Maternal perinatal death surveillance response (MPDSR) systems provide information on the magnitude of and factors leading to these deaths, with the aim of identifying preventable actions to avoid further mortalities. MPDSR has been integrated in the health care system in Uganda—the National Roadmap—as a quality improvement tool to promote quality obstetric care through in-depth understanding of the circumstances that contribute to the maternal and perinatal death in order to avert the next death. However, the conduct, integration and institutionalization of MPDSR at the health facility have been largely irregular and weak. Maternal perinatal death and surveillance reviews aim to document every maternal and perinatal death by collecting data for aggregate analysis and decision-making.
This study is aimed at conducting an in-depth assessment of the maternal perinatal death and surveillance reviews focusing on implementation challenges, lessons learnt and best practices, and the influence of the reviews on quality of care and health outcomes at health facility level, and district level in Uganda.
The study will utilize a cross-sectional qualitative study that includes desk review of relevant documents and literature and secondary data sources, in-depth interviews and focus group discussions to collect data from selected committees, managers, implementers, and development partners involved in MPDSR processes in 19 health facilities across 13 districts in Uganda including the Ministry of Health, partners and non-governmental organizations.