Strengthening of Child Death Review System (Madhya Pradesh)

Problem Statement

Every year more than one lakh children under the age of five year die in Madhya Pradesh (SRS 2017), it is important to systematically collect and review data to prevent such child deaths. Prompt reporting and review of child deaths (0-59 months) can provide insight into: to identify the bottlenecks of health services, to recognise key gaps and to evaluate trends in causes of child mortality. Before 2015, in Madhya Pradesh there was no proper mechanism of getting child death data from community, blocks to District and state level as per GoI Guidelines of Child Death Review.

Programme Description

Web based reporting system for CDR was launched in August 2015 for data entry at block level. Implementation was started first from SNCU, established across the state, followed by block level handholding and trainings.

Programme Outcomes

• All 51 districts and 313 blocks are reporting in software.
• 72% neonatal deaths, 18% infant deaths and 10% child deaths have been notified since launch.
• Till date 1,25,481 child deaths have been reported in software. 44,325 deaths from community and 81,156 deaths from Government health facilities.
• Out of 44,325 community deaths, 21,992 cases have been reviewed by ANMs & Out Of 81156 facility deaths 36,127 cases are reviewed by Medical officers.
• 7,554 verbal autopsies and 5,883 social autopsies have been conducted for community deaths to elicit medical and social causes.

Scalability

• Software is designed based on National Guidelines of CDR.
• No additional Human resource is required for implementation.
• No cost is involved in development and implementation of software.
• Auto generation of compiled report is done within no time.
• Reports can be downloaded for analysis and taking corrective measures at different level health officials.

Implementation Partners (If any)

Only NHM.

Financial Implications

No cost was involved in development and implementation of software.

Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019