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

doi:10.9745/GHSP-D-19-00366

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 Journal › Comment / Letter to the editor › Academic

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 language	English
Pages (from-to)	150-154
Number of pages	5
Journal	Global health, science and practice
Volume	8
Issue number	2
Early online date	30 Jun 2020
DOIs	https://doi.org/10.9745/GHSP-D-19-00366
Publication status	Published - 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.

Funders	Funder number
Laerdal Foundation for Acute Medicine	40241

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.9745/GHSP-D-19-00366

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Cite this

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

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{\textquoteright} worries, and clear medicolegal guidance to encourage providers to identify care deficiencies.",

author = "Tura, \{Abera Kenay\} and Fage, \{Sagni Girma\} and Ibrahim, \{Alexander Mohamed\} and Ahmed Mohamed and Redwan Ahmed and Tadesse Gure and Joost Zwart and \{van den Akker\}, Thomas",

year = "2020",

month = jun,

doi = "10.9745/GHSP-D-19-00366",

language = "English",

volume = "8",

pages = "150--154",

journal = "Global health, science and practice",

issn = "2169-575X",

publisher = "Johns Hopkins University Press",

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TY - JOUR

T1 - Beyond No Blame: Practical Challenges of Conducting Maternal and Perinatal Death Reviews in Eastern Ethiopia

AU - Tura, Abera Kenay

AU - Fage, Sagni Girma

AU - Ibrahim, Alexander Mohamed

AU - Mohamed, Ahmed

AU - Ahmed, Redwan

AU - Gure, Tadesse

AU - Zwart, Joost

AU - van den Akker, Thomas

PY - 2020/6

Y1 - 2020/6

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/85087468873

UR - https://www.scopus.com/pages/publications/85087468873#tab=citedBy

U2 - 10.9745/GHSP-D-19-00366

DO - 10.9745/GHSP-D-19-00366

M3 - Comment / Letter to the editor

C2 - 32461200

AN - SCOPUS:85087468873

SN - 2169-575X

VL - 8

SP - 150

EP - 154

JO - Global health, science and practice

JF - Global health, science and practice

IS - 2

ER -

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

Abstract

Funding

UN SDGs

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