Presentation 4 mdr -goi-guidelines wb-2011
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The document outlines guidelines for maternal death review (MDR) processes in India at national, state, district, facility, and community levels. MDR committees are established to review maternal death cases, identify causes, and implement corrective actions. The process involves notifying authorities of deaths, investigating cases, presenting findings to MDR committees, and taking remedial measures to prevent future deaths from similar causes. The goal is to establish systematic review mechanisms to disseminate data, analyze causes of death, and develop follow-up action plans.
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1) Maternal death review (MDR) is conducted through community based and facility based surveillance to understand why women die during pregnancy and childbirth.
2) The goal is to reduce maternal mortality and morbidity by identifying avoidable factors, promoting changes in practices, and reviewing outcomes of these changes.
3) MDR involves confidential review of maternal death cases to find medical causes and contributing personal or community factors without blame. Findings stimulate action at all levels to fill gaps in service provision.
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This document provides guidelines for conducting Maternal Death Reviews (MDR) in India. It contains information on conducting both community-based and facility-based MDR. It outlines the roles and responsibilities at the district and state level. It also includes training schedules, data analysis procedures, and monitoring guidelines. Formats for MDR data collection and reporting are provided in the annexures. The overall goal is to accelerate the reduction of India's maternal mortality ratio through reviewing maternal deaths to identify preventable factors.
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Despite population growth, the number of deaths in children under five worldwide declined from 12.7 million in 1990 to 6.3 million in 2013, which translates into about 17,000 fewer children dying each day.
Since 2000, measles vaccines have averted over 14 million deaths.
Despite determined global progress in reducing child deaths, an increasing proportion of child deaths are in sub-Saharan Africa and Southern Asia. Four out of every five deaths of children under age five occur in these regions.
As the rate of under-five deaths overall declines, the proportion that occurs during the first month after birth is increasing.
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The National Rural Health Mission aims to provide universal access to equitable, affordable, and quality healthcare in rural India. It was launched in 2005 to correct inequities in health systems and increase spending on healthcare. Key strategies include strengthening primary healthcare through community health workers called ASHAs, improving infrastructure like primary health centers and community health centers, implementing district-level health plans, and increasing involvement of local governments. The mission seeks to reduce mortality rates and expand access to services while integrating traditional medicine. It is monitored through strengthened health information systems and evaluations.
Sources of Demographic Data
There are three broad categories of demographic data: population censuses, vital statistics registration, and sample surveys. Population censuses can use the de jure or de facto method. Vital statistics registration collects data secondarily from four sources: vital registration, population registers, other records, and international publications. Sample surveys collect data from a sample of the population rather than the entire population. The population of India based on the 2016 census was 3.124 billion people.
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2) It describes 25 high-impact interventions across 5 thematic areas (maternal health, newborn care, child health, family planning and nutrition) that are implemented at the community and facility levels as part of the "continuum of care".
3) The goals of the strategy are to reduce India's infant mortality rate, maternal mortality ratio, and total fertility rate by 2017 through improved coverage and quality of these priority interventions.
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1) Maternal death review (MDR) is conducted through community based and facility based surveillance to understand why women die during pregnancy and childbirth.
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3) MDR involves confidential review of maternal death cases to find medical causes and contributing personal or community factors without blame. Findings stimulate action at all levels to fill gaps in service provision.
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The document summarizes the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), a program launched by the Indian government to provide free and comprehensive antenatal care to pregnant women. The key goals of PMSMA are to improve antenatal care quality and coverage, and reduce maternal and neonatal mortality rates. On the 9th of every month, the program provides services like diagnostic tests, screenings, management of conditions, and counseling at designated public health centers supplemented by private healthcare practitioners. Identification of high-risk pregnancies and improving care for at-risk groups are emphasized.
Child Death Review, introduction
Despite population growth, the number of deaths in children under five worldwide declined from 12.7 million in 1990 to 6.3 million in 2013, which translates into about 17,000 fewer children dying each day.
Since 2000, measles vaccines have averted over 14 million deaths.
Despite determined global progress in reducing child deaths, an increasing proportion of child deaths are in sub-Saharan Africa and Southern Asia. Four out of every five deaths of children under age five occur in these regions.
As the rate of under-five deaths overall declines, the proportion that occurs during the first month after birth is increasing.
Children born into poverty are almost twice as likely to die before the age of five as those from wealthier families.
Children of educated mothers—even mothers with only primary schooling—are more likely to survive than children of mothers with no education.
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Launched as recommended by the national health policy 2017
To achieve the vision of universal health coverage (UHC).
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Sources of Demographic Data
There are three broad categories of demographic data: population censuses, vital statistics registration, and sample surveys. Population censuses can use the de jure or de facto method. Vital statistics registration collects data secondarily from four sources: vital registration, population registers, other records, and international publications. Sample surveys collect data from a sample of the population rather than the entire population. The population of India based on the 2016 census was 3.124 billion people.
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1) The document outlines India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health + Adolescence) strategy, which takes a comprehensive, life cycle approach to improving maternal and child health outcomes.
2) It describes 25 high-impact interventions across 5 thematic areas (maternal health, newborn care, child health, family planning and nutrition) that are implemented at the community and facility levels as part of the "continuum of care".
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The document summarizes Nepal's Community Based Integrated Management of Newborn Care (Neonatal care) and Childhood Illness (CB-IMNCI) program. The key points are:
[1] CB-IMNCI aims to reduce neonatal and under-5 mortality by promoting essential newborn care, managing major causes of illness in newborns and children, and improving access to health services.
[2] It integrates newborn care programs with childhood illness management. Major interventions include birth preparedness, essential newborn care, treatment of neonatal sepsis, and management of childhood illnesses like pneumonia and diarrhea.
[3] The goal is to achieve targets for reducing under-5 and
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This document outlines the process for maternal and child death reviews in India. It describes both community-based and facility-based review methods. The goal is to identify gaps in healthcare services, determine causes of deaths, and implement corrective actions to prevent future deaths. The process involves notifying local officials of deaths, investigating circumstances, analyzing data at district and state levels, and taking appropriate actions to improve quality of care. Reviews are not fault-finding missions but aim to enhance healthcare delivery and reduce mortality.
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The Pradhan Mantri Matru Vandana Yojana (PMMVY) provides Rs. 5,000 to pregnant women and lactating mothers for their first live child in three installments. It was announced in 2016 and is administered through the Integrated Child Development Services and health infrastructure. Eligible women receive Rs. 1,000 for initial registration, Rs. 2,000 at 6 months, and Rs. 2,000 upon completion of immunizations. Various roles like field functionaries, supervisors, and nodal officers at state and district levels facilitate implementation through an online system to process registrations and payments via Direct Benefit Transfer.
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The Janani Suraksha Yojana (JSY) program was launched in 2005 to reduce maternal and neonatal mortality rates and promote institutional deliveries among poor pregnant women. The program provides cash assistance for deliveries that take place in health centers. Accredited Social Health Activists (ASHAs) play a key role in identifying and assisting pregnant women under the program. They are responsible for registration, ensuring antenatal checkups, arranging delivery in health centers, postnatal checks, and newborn immunization. Cash assistance amounts vary between rural and urban areas and low and high performing states. Over 100 million women have benefited from the program since its inception.
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The Sample Registration System (SRS) was initiated in India in 1964-1965 to provide reliable demographic data for planning purposes, as birth and death registration was previously voluntary and incomplete. The SRS provides annual estimates of population composition, fertility, mortality, and medical attention at birth/death for India and major states. It covers about 8.1 million people based on a system of dual recording of births and deaths in representative sample units. Key estimates include population by age/sex, fertility rates, mortality rates, and maternal mortality. The SRS is implemented by the Office of the Registrar General and involves state census offices and part-time enumerators.
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4. Combatting sexually transmitted infections
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5. Challenges and Opportunities in the context of Nepal
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This document provides an overview of India's health care delivery system. It discusses how the system is organized at the central, state, district, block, and village levels. Key points include:
- At the central level, the Ministry of Health and Family Welfare oversees health policies and programs.
- States have authority over public health, hospitals, and local governance related to health.
- District health organizations coordinate rural health programs within districts.
- Primary health centers and community health centers provide primary care and referrals at the block/village level.
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This document discusses various sources of vital statistics in India, including population censuses conducted every 10 years since 1881, the civil registration system for recording births and deaths, the sample registration system providing annual estimates of birth and death rates, national sample surveys conducted by NSSO on topics like household expenditure, and various health surveys like the National Family Health Survey and District Level Household Survey providing data on maternal and child health, reproductive health, and family planning. It provides details on the objectives, coverage and administration of these different systems and surveys.
Maternal mortality
One woman dies every minute from pregnancy or childbirth complications, with 80% being preventable. Maternal mortality is classified as direct, indirect, fortuitous or late. The main causes of maternal death in the state are postpartum hemorrhage, pulmonary embolism, eclampsia, and cardiac disease. The state achieved its MDG 5 target of reducing maternal mortality ratio to below 11.08 per 100,000 live births by 2013. However, deficiencies were still noted and plans of action were proposed to further improve maternal health services and reduce preventable maternal deaths.
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It includes the family planning programmes, national commitments and the role of community health nurse in family welfare services.
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1. The mission aims to reduce maternal and child mortality and make healthcare accessible through community health workers like ASHAs.
2. It focuses on strengthening primary healthcare and aims to upgrade all subcenters, PHCs, and CHCs.
3. Key components include ASHA workers, improving rural health infrastructure, disease control programs, and expanding health insurance.
The goal is to universally improve access to healthcare and reduce inequities between urban and rural populations.
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The Mother and Child Tracking System (MCTS) is an Indian government initiative to track maternal and child health beneficiaries and improve service delivery. It registers pregnant women and children under 5 for antenatal care, delivery care, postnatal care, and immunizations. Frontline health workers use MCTS to generate work plans, ensure all beneficiaries receive scheduled services, and update the system in real time. Over 2.8 crore mothers and 2.06 crore children have been registered in MCTS so far. The government aims for 100% registration and updating of services provided through the system.
JSY
The Janani Suraksha Yojana (JSY) program provides cash assistance to promote institutional delivery among pregnant women. It aims to reduce maternal and infant mortality. The document outlines that JSY replaces an earlier program and is fully funded by the central government. It integrates cash payments with delivery and post-natal care. States are classified as Low or High Performing, and cash benefits differ based on these categories and place of delivery. The roles of ASHA workers and various administrative bodies in implementing JSY are also summarized.
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1. The Integrated Disease Surveillance Project (IDSP) was launched in 2004 to establish a decentralized disease surveillance system in India to enable timely public health responses.
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3. The project works to detect disease outbreaks early through establishing surveillance units at central, state, and district levels that monitor for priority infectious diseases and public health events.
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[1] CB-IMNCI aims to reduce neonatal and under-5 mortality by promoting essential newborn care, managing major causes of illness in newborns and children, and improving access to health services.
[2] It integrates newborn care programs with childhood illness management. Major interventions include birth preparedness, essential newborn care, treatment of neonatal sepsis, and management of childhood illnesses like pneumonia and diarrhea.
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This document outlines the process for maternal and child death reviews in India. It describes both community-based and facility-based review methods. The goal is to identify gaps in healthcare services, determine causes of deaths, and implement corrective actions to prevent future deaths. The process involves notifying local officials of deaths, investigating circumstances, analyzing data at district and state levels, and taking appropriate actions to improve quality of care. Reviews are not fault-finding missions but aim to enhance healthcare delivery and reduce mortality.
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The Pradhan Mantri Matru Vandana Yojana (PMMVY) provides Rs. 5,000 to pregnant women and lactating mothers for their first live child in three installments. It was announced in 2016 and is administered through the Integrated Child Development Services and health infrastructure. Eligible women receive Rs. 1,000 for initial registration, Rs. 2,000 at 6 months, and Rs. 2,000 upon completion of immunizations. Various roles like field functionaries, supervisors, and nodal officers at state and district levels facilitate implementation through an online system to process registrations and payments via Direct Benefit Transfer.
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SRH Broadly comprises
1. Improving maternal and newborn care
2. Providing high quality services for family planning
3. Eliminating unsafe abortion
4. Combatting sexually transmitted infections
5. Promoting sexual health
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1. Introduction
2. Current Situation in Nepal
3. Evolution of SRH Strategy in Nepal
4. Program Implementation
5. Challenges and Opportunities in the context of Nepal
Mother and child tracking system (mcts)
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
Health care Delivery system
This document provides an overview of India's health care delivery system. It discusses how the system is organized at the central, state, district, block, and village levels. Key points include:
- At the central level, the Ministry of Health and Family Welfare oversees health policies and programs.
- States have authority over public health, hospitals, and local governance related to health.
- District health organizations coordinate rural health programs within districts.
- Primary health centers and community health centers provide primary care and referrals at the block/village level.
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This document discusses various sources of vital statistics in India, including population censuses conducted every 10 years since 1881, the civil registration system for recording births and deaths, the sample registration system providing annual estimates of birth and death rates, national sample surveys conducted by NSSO on topics like household expenditure, and various health surveys like the National Family Health Survey and District Level Household Survey providing data on maternal and child health, reproductive health, and family planning. It provides details on the objectives, coverage and administration of these different systems and surveys.
Maternal mortality
One woman dies every minute from pregnancy or childbirth complications, with 80% being preventable. Maternal mortality is classified as direct, indirect, fortuitous or late. The main causes of maternal death in the state are postpartum hemorrhage, pulmonary embolism, eclampsia, and cardiac disease. The state achieved its MDG 5 target of reducing maternal mortality ratio to below 11.08 per 100,000 live births by 2013. However, deficiencies were still noted and plans of action were proposed to further improve maternal health services and reduce preventable maternal deaths.
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1. The mission aims to reduce maternal and child mortality and make healthcare accessible through community health workers like ASHAs.
2. It focuses on strengthening primary healthcare and aims to upgrade all subcenters, PHCs, and CHCs.
3. Key components include ASHA workers, improving rural health infrastructure, disease control programs, and expanding health insurance.
The goal is to universally improve access to healthcare and reduce inequities between urban and rural populations.
First referral unit
The document outlines the criteria and guidelines for establishing First Referral Units (FRUs) in India. FRUs are intended to be fully functional health facilities providing emergency obstetric and newborn care. Key points include that by the 10th Five Year Plan each district should have 3-4 FRUs. Critical services of a FRU include 24/7 delivery services, emergency obstetric care like C-sections, newborn care, and referral services. Facilities should have a minimum of 20 beds, operation theater, and labor room. Human resources need 4 medical officers and adequate nursing staff. By 2009, Tamil Nadu increased its FRUs from 105 in 1992-1997 to 291.
Mother and child tracking system
The Mother and Child Tracking System (MCTS) is an Indian government initiative to track maternal and child health beneficiaries and improve service delivery. It registers pregnant women and children under 5 for antenatal care, delivery care, postnatal care, and immunizations. Frontline health workers use MCTS to generate work plans, ensure all beneficiaries receive scheduled services, and update the system in real time. Over 2.8 crore mothers and 2.06 crore children have been registered in MCTS so far. The government aims for 100% registration and updating of services provided through the system.
JSY
The Janani Suraksha Yojana (JSY) program provides cash assistance to promote institutional delivery among pregnant women. It aims to reduce maternal and infant mortality. The document outlines that JSY replaces an earlier program and is fully funded by the central government. It integrates cash payments with delivery and post-natal care. States are classified as Low or High Performing, and cash benefits differ based on these categories and place of delivery. The roles of ASHA workers and various administrative bodies in implementing JSY are also summarized.
SAMPLE REGISTRATION SYSTEM (SRS) INDIA
Although there is very less material in web ,I try to make the topic lucid . I also stuck in sampling part but i feel it helpful for readers .
Commends are welcome
Rashtriya Bal Swasthyia Karyakaram (RBSK)
The document outlines India's Rashtriya Bal Swasthya Karyakram (RBSK) program, which aims to screen children from birth to 18 for developmental delays, diseases, deficiencies, and defects. It discusses the program's goals of early detection and intervention. Mobile health teams screen children at anganwadi centers and schools using tools to check vision, hearing, nutrition status and more. Children detected with issues are referred to District Early Intervention Centers for treatment and services. The program aims to reduce child mortality, improve quality of life, and lessen economic burden through systematic screening and timely intervention.
Critical review of idsp
1. The Integrated Disease Surveillance Project (IDSP) was launched in 2004 to establish a decentralized disease surveillance system in India to enable timely public health responses.
2. IDSP aims to integrate disease surveillance activities across national health programs, private sector organizations, and state governments.
3. The project works to detect disease outbreaks early through establishing surveillance units at central, state, and district levels that monitor for priority infectious diseases and public health events.
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The United Nations Development Programme (UNDP) is a UN program that works to help poorer nations develop their human and natural resources. It provides expert advice, training, and funding to developing countries with an emphasis on least developed nations. UNDP is headquartered in New York City and works in over 177 countries on projects related to agriculture, education, health, and other economic and social sectors. The ultimate goals of UNDP are to encourage global development and help countries achieve the Millennium Development Goals.
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The document outlines the action plan for child death audits in India. It describes a multi-level process involving: 1) community-level notification and investigation of child deaths by ASHAs and ANMs; 2) facility-level review of deaths by medical officers; and 3) review of reports at block, district, and state levels to identify gaps and corrective actions. Key responsibilities are assigned to nodal officers at each level to ensure timely reporting and data-driven decision making. Training and monitoring processes support high-quality implementation of the child death review.
UP status Child Death Review.ppt
Child Death Review (CDR) is a strategy to understand geographical variations in child deaths and initiate targeted interventions. It involves reviewing all deaths of children aged 0-59 months, regardless of location, to identify medical causes, gaps in health services, and social factors contributing to deaths. CDR can be community-based (CBCDR) or facility-based (FBCDR) and follows key steps - notification of deaths, investigation, data analysis, and using findings to improve planning and corrective measures. The document outlines the roles of various officials like ASHA, ANM, MOIC in the CDR process and establishing review committees at district and facility levels to systematically study child deaths.
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Maternal Near Miss guidelines is designed for the program managers at different levels of public health system.to provide quality services and identify the best practices.
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EPI and Polio Related Activities District Okara Pakistan
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http://www.fao.org/ag/AGAInfo//programmes/en/empres/news_160916b.html
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©FAO http://www.fao.org
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This document provides guidelines for conducting Maternal Death Reviews (MDRs) in Punjab, India. It outlines procedures for both Facility Based MDRs (FBMDRs) and Community Based MDRs (CBMDRs). FBMDRs investigate clinical and systemic causes of maternal deaths occurring in health facilities. CBMDRs interview family/community members using verbal autopsies to identify medical, socio-economic, and systemic factors contributing to maternal deaths in the community. The guidelines establish mechanisms for data collection, analysis, and follow-up actions to address gaps and prevent future deaths. They include flow charts, forms, and questionnaires to standardize the MDR process across facilities and communities. The overall aim is
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This document discusses the ideal role of a community health professional. It envisions a trained health worker who lives in the community they serve, knows community members by name, and treats patients like extended family. The document advocates for selecting health workers from within communities, providing 5-10 years of phased training while maintaining connections to universities and hospitals. This would allow health workers to influence research and stay up to date, while strengthening the bond between medical centers and rural populations through feedback. The goal is for community health professionals to fulfill the dream of being a family doctor who visits patients' homes and empathizes with their situations.
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Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Presentation 4 mdr -goi-guidelines wb-2011
- 1. MATERNAL DEATH REVIEW (Facility & Community Based) Govt of India – National Guidelines
- 8. FACILITY BASED MATERNAL DEATH REVIEW Activities to Initiate FB-MDR Identify & orient nodal officer(s) from selected facilities By State Nodal officer Constitution of MDR Committee at the facility By Principal /Superintendent of the facility Identification of facilities for MDR By State Director / Programme Manager
- 12. COMMUNITY BASED MATERNAL DEATH REVIEW Activities to Initiate CB-MDR Orientation of all ASHAs/ANMs/AWWs on reporting of women deaths and MDR Orientation/ training of block team on MDR programme at district level Identify & orient the District Nodal Officer for MDR at the state level.
- 15. COMMUNITY BASED MATERNAL DEATH REVIEW Process Flow Chart ASHA/Others Telephonically informs about the maternal death within 24hrs to Block MO PHC BLOCK DISTRICT STATE COMMUNITY Line listing of maternal deaths, submitted to Block MO PHC by ASHA ( monthly) Block MO PHC Telephonically informs DNO and SNO within 24hrs of receipt of information of maternal deaths Deploys investigation team (BPHN/ ANMPHN/Nurse to visit the deceased woman’s house and conduct verbal autopsy Confirmed death recorded at Block level and MO analyses and discusses the findings with the team Case summary sheet for every maternal death and format sent to the DNO Maternal death reports are reviewed by Dt MDR committee chaired by Dt CMO (monthly) DT. Collector’s/ Dt. Health Society DT Collector’s Monthly Review Meeting State Review 2 relatives of the deceased attend
- 18. Maternal Death Review Process F1 F2 F3 Facility based review in each of the institution V1 V2 V3 ASHA ASHA BLOCK-1 ANM ANM CMO/DNO DM 2 3 1 1 BLOCK-2 BLOCK-3 Community based review
- 20. Thank you