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

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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

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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), 2024. Published by Science Publishing Group

Keywords

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

References

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[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.
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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

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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

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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

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@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}
}

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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 -

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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

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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

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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

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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

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@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}
}

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