A practical approach to identifying maternal deaths missed from routine hospital reports: lessons from Indonesia

Siti Nurul Qomariyah, Jacqueline S Bell, Eko S Pambudi, Trisari Anggondowati, Kamaluddin Latief, Endang L Achadi, Wendy J Graham

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Accurate estimates of the number of maternal deaths in both the community and facility are important, in order to allocate adequate resources to address such deaths. On the other hand, current studies show that routine methods of identifying maternal deaths in facilities underestimate the number by more than one-half.

Objective: To assess the utility of a new approach to identifying maternal deaths in hospitals.

Method: Deaths of women of reproductive age were retrospectively identified from registers in two district hospitals in Indonesia over a 24-month period. Based on information retrieved, deaths were classified as ‘maternal’ or ‘non-maternal’ where possible. For deaths that remained unclassified, a detailed case note review was undertaken and the extracted data were used to facilitate classification.

Results: One hundred and fifty-five maternal deaths were identified, mainly from the register review. Only 67 maternal deaths were recorded in the hospitals’ routine reports over the same period. This underestimation of maternal deaths was partly due to the incomplete coverage of the routine reporting system; however, even in the wards where routine reports were made, the study identified twice as many deaths.

Conclusion: This is a practical method that provides a more complete estimate of hospital maternal mortality than routine reporting systems.
Original languageEnglish
JournalGlobal Health Action
Volume2
DOIs
Publication statusPublished - 2009

Fingerprint

Maternal Death
Indonesia
District Hospitals
Maternal Mortality
Hospital Mortality
Mothers

Keywords

  • maternal death
  • health information system
  • hospital mortality
  • missing reports

Cite this

Qomariyah, S. N., Bell, J. S., Pambudi, E. S., Anggondowati, T., Latief, K., Achadi, E. L., & Graham, W. J. (2009). A practical approach to identifying maternal deaths missed from routine hospital reports: lessons from Indonesia. Global Health Action, 2. https://doi.org/DOI:10.3402/gha.v2i0.1905

A practical approach to identifying maternal deaths missed from routine hospital reports : lessons from Indonesia. / Qomariyah, Siti Nurul; Bell, Jacqueline S; Pambudi, Eko S; Anggondowati, Trisari; Latief, Kamaluddin; Achadi, Endang L; Graham, Wendy J.

In: Global Health Action, Vol. 2, 2009.

Research output: Contribution to journalArticle

Qomariyah, Siti Nurul ; Bell, Jacqueline S ; Pambudi, Eko S ; Anggondowati, Trisari ; Latief, Kamaluddin ; Achadi, Endang L ; Graham, Wendy J. / A practical approach to identifying maternal deaths missed from routine hospital reports : lessons from Indonesia. In: Global Health Action. 2009 ; Vol. 2.
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N2 - Background: Accurate estimates of the number of maternal deaths in both the community and facility are important, in order to allocate adequate resources to address such deaths. On the other hand, current studies show that routine methods of identifying maternal deaths in facilities underestimate the number by more than one-half. Objective: To assess the utility of a new approach to identifying maternal deaths in hospitals. Method: Deaths of women of reproductive age were retrospectively identified from registers in two district hospitals in Indonesia over a 24-month period. Based on information retrieved, deaths were classified as ‘maternal’ or ‘non-maternal’ where possible. For deaths that remained unclassified, a detailed case note review was undertaken and the extracted data were used to facilitate classification. Results: One hundred and fifty-five maternal deaths were identified, mainly from the register review. Only 67 maternal deaths were recorded in the hospitals’ routine reports over the same period. This underestimation of maternal deaths was partly due to the incomplete coverage of the routine reporting system; however, even in the wards where routine reports were made, the study identified twice as many deaths. Conclusion: This is a practical method that provides a more complete estimate of hospital maternal mortality than routine reporting systems.

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