Maternal and Perinatal Death Surveillance Review FY Data

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"Review maternal and perinatal deaths, committee members, hospital data, and causes of maternal mortality. Identify modifiable factors to improve outcomes. Track action plans and system approvals for better response. Promote maternal and perinatal health outcomes through data-driven strategies."

  • Maternal health
  • Perinatal mortality
  • Surveillance review
  • Maternal deaths
  • Perinatal deaths

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  1. Maternal and Perinatal Death Maternal and Perinatal Death Surveillance and Response (MPDSR) Surveillance and Response (MPDSR) Review Review FY FY / . / . Name of Hospital: _______________________________________ District: __________________________________________ Date of review: DD / MM / YYYY

  2. MPDSR Committee Members MPDSR Committee Members S.N Name of Committee members Designation / post Facility

  3. Hospital Data Hospital Data FY . / . 1. Total deliveries 2. Total live births 3. Total Maternal Deaths 4. Total Stillbirths 4a. Total fresh stillbirths 4b. Total macerated stillbirths 5. Total Early Neonatal Deaths (ENND) 6. Total Perinatal deaths (4 + 5)

  4. Maternal Death Review Maternal Death Review FY . / .. Number of Maternal deaths Number of MDR Forms filled Number of Maternal deaths reviewed by MPDSR committee Number of Action Plans developed after maternal death review Number of Action Plans implemented after maternal death review Number of MDR forms approved in the web- based system

  5. Perinatal Death Review Perinatal Death Review FY / Number of Perinatal deaths Number of PDR Forms filled Number of PDR Summary forms filled Number of Monthly Perinatal death review meeting conducted by MPDSR committee Number of Action Plans developed after monthly perinatal death review Number of Action Plans implemented Number of PDR Summary forms approved in the web- based system

  6. Cause of maternal deaths Cause of maternal deaths S.N Cause Number

  7. Modifiable factors identified Modifiable factors identified Maternal Deaths (3 Delays) (3 Delays) Delay 1 Delay in deciding to / seek care facility Maternal Deaths Delay 2 Delay 3 Delay in reaching health Delay in receiving appropriate care at health facility

  8. Cause of perinatal deaths Cause of perinatal deaths S.N Cause Number

  9. Modifiable factors identified Modifiable factors identified- - Perinatal deaths (3 Delays) (3 Delays) Delay 1 Delay in deciding to / seek care facility Perinatal deaths Delay 2 Delay 3 Delay in reaching health Delay in receiving appropriate care at health facility

  10. Action plans developed Action plans developed S.N Action plans To be completed by (Timeline) Status DD / MM / YYYY DD / MM / YYYY DD / MM / YYYY DD / MM / YYYY DD / MM / YYYY DD / MM / YYYY DD / MM / YYYY DD / MM / YYYY DD / MM / YYYY

  11. Activities conducted Activities conducted

  12. Issues and challenges Issues and challenges

  13. Lessons learned Lessons learned

  14. Gaps Identified Gaps Identified

  15. Recommendations Recommendations

  16. Every Mother and Child Counts

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