Evaluation of Maternal Death Surveillance and Response System in Dewachefa District, Oromia Zone, Amhara Region, Ethiopia, 2018

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Abstract Background: Maternal death surveillance and response (MDSR) is the “litmus test” of the health system that provides evidence for accomplishment and , provides information in real time and allows improvement towards catching all maternal mortalities. The aim of study was to evaluate maternal death surveillance and response system in Dewachefa.Methods: A cross sectional study design was conducted in two health centers, five health post, district health office and from these facilities 32 health workers were included. Data were collected through focal person, health worker and health extension worker interview by using checklist. Collected data were entered into Epi data version 3.1. These data were exported to statistical package for social science for analysis. Analyzed data were presented in the form of text, table and figures.Result: The average completeness of weekly report form of the district was 73.1%. Thirteen (59.1 %) of health professionals and 6(60%) of health extension workers had unsatisfactory knowledge on MDSR. All visited health facilities and Woredas focal person were trained. The system had under notification of maternal death from the community, poor involvement of health facility staff, and discordance of data between public health emergency management, and maternal and newborn health unit report. Establish rapid response team that includes maternal and child health staff’s maternal death review committees in all health facilities.

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