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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The objective is to compare obstetric and neonatal characteristics and birth outcomes between Syrian refugees and native women in Jordan. We used the Jordan Stillbirths and Neonatal Deaths Surveillance System to extract sociodemographic and obstetric characteristics of the mothers and birth characteristics of newborns. Multivariate analysis was used to compare the characteristics of 26,139 Jordanian women (27,468 births) and 3,453 Syrian women refugees (3,638 births) who gave birth in five referral hospitals (May 2019 and December 2020). Syrian refugee mothers had a significantly higher risk of adverse obstetric and neonatal outcomes including higher rate of perinatal death compared to Jordanian women.
It has been estimated that 27.8 million neonates will die worldwide between 2018 and 2030 if no improvements in neonatal and maternal care take place. The aim of this study was to determine the rate, risk factors, and causes of neonatal mortality in Jordan. The rate of neonatal mortality has not decreased since 2012, and the majority of neonatal deaths occurred could have been prevented. Regular antenatal visits, in which any possible diseases or complications of pregnant women or fetal anomalies, need to be fully documented and monitored with appropriate and timely medical intervention to minimize such deaths.
Perinatal death audit is a feasible and cost-effective quality improvement tool that helps to improve the quality of health care and reduce perinatal deaths. Perinatal death audit is not implemented in almost all hospitals in Jordan. This study aimed to assess health professionals’ attitude toward perinatal death auditing and determine the main barriers for effective implementation of perinatal death auditing as perceived by health professionals in Jordanian hospitals. A cross-sectional study was conducted among health professionals in 4 hospitals in Jordan. All physicians (pediatricians and obstetricians) and nurses working in these hospitals were invited to participate in the study. The study questionnaire assessed the attitude of health professionals toward perinatal death audit and assessed barriers for implementation of perinatal death audit in their hospitals.
This study aimed to analyze the 2009 Jordan Population and Family Health Survey (JPFHS) data to determine the level, trend, and distribution of neonatal mortality (NNM) in Jordan and determine its associated factors. The NNR rate for 2005–2009 period of 16 deaths per 1000 live births indicates that there are opportunities to decrease it. Risk factors of neonatal mortality with respect to predictors of death during first days of life and variables related to geographic variations require particular focus to improve the quality of obstetric and neonatal health services and to decrease neonatal mortality.
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