The confidential enquiry into maternal deaths in South Africa : a case study

dc.contributor.authorMoodley, J.
dc.contributor.authorPattinson, Robert Clive
dc.contributor.authorFawcus, S.
dc.contributor.authorSchoon, M.G.
dc.contributor.authorMoran, N.
dc.contributor.authorShweni, P.M.
dc.date.accessioned2015-02-18T09:18:01Z
dc.date.available2015-02-18T09:18:01Z
dc.date.issued2014-09
dc.description.abstractThe Confidential Enquiry into Maternal Deaths (CEMD) in South Africa has been operational for 15 years. This case study describes the process of notification and independent assessment of maternal deaths, predominantly in facilities. In the earlier years of the Enquiry, institutional maternal mortality ratio increased and was 176.2 per 100 000 live births in the 2008–10 triennium; thereafter it decreased to 146.7 in the 2011/12 period. The slow progress was due to the significant contribution of HIV/AIDs to maternal mortality and challenges in implementing the recommendations that were devised from the findings of the Enquiry. Nevertheless, the CEMD process has been maintained and strengthened so it is currently able to perform routine maternal death surveillance at both national and district levels, identify deficiencies within the health system, generate reports and also provide early warning about alarming trends such as the increasing numbers of deaths due to caesarean-section-associated haemorrhage.en_ZA
dc.description.embargo2015-09-30en_ZA
dc.description.librarianhj2015en_ZA
dc.description.urihttp://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1471-0528en_ZA
dc.identifier.citationMoodley, J, Pattinson, RC, Fawcus, S, Schoon, MG, Moran, N & Shweni, PM 2014, 'The confidential enquiry into maternal deaths in South Africa : a case study', BJOG : An International Journal of Obstetrics and Gynaecology, vol. 121, pp. 53-60.en_ZA
dc.identifier.issn1470-0328 (print)
dc.identifier.issn1471-0528 (online)
dc.identifier.other10.1111/1471-0528.12869
dc.identifier.urihttp://hdl.handle.net/2263/43712
dc.language.isoenen_ZA
dc.publisherWileyen_ZA
dc.rights© 2014 Royal College of Obstetricians and Gynaecologists. This is the pre-peer reviewed version of the following article : (name of article), Journal name, vol. x, no. y, pp. z-zz, date, doi : . The definite version is available at : http://onlinelibrary.wiley.comjournal/10.1111/(ISSN)1471-0528 [This article is embargoed by the publisher until 12 months]en_ZA
dc.subjectConfidential enquiriesen_ZA
dc.subjectMaternal deathsen_ZA
dc.subjectSouth Africa (SA)en_ZA
dc.titleThe confidential enquiry into maternal deaths in South Africa : a case studyen_ZA
dc.typePostprint Articleen_ZA

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