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Maternal and Perinatal Death Surveillance and Response, Delta State Report
- 2. Zonal Health Facility MPDSR committee State MPDSR Desk Officer MPDSR Technical subcommittee MPDSR Steering Committee HCH
- 3. COMPOSITION OF THE DELTA STATE MPDSR STEERING COMMITTEE 1.Chairman – Obstetrician/Gynaecologist 2.Co-chairman – Paediatrician 3.Secretary – State Reproductive Health Supervisor 4.Desk Officer 5.Permanent Secretary of the State Ministry of Health 6.Permanent Secretary Hospital Management Board 7.Executive Director Primary Health Care Development Agency 8.Representative of the Governor’s Wife 9.Director PHC, Local Government Service Commission 10.Director Nursing Services, Local Government Service Commission 11.Directors of the State Ministry of Health 12.Directors of the State Primary Health Care Development Agency 13.Representative of NBA 14.State DSNO 15.State HMIS Officer 16.Chief Nursing Officer (HMB) 17.Chief Medical Records officer (HMB) 18.Chief Medical Laboratory officer (SMOH) 19.State Epidemiologist 20.Representative of NISONM 21.Representative of AGPMP 22.Representative of NCWS 23.Representative of the Department of Vital Statistics, NPoC 24.State Coordinator, WHO 25.UNICEF Health Specialist. 26.State Programme Coordinator, The Challenge Initiative
- 4. STATE DATA 2017 2018 TOTAL MATERNAL DEATHS REPORTED 63 64 TOTAL PERINATAL DEATHS REPORTED 1,104 918 TOTAL LIVE BIRTHS 27,487 24,216 MATERNAL MORTALITY RATIO (per 100,000 live births) 229 264 PERINATAL MORTALITY RATE (per 1,000 live births) 40 38
- 6. CAUSES OF PERINATAL DEATHS
- 7. CAUSES OF MATERNAL DEATHS
- 8. ZONAL DATA
- 9. ZONAL DATA
- 10. INTERVENTIONS IDENTIFIED FOR IMPLEMENTATION - RESPONSE 1. Development of a maternal case selection guide for various tiers of health facilities and appropriate referral. 2. State blood transfusion services. 3. The state emergency ambulances services was resuscitated 4. Strengthening the contributory health scheme for emergency care for unbooked mothers. 5. Increased involvement of Consultants in the management of pregnant mothers and neonates in the health facilities.
- 11. Challenges 1. Relunctance of health care workers to embrace MPDSR 2. Poor and incomplete filling of the MPDSR forms. 3. Infrequent review meetings and funding 4. Improperly conducted MPDSR reviews 5. Implementation and Tracking of response. 6. Inability to commence MPDSR reviews at the PHCs/LGA level.
- 12. NEXT STEPS 1. Passage of the MPDSR draft bil 2. Strengthening MPDSR reviews in secondary and tertiary health facilities in Delta State. 3. Implementation of MPDSR reviews at the PHCs/LGA level. 4. Strengthening linkage systems between MPDSR and HMIS 5. Implementation of the electronic MPDSR Data platform. 6. Development of strategies for the incorporation of Private healthcare providers into the MPDSR programme.
- 13. CONCLUSION • A lot more stiil needs to be done if Delta State is to achieve the SDG 3.1 of MMR of 70/100,000 by the year 2030 • Deligent implementation of the MPDSR is crucial to achieving this • I plead earnestly for the presentation and passage of the MPDSR bill • I also plead earnestly with all stakeholders, Health care workers, implementation partners, the ministry of Health and Government to continue and increase their support for MPDSR • We must continue to prevent the deaths of our pregnant mothers and newborn
- 14. Thank you