دورية أكاديمية

Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby.

التفاصيل البيبلوغرافية
العنوان: Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby.
المؤلفون: Kerber, Kate J, Mathai, Matthews, Lewis, Gwyneth, Flenady, Vicki, Erwich, Jan Jaap HM, Segun, Tunde, Aliganyira, Patrick, Abdelmegeid, Ali, Allanson, Emma, Roos, Nathalie, Rhoda, Natasha, Lawn, Joy E, Pattinson, Robert
بيانات النشر: BMC
سنة النشر: 2015
المجموعة: London School of Hygiene & Tropical Medicine: LSHTM Research Online
الوصف: BACKGROUND: While there is widespread acknowledgment of the need for improved quality and quantity of information on births and deaths, there has been less movement towards systematically capturing and reviewing the causes and avoidable factors linked to deaths, in order to affect change. This is particularly true for stillbirths and neonatal deaths which can fall between different health care providers and departments. Maternal and perinatal mortality audit applies to two of the five objectives in the Every Newborn Action Plan but data on successful approaches to overcome bottlenecks to scaling up audit are lacking. METHODS: We reviewed the current evidence for facility-based perinatal mortality audit with a focus on low- and middle-income countries and assessed the status of mortality audit policy and implementation. Based on challenges identified in the literature, key challenges to completing the audit cycle and affecting change were identified across the WHO health system building blocks, along with solutions, in order to inform the process of scaling up this strategy with attention to quality. RESULTS: Maternal death surveillance and review is moving rapidly with many countries enacting and implementing policies and with accountability beyond the single facility conducting the audits. While 51 priority countries report having a policy on maternal death notification in 2014, only 17 countries have a policy for reporting and reviewing stillbirths and neonatal deaths. The existing evidence demonstrates the potential for audit to improve birth outcomes, only if the audit cycle is completed. The primary challenges within the health system building blocks are in the area of leadership and health information. Examples of successful implementation exist from high income countries and select low- and middle-income countries provide valuable learning, especially on the need for leadership for effective audit systems and on the development and the use of clear guidelines and protocols in order to ensure that the ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: text
اللغة: English
العلاقة: https://researchonline.lshtm.ac.uk/id/eprint/2312425/1/1471-2393-15-S2-S9.pdfTest; Kerber, Kate J; Mathai, Matthews; Lewis, Gwyneth; Flenady, Vicki; Erwich, Jan Jaap HM; Segun, Tunde; Aliganyira, Patrick; Abdelmegeid, Ali; Allanson, Emma; Roos, Nathalie; +3 more. Rhoda, Natasha; Lawn, Joy E ; Pattinson, Robert; (2015) Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby. BMC pregnancy and childbirth, 15 Sup (S2). S9-. ISSN 1471-2393 DOI: https://doi.org/10.1186/1471-2393-15-S2-S9Test
الإتاحة: https://doi.org/10.1186/1471-2393-15-S2-S9Test
https://researchonline.lshtm.ac.uk/id/eprint/2312425Test/
https://researchonline.lshtm.ac.uk/id/eprint/2312425/1/1471-2393-15-S2-S9.pdfTest
حقوق: cc_by
رقم الانضمام: edsbas.1ACC14C7
قاعدة البيانات: BASE