Maternal and new-born mortality surveillance – Case for Kwale, Kisumu, Vihiga and Siaya

  • Doreen Wamiti Health Information Systems Consultant
  • Peter Waiganjo University of Nairobi, Nairobi, Kenya
  • Uwe Wahser Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, Nairobi, Kenya
  • Heide Richter-Airijoki Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, Nairobi, Kenya

Abstract

Background and Purpose: An analysis of DHIS2 data was done and a comparison of the number of deaths reported on the Integrated Disease Surveillance and Response (IDSR) and MoH 711, discovered that IDSR is under-utilized and inaccurate. This data analysis revealed that on average only 39% and 11% of maternal and neonatal deaths respectively, are reported as emergency events in the four counties. The aim of the study was to unearth the challenges hindering real-time submission of data and to understand the surveillance cycle in use. Methods: A purposive sampling was used to select the research participants and regions to collect the data from. The staff directly involved in the reporting of maternal and new-born deaths were targeted. They included maternity ward-in-charges, surveillance focal persons, health records personnel, and the county health management teams. The awareness of the standard operating procedures and notification policies on zero-reporting was evaluated, as well as the preparedness of reporters, the availability of IDSR reporting tools, the reporting process, and the challenges hindering reporting to IDSR. Results: The maternity staff were not aware that they were required to send death notifications to the IDSR office within 24 hours after the death occurs, only 3 (8%) respondents had seen a maternal and perinatal death standard operating procedure (SOP), the weekly reporting tool was not readily available in 15 (38%) facilities, only 8 (20%) facilities had a clear reporting cycle. Conclusions: There is need for improving the reporting process of the maternal and new-born deaths in Kenya.

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Author Biographies

Peter Waiganjo, University of Nairobi, Nairobi, Kenya
University of Nairobi, Nairobi, Kenya
Uwe Wahser, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, Nairobi, Kenya
Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, Nairobi, Kenya
Heide Richter-Airijoki, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, Nairobi, Kenya
Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, Nairobi, Kenya
Published
2018-11-19
How to Cite
Wamiti, D., Waiganjo, P., Wahser, U., & Richter-Airijoki, H. (2018). Maternal and new-born mortality surveillance – Case for Kwale, Kisumu, Vihiga and Siaya. Journal of Health Informatics in Africa, 5(2). https://doi.org/10.12856/JHIA-2018-v5-i2-197