In recent years, the Bungoma County health system has seen substantial efforts to improve maternal and newborn health outcomes. A significant initiative in this regard is the Maternal and Perinatal Death Surveillance and Response (MPDSR) meetings. During these meetings, a critical tool, an MPDSR action tracker is used to analyze the root causes of maternal and perinatal death, there by identifying a proposed action to address it. RMNCAH Network, in collaboration with the county health stakeholders supports the MPDSR quarterly meetings in three sub counties in Bungoma (Webuye West, Sirisia, Kanduyi).These meetings underscores the importance of data driven approaches in addressing the challenges and identifying the areas for improvement.
In the most recent MPDSR meeting for Webuye West, the key revelations were a notable decline in the fourth ANC uptake which was mainly attributed to the recent doctors strike in public hospitals and also an increase in number of home deliveries due to inadequate linkage between Community Health Promoters (CHPS) and healthcare facilities. Additionally, disparities in service charges between neighboring facilities, such as Lugulu Mission Hospital charging fees while Kituni Dispensary offered free services, further complicated access to care.
In the urge to address these challenges, several action plans were proposed which included sensitizing the Community Health Promoters on the importance of early ANC uptake, which emerged as a crucial step. CHPs play a vital role in community health education and linkage to health services; therefore, enhancing their capacity and knowledge is essential for improving ANC coverage. Secondly, increasing health education on individualized ANC for pregnant mothers was identified as a necessary intervention. By providing tailored information and support, health workers can encourage regular ANC visits and early detection of potential complications.
The MPDSR process not only helps identify gaps but also informs advocacy interventions for the RMNCAH Network. By highlighting specific needs and challenges, the Network is able to prioritize actions and mobilize resources effectively. For instance, one of the proposed actions from the previous meeting was to conduct a detailed ANC profile for all mothers attending ANC clinics. This approach allows for better monitoring of health indicators and targeted interventions.
Additionally, regular mentorship on emergency obstetric care (EmOC)and training staff on advanced Basic Skills in Life Support (BSLS) and Advanced Cardiac Life Support (ACLS) were recommended. These trainings are essential for enhancing the skills and preparedness of healthcare workers in managing emergencies, thus improving maternal and newborn outcomes.
Furthermore, the redistribution of qualified midwives to provide delivery services during nights and weekends is important. This measure aims to ensure that skilled personnel are available to handle deliveries at all times, reducing the risk of complications and maternal or perinatal deaths. Preventive maintenance of ambulances used for emergency referrals was also highlighted as a critical action point. Reliable transportation is crucial for timely access to care, especially in emergencies.
The MPDSR process is invaluable in guiding decision-makers to develop informed action plans. By tracking these essential indicators in the Vital Signs Profile (VSP) tool, stakeholders can identify trends, address the root causes of maternal and perinatal deaths, and implement targeted interventions. Assigning specific roles and responsibilities, along with clear timelines and proposed costs, fosters accountability and ensures that planned actions are executed efficiently.
By systematically collecting and analyzing data on maternal and perinatal deaths, the Bungoma County can identify gaps, allocate resources effectively and implement strategic interventions. The RMNCAH Network’s advocacy efforts, informed by MPDSR insights, are vital in addressing the unique health challenges faced by the community. As these initiatives continue, Bungoma County moves closer to achieving its goal of improved maternal and newborn health outcomes, underscoring the significance of robust data system in health care planning and delivery.