From planning to practice: building the national network for the surveillance of severe maternal morbidity

BMC Public Health

Research Article

Maria H Sousa¹  Maria V Bahamondes¹  Vilma Zotareli¹  Lúcio T Gurgel²  Rodrigo S Camargo²  Maria L Costa²  Fernanda G Surita²  Rodolfo C Pacagnella²  Mary A Parpinelli²  Samira M Haddad²  João L Pinto e Silva²  José G Cecatti³  Robert C Pattinson⁴  Lale Say⁵  João P Souza⁵ 

[1] Campinas Center for Studies in Reproductive Health (CEMICAMP), Campinas, Brazil;Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Campinas, Brazil;Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Campinas, Brazil;Campinas Center for Studies in Reproductive Health (CEMICAMP), Campinas, Brazil;MRC Maternal and Infant Health Care Strategies Research Unit, University of Pretoria, Gauteng, South Africa;UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland;

关键词: surveillance network;    severe maternal morbidity;    near-miss;    multicenter cross-sectional study;   

DOI  :  10.1186/1471-2458-11-283

 received in 2010-08-10, accepted in 2011-05-08,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundImproving maternal health is one of the Millennium Development Goals for 2015. Recently some progress has been achieved in reducing mortality. On the other hand, in developed regions, maternal death is a relatively rare event compared to the number of cases of morbidity; hence studying maternal morbidity has become more relevant. Electronic surveillance systems may improve research by facilitating complete data reporting and reducing the time required for data collection and analysis. Therefore the purpose of this study was to describe the methods used in elaborating and implementing the National Network for the Surveillance of Severe Maternal Morbidity in Brazil.MethodsThe project consisted of a multicenter, cross-sectional study for the surveillance of severe maternal morbidity including near-miss, in Brazil.ResultsFollowing the development of a conceptual framework, centers were selected for inclusion in the network, consensus meetings were held among the centers, an electronic data collection system was identified, specific software and hardware tools were developed, research material was prepared, and the implementation process was initiated and analyzed.ConclusionThe conceptual framework developed for this network was based on the experience acquired in various studies carried out in the area over recent years and encompasses maternal and perinatal health. It is innovative especially in the context of a developing country. The implementation of the project represents the first step towards this planned management. The system online elaborated for this surveillance network may be used in further studies in reproductive and perinatal health.

【 授权许可】

Unknown   
© Haddad et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.