Cases of severe maternal morbidity are known as maternal near-miss. Three of CMNH’s academics have recently been working to implement a review of maternal near-miss cases in Oman. Over two years, PhD student, Dr Jamila Al Abri, Dr Charles Ameh and Professor Nynke van den Broek worked with 23 participating hospitals across the country to develop data collection tools and processes for identifying maternal near-miss cases. These tools are still being used in all 23 hospitals. To carry out the data collection, a new “Maternal near-miss App” was used to electronically upload the data to iPads. The development of this App was supported by the Department of Woman and Child Health in the Ministry of Health-Oman.
This week, the three researchers submitted a report on the progress and outcomes of this project to the World Health Organization Office in the Sultanate of Oman and the Ministry of Health. Their report includes a preliminary analysis of their 12-month survey of maternal near-miss cases.
Dr Jamila Al Abri:
“This project was implemented in 23 hospitals: 20 public and three private. These hospitals account for about 90.7% of all deliveries in Oman, and act as referral hospitals receiving up to 100% of women with severe complications during and after pregnancy, or at time of birth. The identification and reporting of cases commenced on 1st October 2016 and was completed on 30th September 2017. By December 2017, 63% of cases have been reviewed at healthcare facility level and 53% at regional level. 50% of all cases will also be reviewed by the National Mortality Committee. Almost one third of cases for national review were discussed by the National Maternal Mortality Committee and recommendations were made to improve the quality of care. In addition, an international expert panel will review selected cases”.
Professor Nynke van den Broek:
“Oman has a well-established maternal death review system and a relatively low number of maternal deaths. Review of severe maternal morbidity could complement maternal death reviews and provide recommendations for targeted action to improve quality of care. This project is an example of collaborative operational research between the Centre for Maternal and Newborn Health at the Liverpool School of Tropical Medicine in the UK and the Ministry of Health of the Sultanate of Oman supported by the World Health Organization. Significant progress has been made in the implementation of the project”.
You can read more about this project here.