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Maternal and neonatal death review (MNDR) : A useful approach to identifying appropriate and effective maternal and neonatal health initiatives in Bangladesh

Biswas, Animesh, 1978- (author)
Örebro universitet,Institutionen för hälsovetenskap och medicin,Centre for Injury Prevention and Research (CIPRB), Dhaka, Bangladesh
Rahman, Fazlur (author)
Centre for Injury Prevention and Research (CIPRB), Dhaka, Bangladesh
Halim, Abdul (author)
Centre for Injury Prevention and Research (CIPRB), Dhaka, Bangladesh; Department of Obstetrics and Gynaecology, Kumudini Women’s Medical College, Tangail, Bangladesh
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Eriksson, Charli, 1948- (author)
Örebro universitet,Institutionen för hälsovetenskap och medicin
Dalal, Koustuv, 1969- (author)
Örebro universitet,Institutionen för hälsovetenskap och medicin
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 (creator_code:org_t)
Scientific Research Publishing, 2014
English.
In: Health. - : Scientific Research Publishing. - 1949-5005 .- 1949-4998. ; 6, s. 1669-1679
  • Other publication (other academic/artistic)
Abstract Subject headings
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  • Objectives: To identify the effects of Maternal and Neonatal Death Review (MNDR) in terms of improving maternal and neonatal health at the community level in Bangladesh.Methods: Both quan- titative and qualitative methods were undertaken for collecting data in Kashipur Union, Bangla- desh. Death notifications from households, subsequent data collections from a focus-group discus- sion (FGD), a group discussion (GD) and in-depth interviews (IDIs) were obtained using structured tools and guidelines.Results: A total of four maternal deaths, 21 neonatal deaths and 15 still births were reported in the MNDR death notification system at Kashipur Union in 2010. Data were presented to local programme managers, who took various initiatives including awareness pro- grammes, pregnancy registration, antenatal care, birth planning, and also the revitalization of a community clinic. The coverage of antenatal care, delivery in clinics, postnatal care and referral of complications increased through the active participation of the community. Community health- care providers, care recipients and members of the community expressed satisfaction with the quality of maternal and neonatal services. In the preceding two years, maternal and neonatal deaths substantially reduced in Kashipur (in 2011 maternal death = 1, neonatal death = 20, still birth = 8; in 2012 maternal death = 1, neonatal death = 8, still birth = 13).Conclusions: The MNDR system successfully delivered notification of all maternal and neonatal deaths in the defined area and collected information for the formulation and implementation of specific interventions, which resulted in visible and tangible changes in care-seeking and client satisfaction.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Maternal and neonatal health
death review
primary healthcare
Bangladesh

Publication and Content Type

vet (subject category)
ovr (subject category)

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Biswas, Animesh, ...
Rahman, Fazlur
Halim, Abdul
Eriksson, Charli ...
Dalal, Koustuv, ...
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Health Sciences
and Public Health Gl ...
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Örebro University

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