Validating the indicator "maternal death review coverage" to improve maternal mortality data: A retrospective analysis of district, facility, and individual medical record data.
Jewel GausmanErnest KenuRichard AdanuDelia A B BandohMabel BerruetaSuchandrima ChakrabortyNizamuddin KhanAna LangerCarolina NigriMagdalene A OdikroVerónica PingraySowmya RameshNiranjan SaggurtiPaula VázquezCaitlin R WilliamsR Rima JolivetPublished in: PloS one (2024)
Our study assessed the validity of an important indicator for ending preventable deaths: the coverage of reviews of maternal deaths occurring in facilities in three study settings. We found discrepancies in deaths recorded at facilities and those reported to districts from facilities. Further, few maternal death reviews met global quality standards for completeness. The value of the calculated indicator masked inaccuracies in counts of both deaths and reviews and gave no indication of completeness, thus undermining the ultimate utility of the measure in achieving an accurate measure of coverage.
Keyphrases
- birth weight
- pregnancy outcomes
- healthcare
- electronic health record
- affordable care act
- randomized controlled trial
- systematic review
- emergency department
- type diabetes
- big data
- cardiovascular disease
- risk factors
- coronary artery disease
- physical activity
- cardiovascular events
- health insurance
- machine learning
- tyrosine kinase
- weight loss
- deep learning
- artificial intelligence