Integrated Community Engagement and Audit Systems
Maternal Death, Neonatal Death, Stillbirth
About this trial
This is an interventional health services research trial for Maternal Death focused on measuring Facility Audit, morbidity, mortality
Eligibility Criteria
Inclusion Criteria: Married women aged 15-49 years Children Under five years of age Exclusion Criteria: • Women who are non- residents of the study district and who do not provide consent.
Sites / Locations
- Aga Khan University
Arms of the Study
Arm 1
Experimental
Audit Implementation with Community Engagement
This feasibility and implementation research implementing in secondary level care hospitals (Tehsil Head Quarters THQ) at Matiari district of Sindh Province, Pakistan. The audit committees will be established in three THQs including management, specialist, medical officer, and community representatives from catchment area.The implementation phases follow the standard World Health Organization (WHO) audit system. The initial step includes identifying death cases for review and subsequently collecting the detailed information on the near miss and adverse event history. A mixed methods data analysis will include both quantitative components, such as identification of trends in rates and causes of death and geographic location, and qualitative components, such as analysis of modifiable factors. A monthly monitoring cycle will be set up within the implementing facilities to ensure effective implementation of the audit systems.