Death surveillance and response mechanisms—purpose, frequency and target
| Observed mechanisms | Purpose | Frequency | Target | Participants | |||
| Maternal | Perinatal | Neonatal | Child <5 | ||||
| 24-hour reporting, 48-hour review | Specific to MNCH; compulsory Death notification | Linked to death event | ✓ | ✓ | ✓ | ✓ | Facility; Patient Safety committee (subdistrict and district) |
| Confidential enquiry into maternal death | Specific to MNCH; quality assurance; Compliance | Linked to death event | ✓ | National, province, district, hospital | |||
| Perinatal problem identification programme | Specific to MNCH; clinical; includes perinatal and maternal death audit; quality assurance | Monthly | ✓ | ✓ | ✓ | District, hospital, PHC facilities | |
| Child under-5 problem identification programme | Specific to MNCH; clinical; audit; quality assurance | Monthly | ✓ | District, hospital, PHC facilities | |||
| Monitoring and response unit | Specific to MNCH; managerial; multidisciplinary | Monthly/bimonthly | ✓ | ✓ | ✓ | ✓ | District, hospital, PHC facilities |
| Morbidity and mortality | General (not specific to MNCH) | Monthly | ✓ | ✓ | ✓ | ✓ | Hospital |
| Clinical audit/clinical governance | General (not specific to MNCH) | Monthly | ✓ | ✓ | ✓ | ✓ | District, hospital, PHC facilities |
MNCH, maternal, newborn and child health.