Henry D. Kalter|Pavitra Mohan|Archana Mishra|Narayan Gaonkar|Arnab Biswas|Sudha Balakrishnan|Gaurav Arya|Marzio Babille
Maternal death inquiry and response in India - the impact of contextual factors on defining an optimal model to help meet critical maternal health policy objectives
Johns Hopkins University|United Nations Children's Fund India|United Nations Children's Fund India|R. G. Kar Medical College and Hospital|Medical College and Hospital, Kolkata|Bose Institute|United Nations Children's Fund India|United Nations Children's Fund India|United Nations Children's Fund India
maternal death reviews utilized several countries means identifying social health care quality issues affecting maternal survival 2005 2009 standardized communitybased maternal death inquiry response initiative implemented eight indian states aim addressing critical maternal health policy objectives however statespecific contextual factors strongly influenced efforts success paper examines impact implications contextual factorswe identified community public health systems governance related contextual factors thought affect implementation utilization upscaling death inquiry process according selected indicators documented contextual factors presence impact process success helping meet critical maternal health policy objectives four districts rajasthan madhya pradesh west bengal based assessment propose optimal model conducting communitybased maternal death inquiries india similar settingsthe death inquiry process led increases maternal death notification investigation whether civil society government took charge tasks stimulated sharing findings multiple settings contributed development numerous evidencebased local district statewide maternal health interventions ngo inputs essential communities public health systems governance weak boosted effectiveness stronger settings public health systems participation enabled responsive accountable governance communities participated successfully indias established local governance panchayat raj institutions one instance led development multifaceted intervention wellintegrated multiple levelsthe impact several contextual factors death inquiry process could discerned suggested optimal implementation model district state government must mandate support process district health office provide overall coordination manage death inquiry data part routine surveillance programme organize highly participatory means preferably within existing structure sharing findings community developing evidencebased maternal health interventions ngo assistance support development partner may needed particularly locales weaker communities public health systems governance