Kano, 3 June 2021 – “To carry out accelerated reduction in maternal and perinatal mortality, the quality of care provided to pregnant females and newborns in correctly being products and companies must meet quality standards which consist of correctly being care that must be fetch, effective, correctly timed, atmosphere friendly, equitable and other folks-centred” stated Professor Jamilu Tukur, Aminu Kano Instructing Sanatorium,.
“Furthermore, to toughen quality of care, availability of correctly being records plays a necessary role, and here’s the core aim of the Maternal and Perinatal Database for Quality, Fairness and Dignity (MPD-4-QED) Programme”, added Professor Tukur the Nationwide coordinator, WHO Maternal and Paternal Database for Quality, Fairness and Dignity Mission (MPD-4-QED).
To grasp records readily accessible for quality of care enchancment and scuttle growth against the 2030 SDGs targets of lowering maternal and neonatal mortality, the World Health Organization (WHO) Nigeria in collaboration with the Federal Ministry of Health (FMoH) launched a two –twelve months mission, MPD-4-QED supported by MSD for Mothersin 2019.
The MPD-4-QED programme makes use of a nationwide electronic machine established in 54-referral level products and companies to discover records on maternal and perinatal events during labour, childbirth and the early neonatal duration. The records is mechanically extracted from the correctly being facility records of every pregnant woman at the quit of her being pregnant and uploaded proper into a web basically based mostly mostly DHIS2 dashboard by designated trained clinical records officers. In the case of a maternal or perinatal loss of life, the designated correctly being facility coordinators (an obstetrician and neonatologist) behavior an audit to search out out the principle causes of deaths and their contributing components.
WHO focal aspects within the Nation Predicament of commercial and headquarters supported the Central Coordination Group (CCT) in Aminu Kano Instructing Sanatorium, Kano, Northwest Nigeria to educate and equip clinical records officers and properly being facility coordinators (obstetrician and neonatologist) in every of the collaborating hospitals to buy records from purchasers’ case data after discharge and behavior audits of maternal and perinatal deaths that happen. This records is analysed and disseminated to stakeholders collectively with the FMoH periodically as scorecards and newsletter of quarterly newsletters.
After a twelve months of continuous records assortment (September 2019 to August 2020), the database had 76 563 females enrolled comprising of 71 758 obstetric and 4 805 gynaecologic admissions with 97% of deaths audited. There may be correctly timed records on facility explicit maternal mortality ratio (adjusted maternal mortality ratio) for the collaborating hospitals which averaged nationally at 575 per 100 000 dwell births as at 31 August, 2020 with regional diversifications ranging from 393 per 100 000 livebirths within the Southeast to 790 per 100 000 livebirths within the Northeast.
The figures grasp generated discourse by the network of hospitals, FMoH and WHO on why these deaths happen and hospitals themselves grasp identified modern and feasible micro and macro solutions that can even be utilized with minimal resources to toughen quality of care at the flexibility level.
“Thus, the MPD-4-QED programme has successfully provided a machine that generates correctly timed and quality records on maternal and perinatal care within the correctly being products and companies. Findings from loss of life audits are in style by the correctly being facility administration to grasp selections that can toughen the quality of care provided to pregnant females and their babies, toughen the experiences of pregnant females and their families and can even be in style by the MPDRS committees in tertiary correctly being products and companies” stated Dr Adebimpe Adebiyi (Director Sanatorium Products and companies, FMoH).
“She added that this database will dawdle a perfect distance in lowering neonatal mortality because the causes are now evident and considerable measures are taken to make certain no case is repeated”.
In the mild of this, the Federal Ministry of Health has adopted the MPD-4-QED programme as its core arrangement to enhance implementation of MPDSR in tertiary level products and companies to toughen the quality of care provided to moms and newborns.
“The global route is to full preventable maternal and perinatal loss of life. Each and every being pregnant and start is gripping, and collecting and inspecting records on every person is indispensable because it gives necessary records to attend mitigate the causes and components connected to maternal and perinatal morbidity and mortality” says Dr Bosede Ezekewe, Technical Officer, Reproductive Health WHO Nigeria.
WHO provided technical assistance to the FMoH and Nationwide Vital Health Care Whisper Company (NPHCDA) to finalize the Nationwide MPDSR Bill by facilitating enter and suggestion from colleagues and companions from the Regional Predicament of commercial and Headquarters. WHO can be adding her explain to recommend for the passage of the Bill into law.
The MPD-4-QED programme is supported by funding from MSD, by MSD for Mothers, the firm’s $500 million global initiative to attend fetch an worldwide where no woman has to die whereas giving lifestyles. MSD for Mothers is an initiative of Merck & Co., Inc., Kenilworth, NJ, U.S.A.
Dr Boateng Koffi; Electronic mail: boatengko [at] who.int; Tel: +234 706 449 1772
Dr Ezekwe Bosede; Electronic mail: ezekweb [at] who.int; Tel: