Table 1 Case examples shared to inform discussion at expert consultation meeting
Country, year | Humanitarian context | National MPDSR policy status (WHO SRMNCAH Policy Survey, 2018–2019) | MPDSR implementation status (described by key informants) | Topics addressed | Data sources |
|---|---|---|---|---|---|
Afghanistan, 2018–2019 | Protracted conflict, internal displacement | National policy/law on maternal and neonatal death reviews in place MoH reports having subnational panels to review maternal deaths and facility-level process to review neonatal deaths | Limited implementation for maternal and neonatal deaths | Maternal and neonatal death reporting, maternal and neonatal death reviews | Interviews, Document review [28] |
Bangladesh refugee camps, 2017–2019 | Refugee camp | National policy/law on maternal and neonatal death reviews in place MoH reports having national and subnational panels to review maternal deaths and facility-level process to review neonatal deaths | Established for maternal deaths in national system, limited implementation for maternal and perinatal deaths in refugee camp setting | Maternal and neonatal death reporting, maternal and neonatal death reviews | Interviews |
Cameroon, Chad and Niger refugee camps, 2018–2019 | Refugee camp | National policy/law on maternal death reviews in place in Cameroon, Chad, and Niger. Cameroon policy also in place for neonatal death and stillbirth reviews Cameroon and Chad MoH report having national and subnational panels to review maternal deaths. Cameroon also reports having facility-level process to review neonatal deaths and stillbirths | Limited implementation for maternal deaths | Maternal death reviews | Interviews, Document review [27, 31,32,33] including unpublished reports |
Central African Republic, 2014–2019 | Protracted conflict, internal displacement | Not reported | Very limited implementation for maternal deaths | Community-based mortality surveillance, abortion-related death reporting | Interviews, document review [34, 35] including unpublished reports |
Democratic Republic of Congo (North Kivu & South Kivu provinces), 2009–2019 | Protracted conflict, internal displacement | National policy/law on maternal and neonatal death and stillbirth reviews in place MoH reports having national panel to review maternal deaths | Limited implementation for maternal deaths | Maternal death reporting, maternal death reviews | Interviews, document review [36] including unpublished reports |
Iraq, 2018–2019 | Post conflict/protracted conflict, internal displacement | National policy/law on maternal and neonatal death reviews and stillbirths in place MoH reports having national and subnational panels to review maternal deaths and facility-level process to review neonatal deaths and stillbirths | Established national MDSR system Nationally led perinatal death pilot in stable districts since 2018, scale-up in 2019 | Maternal and perinatal death reporting, maternal and perinatal death reviews | Interviews, document review [37,38,39] including unpublished reports |
Jordan refugee camps, 2016–2019 | Refugee camp | National policy/law on maternal death reviews in place MoH reports having national and subnational panels to review maternal deaths | Neonatal mortality reviews commissioned by UNHCR since 2016 | Perinatal mortality reviews | Interviews, Document review [40] including unpublished reports |
Kenya refugee camps, 2007–2010 | Refugee camp | National policy/law on maternal and neonatal death reviews and stillbirths in place MoH reports having national and subnational panels to review maternal deaths and facility-level process to review neonatal deaths and stillbirths | Maternal death review system established in camp by UNHCR | Maternal death review | Interviews, Document review [41] |
Mozambique, 2019 | Post-natural disaster (cyclone) | National policy/law on maternal and neonatal death reviews in place MoH reports having national and subnational panels to review maternal deaths and facility-level process to review neonatal deaths | Limited national implementation for maternal deaths | Maternal death reporting & review | Interviews |
Nigeria (Zamfara & Yobe States), 2013–2018 | Acute conflict, internal displacement | National policy/law on maternal and neonatal death and stillbirth reviews in place MoH reports having national and subnational panels to review maternal deaths and facility-level process to review neonatal deaths and stillbirths | Limited implementation for maternal and perinatal deaths |  | |
Sierra Leone, 2014–2019 | Ebola/post-Ebola | National policy/law on maternal death reviews in place MoH reports having national and subnational panels to review maternal deaths | Developing national MPDSR system post-Ebola | Maternal and perinatal death reporting, maternal and perinatal death reviews | |
South Sudan, 2013–2018 | Acute & protracted conflict, internal displacement | National policy/law on maternal death reviews in place MoH reports having subnational panels to review maternal deaths and facility-level process to review neonatal deaths | Very limited national implementation for maternal deaths | Community-based surveillance, facility-based maternal death reviews | Interviews including unpublished reports |
Syria, 2015–2017 | Acute conflict | National policy/law on maternal and neonatal death reviews in place MoH reports having subnational panels to review maternal deaths and facility-level process to review neonatal deaths | Very limited implementation for maternal deaths | Maternal death review | Interviews |