary form monthly Report in web-based system Report to local level if needed
Role of District MPDSR Committee (At HO) Role of District MPDSR Committee (At HO) Facilitate to conduct MPDSR capacity building activities Evaluate & verify online data from local level & hospitals Facilitate planning & implementation of the program Assist hospitals to review deaths, receive & implement suggestions Implement issues that cannot be resolved at local level Monitor notification, identification & VA at local level Facilitate utilization of budget allocated at hospital level
Role of Provincial MPDSR Committee Role of Provincial MPDSR Committee Decide the activities & budget for expansion & continuous operation Provide resources to improve quality Ensure review processes are implemented Provide training to HO, Local levels, hospitals as per need Regular monitoring, evaluation & review of online data Forward suggestions from local level & HO to centre for necessary assistance including policy reforms Prepare annual action plan & report based on MPDSR data
Role of Cause of Death Assignment Team Role of Cause of Death Assignment Team Review the community based VA forms Identify underlying cause, contributory factors, antecedent cause, immediate cause of death Identify avoidable factors Recommend the action points for addressing the avoidable factors Support the facility and district MPDSR-Committee in planning and responding
