Maternal mortality audit in Suriname between 2010 and 2014, a reproductive age mortality survey

Kodan, Lachmi R.; Verschueren, Kim J.C.; Roosmalen, Jos van; Kanhai, Humphrey H.H.; Bloemenkamp, Kitty W. M.

doi:10.1186/s12884-017-1466-6

Cited by 25 publications

(50 citation statements)

References 15 publications

(22 reference statements)

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“…The Bureau of Public Health (BOG) registers the C-form [16]. However, in practice, the C-form is often completed after a much longer time, often after the burial [17]. In 2000 the Bureau of Public health received 85% of the of C-forms, which is higher than the 58% in 1995 [18].…”

Section: Findings and Discussionmentioning

confidence: 99%

“…However, the attending physicians determined the cause, since these deaths were not reviewed nor classi ed. Every death in pregnancy, including coincidental and accidental, was counted as a maternal death [17]. To reduce maternal and perinatal mortality, the MOH performed a situation analysis in 2007: safe motherhood needs assessment [23].…”

Section: Findings and Discussionmentioning

confidence: 99%

“…In 2015, a reproductive age mortality survey (RaMOS) was performed by health care providers to retrospectively identify and audit all maternal deaths between 2010 and 2014 [17]. Various methods were used to identify pregnancy-related deaths, as described in previous publications [17,21,22]. Different medical experts determined the maternal death causes and analyzed substandard care.…”

Section: Maternal Mortality Surveillance Between 2015 and 2019mentioning

confidence: 99%

“…identi ed and depend on informal noti cation of health care workers, family, or news sites. Death certi cates do not have a pregnancy box, and noti cation is not obliged [17]. Active surveillance of all deceased women of reproductive age is not yet completely incorporated in BOG's surveillance.…”

Section: Maternal Mortality Surveillance Between 2015 and 2019mentioning

confidence: 99%

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From Passive Surveillance to Response: Suriname's Steady Efforts to Implement Maternal Death Surveillance and Response (MDSR)

Kodan

Verschueren

Boerstra

et al. 2020

Preprint

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Background Maternal death surveillance and response (MDSR) is essential in preventing avoidable maternal deaths. The cycle starts by accurately capturing maternal deaths with a surveillance system, followed by an audit to give insight into the underlying causes and "lessons learned." Subsequently, recommendations are formulated and targeted multisectoral responses such as quality of care improvement strategies, including clinical guidelines update, health promotion interventions, research to fulfill knowledge gaps, enabling policies and legislation and interventions addressing social determinants. Finally, continuous evaluation and monitoring close the MDSR cycle. We aim to describe the MDSR implementation process in Suriname to share valuable lessons with other countries.Methods We provide an overview of the evolvement from improved maternal death surveillance, toward review, response, and monitoring to fulfill the MDSR cycle in Suriname. Findings Middle-income country Suriname called for many years for improved surveillance and review, and in 2000 the first action was commenced by extension of maternal death case capturing from death certificates to active hospital surveillance. Consequently, the maternal mortality ratio increased in the following years. However, not the full MDSR cycle was completed in 2015, and local health care providers initiated the next step of the MDSR cycle with the installation of a national maternal death review committee (MaMS). Since then, the committee reviews each maternal death applying the "no blame, no shame" culture, formulates, and disseminates recommendations. Collaboration with the Ministry of Health (MOH), Bureau of Public Health (BOG), and the Pan American Health Organization (PAHO) should ensure progress to the sustainable implementation of MDSR. Committee MaMS demonstrates that maternal death review and recommended high impact interventions can only be effectively implemented and sustained, through strong professional and government commitment and practical, solution-oriented responses. Conclusions Crucial elements for a successful MDSR implementation are Commitment, "no blame, no shame" Culture, Coordination, Collaboration, and Communication (5 C's).We hope that describing this process toward successful nationwide MDSR implementation, with its facilitators and barriers, is helpful for other countries with similar ambitions.

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Section: Findings and Discussionmentioning

confidence: 99%

Section: Findings and Discussionmentioning

confidence: 99%

Section: Maternal Mortality Surveillance Between 2015 and 2019mentioning

confidence: 99%

Section: Maternal Mortality Surveillance Between 2015 and 2019mentioning

confidence: 99%

See 2 more Smart Citations

From Passive Surveillance to Response: Suriname's Steady Efforts to Implement Maternal Death Surveillance and Response (MDSR)

Kodan

Verschueren

Boerstra

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

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“…Such epidemiological changes are not unique to Jamaica . Surinam, a southern Caribbean nation (MMR 130; 2010–14), attributed 63% and 37% of their maternal deaths to direct and indirect conditions respectively, similar to Jamaica's 67% and 33% for 2010–15 (MMR 102). The mortality benefit of declining fertility may plateau below general fertility rates of 75/1000 women (see Figure S1), as healthier women exit the reproductive pool after two or three births, leaving behind more women with poor obstetric histories who may later succumb to pregnancy complications.…”

Section: Discussionmentioning

confidence: 99%

The evolving contribution of non‐communicable diseases to maternal mortality in Jamaica, 1998–2015: a population‐based study

McCaw-Binns

Spence

2018

BJOG

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Why magnesium sulfate ‘coverage’ only is not enough to reduce eclampsia: Lessons learned in a middle-income country

Verschueren

Paidin

Broekhuis

et al. 2020

Pregnancy Hypertension

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Maternal mortality audit in Suriname between 2010 and 2014, a reproductive age mortality survey

Cited by 25 publications

References 15 publications

From Passive Surveillance to Response: Suriname's Steady Efforts to Implement Maternal Death Surveillance and Response (MDSR)

From Passive Surveillance to Response: Suriname's Steady Efforts to Implement Maternal Death Surveillance and Response (MDSR)

The evolving contribution of non‐communicable diseases to maternal mortality in Jamaica, 1998–2015: a population‐based study

Why magnesium sulfate ‘coverage’ only is not enough to reduce eclampsia: Lessons learned in a middle-income country

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