Transcript A Study on Infant & Maternal Death Audit in Haryana

Study on Infant & Maternal Death
Audit in Haryana
Presentation prepared by
Mr. Vivek Sharma
Sr. consultant M&E, PHP
HSHRC, Panchkula
Dr. Meenakshi Gupta,
Consultant M&E,
HSHRC, Panchkula
Date: 5th April 2013
Venue: SIHFW, Panchkula
What do you think? Is this study needed?
Why is this study needed?
INTRODUCTION

Verbal autopsy is a research method that helps
to determine probable causes of death in cases
where there was no medical record or formal
medical attention given.

Verbal autopsy offers a solution to the
challenge of generating cause of death
information.
NEED OF VERBAL AUTOPSY ....

Verbal autopsy asks about signs and symptoms
of the deceased person, risk factors and health
care seeked prior to death, clarifying social,
economic, behavioral, and health system
issues that may have contributed to death.

This contextual knowledge is invaluable to
health care managers, planners, communities,
researchers, and policy & decision makers.
PROCESS OF MATERNAL AND INFANT DEATH
AUDIT IN HARYANA
Line listing of all Deaths
(reported by ANM/ASHA)
Separation of women deaths aged
between 15-44 years
Separation of deaths aged
between 0-1 year
Screening of suspected Maternal Deaths (by
MO)
Death audit of all infant Deaths
Community based MDR (Verbal Autopsy, of
all MD)
& or Facility based MDR
IDR at block/district/state level
Review of Maternal Death at Block and
district level (monthly)
Review of MD at state level (quarterly/biannually)
CHALLENGES OR GAPS IN THE PROCESS
(EXPERIENCE FROM OTHER STATES)
Very little motivation of the service providers to
conduct sincere audit
 Case sheets are rewritten (facility based)
 Supervisory officers tend to protect their
subordinates
 Reviews are more in favour of protecting the
service providers rather than finding out the
lapses in the provision of care

CHALLENGES OR GAPS IN THE PROCESS …
(EXPERIENCE FROM OTHER STATES)
Blame is often put on the field health
functionaries
 Non medical causes / contributory factors not
identified
 Timely conduct verbal autopsy at community and
facility level
 Compilation and analysis of verbal autopsy data
and review of report at the facility, district, and
state level
 Action taken report

CAUSES OF MATERNAL DEATH
Causes of maternal deaths in
Haryana, 2012
Obstruct
ed
Labour
1%
Other
55%
Sepsis
8%
Hyperten
sion
6%
Haemorr
hage
30%
N = 294
Reported Maternal Deaths
Source: Dept. of Health & Family Welfare, Haryana, 2012
CURRENT STATUS OF IMR & MMR
AND COMPARE WITH MDG GOAL
Haryana (Current)
*SRS RGI
MDG
2015
Indicator
India (Current)
*SRS RGI
Infant Mortality
Rate
44
44
<30
Maternal
Mortality Rate
212
153
<100
STUDY FOCUS

Find out challenges and gaps in process of
MDR & IDR

Back check of existing review reports (verbal
autopsies)

Corrective measures to conduct and review
Maternal & Infant Deaths
THANK YOU