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

Authors

  • 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

DOI:

https://doi.org/10.12856/JHIA-2018-v5-i2-197

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

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Published

2018-11-19

How to Cite

Maternal and new-born mortality surveillance – Case for Kwale, Kisumu, Vihiga and Siaya. (2018). Journal of Health Informatics in Africa, 5(2). https://doi.org/10.12856/JHIA-2018-v5-i2-197