Implementing a perinatal and neonatal mortality surveillance and auditing system in Jordan
Programs and partnerships
Lead institution(s)
Summary
This project aims to develop and implement an electronic surveillance system for collecting and reporting standardized perinatal and neonatal (PNN) mortality data in four main hospitals in Jordan.Read more
This project aims to develop and implement an electronic surveillance system for collecting and reporting standardized perinatal and neonatal (PNN) mortality data in four main hospitals in Jordan. This electronic surveillance system will automatically and continually transfer PNN mortality data to the Ministry of Health, which will be valuable for health decision-making in the country.
The project will consist of an exploratory phase to assess the perspectives of health professionals and women toward a PNN surveillance system. This will guide the development and implementation of the PNN surveillance and auditing system. It will be in operation for a year in four major hospitals in Jordan and will then be thoroughly evaluated. The project will be overseen by a steering committee representing the major institutional actors in this surveillance system, including the Ministry of Health and a technical committee of experts.
A training module will be developed with guidelines on the new system for training healthcare providers who will operate and use the system. It will also be integrated into medical and nursing curricula. Project outcomes will include a secure web-based PNN mortality surveillance system, relevant training module, and well-trained healthcare providers. A plan to scale up the system will include all hospitals in the country.
The Jordan University of Science and Technology will lead the project with the collaboration of the Jordanian Ministry of Health and Birzeit University.
The project is closely aligned with the Government of Canada’s new Feminist International Assistance Policy, the strategic priorities detailed in the 2016-2030 WHO led Global Strategy for Women, Children and Adolescents, and the overarching 2030 global agenda for sustainable development.
Research outputs
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This study aimed to determine the rates, causes and risk factors of stillbirth and neonatal mortality in Jordan. An electronic stillbirth and neonatal deaths surveillance system was established in five large hospitals. Data on all births, stillbirths and neonatal deaths and their causes during the period May 2019 – December 2020 were exported from the system and analyzed. There is a relative stability of stillbirth and neonatal mortality rates in Jordan. Several identified maternal and/or fetal conditions that contributing to stillbirths and/or neonatal deaths in Jordan are preventable; hence, they need to be taken into considerations in policies to reduce such deaths. Focused care needs to be directed to neonates with low birthweight and respiratory problems and to high-risk pregnant women.
This study aimed to determine the stillbirth rate in Jordan and to determine the leading causes of stillbirths. Analyzing the stillbirth data from a large sample size of Jordanian women would be very valuable for planning the resources and improving the services. This study highlighted stillbirth risks in Jordan, which could encourage maternal-infant health-care providers, other researchers, policymakers, and stakeholders to implement solutions and to develop a feasible intervention.
Facility-based death review committee (DRC) of neonatal deaths and stillbirths can encourage stakeholders to enhance the quality of care during the antenatal period and labour to improve birth outcomes. To understand the benefits and impact of the DRCs, this study was aimed at exploring the DRC members’ perception about the role and benefits of the newly developed facility-based DRCs in five pilot hospitals in Jordan, to assess women empowerment, decision-making process, power dynamics, culture and genderism as contributing factors for deaths, and impact of COVID-19 lockdown on births.
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