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Health facility Based Maternal Death Audit Form this form can be adapted to fit individual circumstances THIS FORM MUST BE KEPT PRIVATE AND CONFIDENTIAL AT ALL TIMES AND NO PHOTOCOPIES ARE TO BE MADE.

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How to fill out health-facility based maternal death

01

Gather all necessary information such as patient's medical history, details of childbirth, interventions performed, and any complications experienced.

02

Use the standard reporting form provided by the health facility to record all relevant details.

03

Ensure accurate and detailed documentation of the maternal death, including timelines of events leading up to the death.

04

Include information on any potential contributing factors to the maternal death.

05

Submit the completed form to the appropriate authorities for analysis and review.

Who needs health-facility based maternal death?

01

Healthcare providers working in health facilities where maternal deaths occur.

02

Public health officials and policymakers who need data on maternal mortality rates to inform decision-making and improve healthcare services.

03

Researchers studying factors influencing maternal mortality and looking to identify areas for improvement in maternal healthcare.

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What is health-facility based maternal death?

Health-facility based maternal death refers to the death of a woman that occurs during pregnancy, childbirth, or within 42 days of termination of pregnancy, in a health facility.

Who is required to file health-facility based maternal death?

Healthcare providers, hospitals, or health facilities are required to file health-facility based maternal death.

How to fill out health-facility based maternal death?

Health-facility based maternal death should be filled out by documenting all relevant information related to the death, including medical history, events leading to death, and any complications during pregnancy or childbirth.

What is the purpose of health-facility based maternal death?

The purpose of health-facility based maternal death is to track and monitor maternal mortality rates, identify areas for improvement in maternal healthcare, and implement measures to prevent future deaths.

What information must be reported on health-facility based maternal death?

Information such as the woman's medical history, events leading to death, any complications during pregnancy or childbirth, and measures taken to address the situation must be reported on health-facility based maternal death.

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