Beyond No Blame: Practical Challenges of Conducting Maternal and Perinatal Death Reviews in Eastern Ethiopia

Abera Kenay Tura, Sagni Girma Fage, Alexander Mohamed Ibrahim, Ahmed Mohamed, Redwan Ahmed, Tadesse Gure, Joost Zwart, Thomas van den Akker

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Performing effective maternal death reviews as part of the maternal death surveillance and response program has been hindered by challenges including poor attendance, defensive attitudes, and blame shifting.

Reviews of maternal and perinatal deaths should be based on a “no blame” principle. Emphasis should be on learning lessons and health professionals should feel safe to discuss the circumstances surrounding death.

Meaningful reduction in maternal mortality requires a depoliticizing paradigm shift, a professional body to address patients’ worries, and clear medicolegal guidance to encourage providers to identify care deficiencies.
Original languageEnglish
Pages (from-to)150-154
Number of pages5
JournalGlobal health, science and practice
Volume8
Issue number2
DOIs
Publication statusPublished - 30 Jun 2020

Funding

Successfully insti tutionalizing the MDSR requires having strong political commitment, adequate financial support, adequate legal framework, and a “no shame, no blame” culture.

FundersFunder number
Laerdal Foundation for Acute Medicine40241

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