Implementation of a Surveillance Health System in Monitoring Activities of Maternal and Infant Deaths Prevention in a Decentralized Health System: Feasibility Study Hospi-Community Based in DR Congo.


Authors : Lévis Kahandukya Nyavanda, Masauso Chirwa

Volume/Issue : Volume 4 - 2019, Issue 7 - July

Google Scholar : https://goo.gl/DF9R4u

Scribd : https://bit.ly/348bAzc

 Background In DR Congo, especially in North health division, about 104 children and 68 women died from a direct complication related to pregnancy out of 100000Live Births, 15 women have a disability due to childbirth out of 100000 Live Births during that particular time of the survey. This is a burden, an obligation of the state to provide the population with a minimum standard of living acceptable. The Democratic Republic of the Congo is not the first to engage in the surveillance of maternal and infant deaths. It had of maternal death audits, which are used to allow the National reproductive health program to determine the major causes of death. For example, in 2015 rates of bleeding (47.9%) and abortion (17%) were high. Among adolescents, complications such as anemia (16%), infections (12%) and eclampsia (8%) were also concerning. The issue is that demographic, social, economic, cultural, political, environmental, managerial, organizational and human health conditions are among crucial factors that influence in one way to another the feasibility of any given intervention. That is why an assessment of these aspects is needed before and during the implementation phases.  Objectives To implement a permanent surveillance health system in order to promote an easy access opportunity to maternity healthcare services is the most important issue that this project want to emphasis on. The gendered health equity through some strategies implementation, policies, regulations and establishing clinical legal laws that gathering both maternal and child health and equity promotion. Community-based participatory research approaches should be the bench mark of community members and clinicians’ commitment at all levels of the system.  Design A clinical and community based analysis will precede a resources assessment (SWOT) during the implementation of maternity healthcare services provision. Community-based participatory research approaches will be deployed. Records on maternal and infant deaths will be major data. The settings are the 35 health facilities that will be selected randomly in the Karisimbi Health Zone where the previous study about test the CHFP model was piloted.  Results The results are ought to show the effectiveness of the CHFP model. After five years in monitoring activities initiated and implemented to prevent maternal and infant death we should know that a change has occurred from a higher to low Maternal and infant rate. For the Health zone of Karisimbi in DR Congo the study shall revel that the Maternal Death Rate or 69% has changed in decreasing and an increase in couple antenatal consultation. The description should be prompt on the proportions of nurses’ provision of maternity healthcare at pre-pregnancy stage followed by birth attendants, only biomedical or physician provided assistance to a pregnant woman during prenatal period and women who did not received assistance at prenatal stage. During delivery, biomedical or physician, followed by the assistance of nurse, and birth attendants, only community experienced woman provided care during delivery. At postnatal stage, biomedical or physician assistance, nurse assistance were provided, women who were not assisted.  Conclusion The surveillance of maternity healthcare services is health system that generates sensitive data and strategic information that must follow a certain channel well maintained inside and outside products. Its sustainability and its success depend on it.

Keywords : DR Congo, North Kivu Health Division, Surveillance of Maternal and Infant Deaths, Surveillance Committee Structure, Maternity Healthcare, Clinical and Community Based Analysis, Feasibility Study, and Implementation.

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