Development and utility of tools to identify preventable perinatal deaths: Results from a community-based interventional study in two districts of Karnataka State, India

H. N.Harsha Kumar, Shantaram Baliga, Pralhad Kushtagi, Nutan Kamath, Sucheta Rao

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The presently used perinatal death certificate devised by the World Health Organization is incomplete and does not help in identifying 'preventability.' Objective: To develop tools that can help identify (1) preventable perinatal death and (2) preventable and/or avoidable cause for perinatal deaths. Materials and Methods: As a prerequisite for conduct of a community-based interventional study in two different districts of Karnataka state, two information tools, Perinatal death reporting form (PeNDReF) and perinatal death audit report (PeNDAR), were designed. The process involved series of preparatory and review meetings, before and after the field work to list facilities available, categorize facilities, identify causality, assess risk factors, and assert preventability of a perinatal death. The process was repeated over a period of 6 months and the information tools, PeNDReF and PeNDAR, were finalized. Doctors and paramedical personnel of both the districts were trained to fill the tools, which were analyzed to ascertain contributing risk factors and identify preventable perinatal death. Results: The use of PeNDAR led to identification of 5.7% of perinatal deaths as 'preventable' and 19% as 'possibly preventable.' The use of PeNDReF helped in the identification of risk factors (maternal anemia 49.6%, age of marriage <20 years 18.7%, and maternal weight <50 kg 9.1%), avoidable/preventable factors related to quality of care, transport, and referral. Conclusions: These tools are useful for identifying 'preventable' perinatal deaths and avoidable/preventable factors.

Original languageEnglish
Pages (from-to)631-636
Number of pages6
JournalIndian Journal of Community Medicine
Volume46
Issue number4
DOIs
Publication statusPublished - 01-10-2021

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Fingerprint

Dive into the research topics of 'Development and utility of tools to identify preventable perinatal deaths: Results from a community-based interventional study in two districts of Karnataka State, India'. Together they form a unique fingerprint.

Cite this