ArticleBMJ global health2021
Mismatched ambition, execution and outcomes: implementing maternal death surveillance and response system in Mtwara region, Tanzania.
Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Maternal and perinatal death surveillance and response: a systematic review of qualitative studies.Bulletin of the World Health Organization · 2023Pooled it
- Identifying the 'real cause of death': the complexities of maternal death reviews in Tanzania.Health policy and planning · 2026Article
- Assessment of maternal and perinatal death surveillance and response (MPDSR) implementation in health facilities in Kigoma, Tanzania: a descriptive cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Observational
- Lessons learned from applying a "Rapid Maternal Death Surveillance and Response" tool in conflict-affected Tigray, Ethiopia.BMC pregnancy and childbirth · 2025Article
- Legal issues in the implementation of Maternal Death Surveillance and Response: a scoping review.Health policy and planning · 2024Article
- Factors influencing maternal death surveillance and review implementation in Dodoma City, Tanzania. A qualitative case study.Learning health systems · 2024Article
- Eight-year experience of maternal death surveillance in Morocco: qualitative study of stakeholders' views at a subnational level.BMC public health · 2022Article
- "Death audit is a fight" - provider perspectives on the ethics of the Maternal and Perinatal Death Surveillance and Response (MPDSR) system in Ethiopia.BMC health services research · 2022Article
- Exploring the sustainability of perinatal audit in four district hospitals in the Western Cape, South Africa: a multiple case study approach.BMJ global health · 2022Article
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince 2015, Tanzania has been implementing the Maternal Death Surveillance and Response (MDSR) system. The system employs interactions of health providers and managers to identify, notify and review maternal deaths and recommend strategies for preventing further deaths. We aimed to analyse perceptions and experiences of health providers and managers in implementing the MDSR system.
methodsAn exploratory qualitative study was carried out with 30 purposively selected health providers and 30 health managers in four councils from the Mtwara region between June and July 2020. Key informant interviews and focus group discussions were used to collect data. Inductive thematic analysis was used to analyse data.
resultsTwo main themes emerged from this study: 'Accomplishing by ambitions' and 'A flawed system
conclusionThe implementation of the MDSR system in Tanzania faces systemic, contextual and individual challenges. However, our results indicate that health providers and managers are willing and committed to improve service delivery to avoid maternal deaths. Empowering health providers and managers by training and addressing the flaws will improve the system and quality of care.
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