Document Detail


The confidential enquiry into maternal deaths in South Africa: a case study.
MedLine Citation:
PMID:  25236634     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The Confidential Enquiry into Maternal Deaths (CEMD) in South Africa has been operational for 15 years. This case study describes the process of notification and independent assessment of maternal deaths, predominantly in facilities. In the earlier years of the Enquiry, institutional maternal mortality ratio increased and was 176.2 per 100 000 live births in the 2008-10 triennium; thereafter it decreased to 146.7 in the 2011/12 period. The slow progress was due to the significant contribution of HIV/AIDs to maternal mortality and challenges in implementing the recommendations that were devised from the findings of the Enquiry. Nevertheless, the CEMD process has been maintained and strengthened so it is currently able to perform routine maternal death surveillance at both national and district levels, identify deficiencies within the health system, generate reports and also provide early warning about alarming trends such as the increasing numbers of deaths due to caesarean-section-associated haemorrhage.
Authors:
J Moodley; Rc Pattinson; S Fawcus; Mg Schoon; N Moran; Pm Shweni;
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  121 Suppl 4     ISSN:  1471-0528     ISO Abbreviation:  BJOG     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-09-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  53-60     Citation Subset:  AIM; IM    
Copyright Information:
© 2014 Royal College of Obstetricians and Gynaecologists.
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