ArticleReproductive health2019
Evaluation of the maternal deaths surveillance and response system at the health district level in Guinea in 2017 through digital communication tools.
Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Transforming district health systems into learning health systems: An improved strategy from the District.Team experience in Benin and Guinea.Learning health systems · 2025Article
- Trends and factors associated with skilled birth attendance in a post-Ebola context: DHS Guinea 2018.Journal of public health in Africa · 2025Article
- Evaluating maternal death surveillance and response system in Sunyani Municipality of Bono region in Ghana from 2017-2021.BMC health services research · 2024Article
- Maternal death surveillance and response system evaluation in Makonde District, Zimbabwe, 2021.PloS one · 2024Article
- Health system readiness to manage maternal death data and avail evidence for decision-making through the Maternal Death Surveillance System in Ethiopia, 2020.BMC health services research · 2023Article
- How has Guinea learnt from the response to outbreaks? A learning health system analysis.BMJ global health · 2023Article
- Learning health systems in low-income and middle-income countries: exploring evidence and expert insights.BMJ global health · 2022Review
- Mobilizing health district management teams through digital tools: Lessons from the District.Team initiative in Benin and Guinea using an action research methodology.Learning health systems · 2021Article
- Mismatched ambition, execution and outcomes: implementing maternal death surveillance and response system in Mtwara region, Tanzania.BMJ global health · 2021Article
- Determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea: evidence from the 2018 Guinea Demographic and Health Survey data.BMC pregnancy and childbirth · 2021Article
- Analysis of the Iranian maternal mortality surveillance system and providing system improvement strategies: study protocol for strategy formulation.Reproductive health · 2020Article
- Maternal and perinatal death surveillance and response in Ethiopia: Achievements, challenges and prospects.PloS one · 2019Article
- Learning for Universal Health Coverage.BMJ global health · 2019Review
- Maternal death review and surveillance: The case of Central Hospital, Benin City, Nigeria.PloS one · 2019Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReducing maternal mortality still remains a major challenge in low-income countries. This study aims to explore how digital communication tools can be used to evaluate the maternal deaths surveillance and response (MDSR) system at the health district level in Guinea.
methodsA descriptive cross-sectional study was conducted, using an innovative digital approach called District.Team, from April to September 2017. This study targeted all 38 district medical officers in Guinea. In addition to district medical officers, the participation of health actors from regional and central levels were also expected in the online discussion forum. Data collected through the questionnaire were mixed and those from the online discussion forum were entirely qualitative.
resultsIn total, 23 (61%) district medical officers (DMOs) participated in the study. Out of health districts (87%) which had updated guidelines and standards for the MDSR, 4 (20%) did not apply the content. In two health districts (8.7%), not all health facilities had maternal deaths notification forms. Three districts (13%) did not have maternal death review committees. In 2016, only half (50.2%) of reported maternal deaths were reviewed. The main recommendation formulated was related to quality of care. Other needs were also highlighted including continuous training of health care providers on emergency obstetric and neonatal care. Less than half (45%) of the review committee's recommendations were implemented. Six health districts (26.1%) did not have a response plan to reported maternal deaths and no district annual report on the MDSR was published in 2016. The weaknesses identified were, among others, insufficiency of human resources and lack of financial resources. Fifty-eight messages related to MDSR weaknesses and improvement solutions were posted in the online discussion forum by 28 participants (23 DMOs and 5 health actors from regional and central levels).
conclusionDigital tools can be used to assess the functioning of a system like maternal deaths surveillance and response. Moreover, the findings of the evaluation conducted will help stakeholders (starting from the health districts themselves) to design strategies and interventions for an effective MDSR.
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