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تقييم برنامج رصد وفيات الامهات في محافظة واسط, العراق 2012 == Evaluation of Maternal Mortality Surveillance System in Wassit governorate, Iraq, 201211
Author name:
وجدان سعيد عاصي
Supervisor name:
سهير محمد محمود الجبوري
General topic:
Medicine
Specific topic:
Applied Epidemiology
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1599 - p.pdf
Abstract:
This cross sectional study was conducted on maternal deaths in Wassit governorate for 2012. The study was conducted to evaluate the surveillance system for maternal deaths in the hospitals and the MCH unit in the health directorate.Review of all the death registers in the hospitals, (6) hospitals, forensic medicine section, offices of birth and death registration from 365 dead women at reproductive age 22 was maternal death which included in the study.The study showed that the maternal deaths occur mainly in the younger age group, multiparum and resident in rural area. The main cause of death was hemorrhage, pulmonary embolism and septicemia. 73% of deaths occurred during delivery, 50% in the health institution. 77% of death refereed to the forensic medicine unit, 91% of the death certificates no pointing at the section of reproductive age.The sensitivity of the surveillance system to detect maternal deaths was 82% 18 deaths detected by the surveillance program befor implementation and RAPID test. The positive predictive value 100%. MMR was 46/100000 live births inWassit governorate for 2012.Evaluation of the surveillance programme at the level of hospitals showed some weak points in the structure, quality, support function and the core function which needs strengthen and re evaluation, the surveillance program at the level of the MCH unit was good so according to this results we recommend : 1 .Improving the quality & quantity of service provided to pregnant women during pregnancy and childbirth especially in the rural area. 2. Increase community awareness about the importance of delivery in health institutions and danger signs during pregnancy, delivery and purprium.3. Monitoring and evaluation of the surveillance system based on current priorities (structure, core function, quality) then strengthening and utilization of existing system for data collection, analysis and response.4. Training and retraining all the staff in the hospitals for detection and reporting maternal deaths.
