ArticleInternational journal of environmental research and public health2020
Assessing Implementation of Maternal and Perinatal Death Surveillance and Response in Rwanda.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Pooled estimates of stillbirth in Ethiopia: systematic review and meta-analysis, 2013-2024.Journal of health, population, and nutrition · 2025Pooled it
- Maternal and perinatal death surveillance and response: a systematic review of qualitative studies.Bulletin of the World Health Organization · 2023Pooled it
- Midwives' experiences of maternal death surveillance and response: insights from Mwanza District Hospital, Malawi.BMC pregnancy and childbirth · 2026Article
- Towards improving maternal and perinatal death surveillance and response in the African region: an analysis of 25 countries from 2015 until 2022.BMJ global health · 2026Review
- Preparedness of the Ghana Health Service for field epidemiology and applied biostatistics: a systematic review protocol of infectious disease surveillance, outbreak investigation methodologies, and statistical modeling capacities in resource-limited settings.Frontiers in public health · 2026Article
- A narrative qualitative study of maternal and perinatal death surveillance and patient referral practices among Traditional Birth Attendants in East Central Uganda.Discover public health · 2026Article
- Best practices and lessons learned from the implementation of maternal and perinatal death surveillance and response (MPDSR) in six Java-Bali Island hospitals: a mixed-methods study.Reproductive health · 2025Article
- A practical approach to measuring MPDSR implementation: findings from a cross-sectional assessment in regional referral hospitals in Uganda.BMC pregnancy and childbirth · 2025Article
- Community engagement in maternal and perinatal death surveillance and response: a realist review.BMC pregnancy and childbirth · 2025Review
- Facilitators and barriers to implementing and sustaining facility-based stillbirth reviews in India: a qualitative study.BMC pregnancy and childbirth · 2025Article
- Evaluating maternal death surveillance and response system in Sunyani Municipality of Bono region in Ghana from 2017-2021.BMC health services research · 2024Article
- Barriers to and enablers of quality improvement in primary health care in low- and middle-income countries: A systematic review.PLOS global public health · 2024Article
- The Journey Toward Establishing Inpatient Care for Small and Sick Newborns in Ethiopia, India, Malawi, and Rwanda.Global health, science and practice · 2023Article
- Maternal death surveillance efforts: notification and review coverage rates in 30 low-income and middle-income countries, 2015-2019.BMJ open · 2023Article
- Barriers and facilitators to maternal death surveillance and response at a busy urban National Referral Hospital in Uganda.Open research Africa · 2022Article
- "Sharp downward, blunt upward": district maternal death audits' challenges to formulate evidence-based recommendations in Indonesia - a qualitative study.BMC pregnancy and childbirth · 2021Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Maternal deaths remain a major public health concern in low- and middle-income countries. Implementation of maternal and perinatal deaths surveillance and response (MPDSR) is vital to reduce preventable deaths. The study aimed to assess implementation of MPDSR in Rwanda. We applied mixed methods following the six-step audit cycle for MPDSR to determine the level of implementation at 10 hospitals and three health centers. Results showed various stages of implementation of MPDSR across facilities. Maternal death audits were conducted regularly, and facilities had action plans to address modifiable factors. However, perinatal death audits were not formally done. Implementation was challenged by lack of enough motivated staff, heavy workload, lack of community engagement, no linkages with existing quality improvement efforts, no guidelines for review of stillbirths, incomplete medical records, poor classification of cause of death, and no sharing of feedback among others. Implementation of MPDSR varied from facility to facility indicating varying capacity gaps. There is need to integrate perinatal death audits with maternal death audits and ensure the process is part of other quality improvement initiatives at the facility level. More efforts are needed to support health facilities to improve implementation of MPDSR and contribute to achieving sustainable development goal (SDG) 3.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.