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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Debate

Ending preventable maternal mortality: phase II of a multi-step process to develop a monitoring framework, 2016–2030

Authors: R. Rima Jolivet, Allisyn C. Moran, Meaghan O’Connor, Doris Chou, Neelam Bhardwaj, Holly Newby, Jennifer Requejo, Marta Schaaf, Lale Say, Ana Langer

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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Abstract

Background

In February 2015, the World Health Organization (WHO) released “Strategies toward ending preventable maternal mortality (EPMM)” (EPMM Strategies), a direction-setting report outlining global targets and strategies for reducing maternal mortality in the Sustainable Development Goal (SDG) period. In May 2015, the EPMM Working Group outlined a plan to develop a comprehensive monitoring framework to track progress toward the achievement of these targets and priorities. This monitoring framework was developed in two phases. Phase I, which focused on identifying indicators related to the proximal causes of maternal mortality, was completed in October 2015. This paper describes the process and results of Phase II, which was completed in November 2016 and aimed to build consensus on a set of indicators that capture information on the social, political, and economic determinants of maternal health and mortality.

Findings

A total of 150 experts from more than 78 organizations worldwide participated in this second phase of the process to develop a comprehensive monitoring framework for EPMM. The experts considered a total of 118 indicators grouped into the 11 key themes outlined in the EPMM report, ultimately reaching consensus on a set of 25 indicators, five equity stratifiers, and one transparency stratifier.

Conclusion

The indicators identified in Phase II will be used along with the Phase I indicators to monitor progress towards ending preventable maternal deaths. Together, they provide a means for monitoring not only the essential clinical interventions needed to save lives but also the equally important political, social, economic and health system determinants of maternal health and survival. These distal factors are essential to creating the enabling environment and high-performing health systems needed to ensure high-quality clinical care at the point of service for every woman, her fetus and newborn. They complement and support other monitoring efforts, in particular the “Survive, Thrive, and Transform” agenda laid out by the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030) and the SDG3 global target on maternal mortality.
Appendix
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Footnotes
1
A coalition made up of the World Health Organization and partner organizations which include the FCI Program of Management Sciences for Health, Jhpiego, Maternal and Child Survival Program, Maternal Health Task Force, UNFPA, UNICEF, USAID, and White Ribbon Alliance.
 
2
WHO describes ICD-PM as “the WHO application of ICD-10 deaths during the perinatal period… it is intended to facilitate the consistent collection, analysis, and interpretation of information on perinatal deaths.”
 
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Metadata
Title
Ending preventable maternal mortality: phase II of a multi-step process to develop a monitoring framework, 2016–2030
Authors
R. Rima Jolivet
Allisyn C. Moran
Meaghan O’Connor
Doris Chou
Neelam Bhardwaj
Holly Newby
Jennifer Requejo
Marta Schaaf
Lale Say
Ana Langer
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1763-8

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