Making Every Baby Count

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8.15.2 What difficulties did you have when you sought health care for the baby at the facility? CIRCLE “1” FOR EACH DIFFICULTY HAD WHEN THEY SOUGHT HEALTH CARE AT THE PLACE OF CARE. 8.16 How much time passed between when the baby arrived at the first place of care and treatment was given? ENTER IN MINUTES OR HOURS 8.17 Was the baby ever referred/transferred to another place of care during the final illness? MENTIONED NOT MENTIONED DID NOT HAVE DIFFICULTY BEING GIVEN CARE ..........................1 2 HAD BEEN TURNED AWAY ...............1 2 WAITED LONG TO BE SEEN..............1 2 LACK OF QUALIFIED STAFF ..............1 2 LACK OF EQUIPMENT ......................1 2 LACK OF SUPPLIES ...........................1 2 LACK OF MEDICATION......................1 2 NO ELECTRICITY ...............................1 2 TREATED POORLY/DISRESPECTED ...1 2 TREATMENT NOT AVAILABLE, TOO COMPLEX .................................1 2 DELAYED REFERRAL FOR BETTER CARE.....................................1 2 COST/DENIED TREATMENT FOR FEES ...........................................1 2 OTHER (SPECIFY)________________1 2 DIED WITHOUT BEING GIVEN CARE ......................................1 2 MINUTES......................................... 1 OR HOURS............................................. 2 NO CARE RECEIVED .................................................. 777 DON’T KNOW ........................................................... 998 YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 8.18 Where was the baby referred or transferred? HOSPITAL.......................................................................1 HEALTH CENTRE ...........................................................2 PRIVATE CLINIC.............................................................3 DRUG SHOP...................................................................4 TRADITIONAL HEALER..................................................5 OTHER (SPECIFY) ______________________________ 6 DON’T KNOW ...............................................................8 8.19 What was the reason for the referral/transfer? LACK OF EQUIPMENT...................................................1 FOR BETTER CARE ........................................................2 LACK OF BLOOD............................................................3 LACK OF DRUGS............................................................4 LACK OF OXYGEN..........................................................5 OTHER (SPECIFY) _____________________________ 6 DON’T KNOW ...............................................................8 8.20 Did the baby reach the place where he/she was referred/transferred? YES.................................................................................1 NO .................................................................................2 DON’T KNOW ...............................................................8 8.23 8.23 8.22 8.22 132 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS
8.21 What means of transportation were used to get the baby to the place of referral/transfer? 8.22 Why did the baby not reach the place of referral/transfer? 8.23 Altogether, how much did you pay for transport during the illness that led to death? 8.24 Altogether, how much did you pay for treatment and other costs related to care of the baby (including fees for admission, consultation, lab tests, consumables, etc.)? 8.25 Altogether, how much did you pay for other costs (including accommodation, feeding, etc.)? YES NO DON’T KNOW PRIVATE CAR.....................................1 2 8 BICYCLE............................................1 2 8 MOTORCYCLE...................................1 2 8 TAXI...................................................1 2 8 ON FOOT..........................................1 2 8 OTHER (SPECIFY) _______________ 1 2 8 DON’T KNOW...................................1 2 8 BABY DIED BEFORE REACHING PLACE OF REFERRAL...1 FAMILY THOUGHT IT WASN’T NECESSARY ................2 FAMILY HOPED/WAITED FOR IMPROVEMENT............3 LACK OF MONEY...........................................................4 LACK OF TRANSPORT....................................................5 OTHER (SPECIFY) ______________________________ 6 DON’T KNOW ...............................................................8 UGS NO COST............................................................. 7777777 DON’T KNOW..................................................... 9999998 UGS NO COST............................................................. 7777777 DON’T KNOW..................................................... 9999998 UGS NO COST............................................................. 7777777 DON’T KNOW..................................................... 9999998 8.23 MAKING EVERY BABY COUNT: AUDIT AND REVIEW OF STILLBIRTHS AND NEONATAL DEATHS 133
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Making Every Baby Count Audit and r
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Making Every Baby Count Audit and r
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4.3 The six-step mortality audit cy
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Acknowledgements The World Health O
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Foreword Pregnancy is a time of gre
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in the future. The process of routi
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Key messages of this guide • Audi
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1 Getting started
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1.2 Why is this guide important? Co
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Importantly, it is not sufficient t
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2 Definitions and classification Th
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There are also numerous ways to app
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TABLE 2.1. Mortality rate definitio
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application of ICD-10 to deaths dur
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Box 2.1. Background and contextual
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• Family- or patient-related: e.g
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3 Auditing deaths that occur at the
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Within each facility, at least two
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compared to the actual numbers of r
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of events that led to death, text b
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• the number of antepartum (or ma
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Possible actions include interventi
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Step 6: Evaluating and refining The
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4 Auditing deaths that occur in the
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(e.g. individuals who conduct routi
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The most effective mechanism for in
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Step 1.2: Notification and reportin
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It may be easier for an information
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Geospatial analyses may be very ben
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5 Creating an enabling environment
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will help facilitate the process fo
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Maternal and Perinatal Death Review
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6 Scaling up audit for quality and
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FIGURE 6.1. Dimensions of a phased
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FIGURE 6.2. Example of data flow in
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References 1. Maternal death survei
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39. Bradshaw D, Chopra M, Kerber K,
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Annexes Annex 1 Stillbirth and Neon
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3.6 Fetal heart sounds on admission
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Annex 1b. Guidance for completing t
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• “unknown” if the total numb
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• If fetal heart sounds were not
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-- If a “delay 1” is present, c
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Page 90 and 91: Annex 2b. Guidance for completing t
Page 92 and 93: 2.1b: Cause of death - intrapartum
Page 94 and 95: Annex 3b. Guidance for collecting t
Page 96 and 97: 3) If there is no gestational age e
Page 98 and 99: Annex 4. Approaches for classifying
Page 100 and 101: There are multiple tools available
Page 102 and 103: to their occurrence - are entered o
Page 104 and 105: Annex 6. Sample mortality audit mee
Page 106 and 107: Annex 8: Stillbirth and Neonatal Mo
Page 108 and 109: Annex 8b. Guidance for completing t
Page 110 and 111: Steps 1. Understand the steps of th
Page 112 and 113: INFORMED CONSENT FORM (INTERVIEWEE
Page 114 and 115: SEQUENTIAL NUMBER SECTION 1. INTER
Page 116 and 117: SECTION 3. INFORMATION ON THE DECEA
Page 118 and 119: ASK THE RESPONDENT: What do you thi
Page 120 and 121: 4.4.2 Before the woman became pregn
Page 122 and 123: 4.16.2 During the last 3 months of
Page 124 and 125: 5.5 How many hours or days passed b
Page 126 and 127: 5.18 Would you say the baby’s siz
Page 128 and 129: 5.33 Did the baby ever move, even a
Page 130 and 131: SECTION 6. NEONATAL ILLNESS HISTORY
Page 132 and 133: 6.17 Did the baby have a swollen st
Page 134 and 135: SECTION 7. HISTORY OF INJURIES/ACCI
Page 136 and 137: 8.7 What were the reasons the baby
Page 140 and 141: SECTION 9. DATA ABSTRACTED FROM REC
Page 142: VA Supervisor comments and observat
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Making Every Baby Count

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