Mathai Matthews, Dilip Thandassery R, Jawad Issrah, Yoshida Sachiyo
World Health Organization, Geneva, Switzerland.
World Health Organization, Geneva, Switzerland.
Int J Gynaecol Obstet. 2015 Oct;131 Suppl 1:S3-5. doi: 10.1016/j.ijgo.2015.02.012. Epub 2015 Feb 26.
The present paper describes the ongoing efforts to revitalize the accountability of national governments toward preventable maternal deaths. Maternal death reviews are included in the national health policies of the majority of countries contributing 95% of global maternal deaths. However in actual practice, the extent of implementation and follow-up of recommended actions on lessons learnt from maternal death reviews is inadequate. This paper describes and discusses the role of the Maternal Death Surveillance and Response (MDSR) system in strengthening accountability and ending preventable maternal deaths. MDSR provides a surveillance tool for timely information on where, when, and why maternal deaths occur, builds on maternal death reviews, and includes the missing "response" component for improving quality of care and preventing maternal deaths.
本文介绍了为恢复各国政府对可预防孕产妇死亡的问责制而正在做出的努力。孕产妇死亡审查已纳入占全球孕产妇死亡人数95%的大多数国家的国家卫生政策。然而，在实际操作中，从孕产妇死亡审查中吸取的经验教训所建议行动的实施和后续跟进程度不足。本文描述并讨论了孕产妇死亡监测与应对（MDSR）系统在加强问责制和消除可预防孕产妇死亡方面的作用。MDSR提供了一种监测工具，用于及时获取孕产妇死亡发生的地点、时间和原因的信息，以孕产妇死亡审查为基础，并包括缺失的“应对”部分，以提高护理质量和预防孕产妇死亡。
