Abstract
Purpose
Profile of maternal deaths in selected districts of four Indian states was studied to examine the regional differences in non-biological causal factors (socioeconomic and sociocultural) in maternal mortality and to examine the method and completeness of implementation of Maternal and Perinatal Death Inquiry and Response (MAPEDIR) process.
Methods
An integrated qualitative and quantitative method was used to study the MAPEDIR process in selected districts of four states in India, through the use of standardized questionnaire for key informant interviews, participant observation checklist, analysis of verbal autopsy questionnaire, and maternal death reports.
Results
A comparison of Profile’s maternal deaths investigated showed that women died between 25 and 27 years of age. Half of the women died at home because of inability to afford transport (Delay II) and treatment costs. One third of the deaths had occurred in a health facility (Delay III) because of lack of specialists, equipments or blood. Two thirds of the delays (Delay I) were in seeking medical care. Review of the implementation process of MAPEDIR highlighted that the social audit review model is a unique field based collaborative initiative comprising of stakeholders from various sector in order to improve maternal health programming by reducing maternal mortality.
Conclusions
MAPEDIR has been able to identify socio-cultural, economic and health care systems related determinants of maternal deaths. Standardization the mechanism for information data sharing at district, sub-district and village level can maximize the use of available evidence for advocacy and policy shifts by developing policies and interventions suited to local needs.
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Notes
At the institutional level, the MAPEDIR process has spawned new strategic partnerships between government agencies, NGOs, academic institutions, and the UN system. A collaborative initiative, it has elicited the involvement of several key institutions and groups including the Government of India, State Governments, District Administrations, Panchayati Raj (village-level institutions), women’s self-help groups, local non-governmental organisations (NGOs), medical faculties of Indian universities, the Johns Hopkins Bloomberg School of Public Health (USA), WHO, UNFPA, and UNICEF.
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Acknowledgments
The authors are thankful to Dr. Jeyashree Kathiresan, Junior Resident, and Ms Nadia Diamond-Smith, visiting fellow in School of Public Health, PGIMER, Chandigarh for their contribution in conducting data analysis. Funding from UNICEF, New Delhi, India is gratefully acknowledged.
Conflict of interest
There is no conflict of interests.
Ethical standard
Not applicable, as this study did not involve conducting intervention among human or animal subjects and medical records were not evaluated.
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Dikid, T., Gupta, M., Kaur, M. et al. Maternal and Perinatal Death Inquiry and Response Project Implementation Review in India. J Obstet Gynecol India 63, 101–107 (2013). https://doi.org/10.1007/s13224-012-0264-3
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DOI: https://doi.org/10.1007/s13224-012-0264-3