Table 1 Sample performance indicators of a MDSR system*
From: Towards elimination of maternal deaths: maternal deaths surveillance and response
Indicators | Targets |
|---|---|
Overall system indicators | |
Maternal death is a notifiable event | Yes |
National maternal death review committee exists | Yes |
- that meets regularly | At least quarterly |
National maternal mortality report published annually | Yes |
% of districts with maternal death review committees | 100% |
% of districts with someone responsible for MDSR | 100% |
Identification and notification | |
Health facility: | |
All maternal deaths are notified | Yes |
% within 24 hours | >90% |
Community: | |
% of communities with ‘zero reporting’ monthly | 100% |
% of community maternal deaths notified within 48 hours | >80% |
District | |
% of expected maternal deaths that are notified | >90% |
Review | |
Health facility | |
% of hospitals with a review committee | 100% |
% of health facility maternal deaths reviewed | 100% |
% of reviews that include recommendations | 100% |
Community | |
% of verbal autopsies conducted for suspected maternal deaths | >90% |
% of notified maternal deaths that are reviewed by district | >90% |
District | |
District maternal mortality review committee exists | Yes |
- and meets regularly to review facility and community deaths | At least quarterly |
% of reviews that included community participation and feedback | 100% |
Data Quality Indicators | |
Cross-check of data from facility and community on same maternal death | 5% of deaths cross-checked |
Sample of WRA deaths checked to ensure they are correctly identified as not maternal | 1% of WRA rechecked |
Response | |
Facility | |
% of committee recommendations that are implemented | >80% |
- quality of care recommendations | >80% |
- other recommendations | >80% |
District | |
% of committee recommendations that are implemented | >80% |
Reports | |
National committee produces annual report | Yes |
District committee produces annual report | Yes |
- and discusses with key stakeholders including communities | Yes |
Impact | |
Quality of care (requires specific indicators, such as case fatality rates) | |
District maternal mortality ratio | Reduced by 10% annually |
Hospital maternal mortality ratio/lethality rates | Reduced by 10% annually |