SynthesisReproductive health2025
Tracking and appraising maternal and perinatal death surveillance and response implementation in Nigeria: a historical timeline and policy analysis.
Synthesis in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Reporting maternal deaths in Anglophone West Africa: A media content analysis of articles published online between 2015 and 2025.PLOS global public health · 2026Article
- Adapting the 2022 WHO verbal autopsy tool for use in Lagos State, Nigeria: insights from the LVASA-SRS project.BMC research notes · 2025Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
backgroundNigeria bears one of the highest global burdens of maternal and perinatal mortality, despite decades of global and national efforts to address preventable deaths. Maternal and Perinatal Death Surveillance and Response (MPDSR) is a key strategy to reduce preventable deaths. This study synthesises the historical trajectory and policy evolution of MPDSR in Nigeria, examining factors shaping its uptake, scope, and institutionalisation.
methodsWe conducted a historical timeline and policy analysis using systematic review principles. Peer-reviewed and grey literature were retrieved through comprehensive database and web searches, complemented by stakeholder engagement. Data were extracted from 24 eligible documents and analysed using Walt and Gilson's policy triangle framework to explore policy content, context, actors, and processes over time.
resultsFour phases of MPDSR implementation were identified, showing a shift from facility-based maternal death reviews to broader inclusion of perinatal and community components. Federal policymakers and professional associations have driven national-level adoption, while state-level uptake varies depending on political will and capacity. Community and facility-based MPDSR have evolved as fragmented practices rather than an integrated system. Facility-level implementation is comparatively more established, while community-based MPDSR remain limited, donor-driven, and inconsistently integrated. Progress towards institutionalisation is hampered by weak legal frameworks and insufficient subnational capacity. Persistent challenges faced by frontline workers and variable community engagement further undermine MPDSR sustainability.
conclusionTo maximise the potential of MPDSR as a tool for accountability and system strengthening, Nigeria must integrate community and facility-based surveillance within a unified system, backed by legislation, sustained financing, and capacity building.
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