Abstract
BackgroundThe implementation of the maternal mortality surveillance system in Iran has significantly reduced the incidence of maternal mortality. However, the pattern of the causes of the mortalities, which has remained constant over the years, are still concerning. This study aimed to explain the experiences of the actors of the Iranian maternal mortality surveillance and provide strategies for improving this system.MethodsThis research is a qualitative study to develop strategies, that will be conducted in two phases. In the first phase, purposive sampling will be performed, and the data will be collected based on the experiences of the Iranian maternal mortality surveillance system actors in Iran’s Ministry of Health and the selected universities (Shiraz, Isfahan, Tehran, Zahedan, Alborz, Shahrekord) through semi-structured interviews. Moreover, during this phase, some part of the data will be collected through random participation of the researcher in some maternal mortality committees of the selected universities. In order to carry out the second phase, a panel of experts will be set up to discuss the best strategies for improving the Iranian maternal mortality surveillance by considering the above results.DiscussionThe analysis of maternal mortality surveillance system needs to evaluate the experiences of the actors who are the policymakers of this system and can be effective in identifying its challenges. This analysis and formulation of the subsequent strategies can lead to maternal health indicators remaining within the range of international standards or even beyond those standards in Iranian universities and countries with similar surveillance system.
Highlights
The implementation of the maternal mortality surveillance system in Iran has significantly reduced the incidence of maternal mortality
The World Health Organization (WHO), along with other participating organizations, has provided guidelines for monitoring maternal mortality and identifying the avoidable factors contributing to these deaths [2]; this program has been introduced in Iran as the Iranian Maternal Mortality Surveillance System
The Islamic Republic of Iran has undertaken long-term and short-term planning on maternal health and in recent years has been identified by the WHO as one of the triumphant countries in achieving the fifth Millennium Development Goal (A development from 51 deaths per 100,000 in 2000 to 16 deaths per 100,000 in 2017) [5]
Summary
The implementation of the maternal mortality surveillance system in Iran has significantly reduced the incidence of maternal mortality. After examining the questionnaires by the inquiry team, the Maternal Mortality Committee analyzes the avoidable causes and, designs appropriate interventions and puts under surveillance the implementation of them based on this analysis [3, 4] Through this system, the Islamic Republic of Iran has undertaken long-term and short-term planning on maternal health and in recent years has been identified by the WHO as one of the triumphant countries in achieving the fifth Millennium Development Goal (A development from 51 deaths per 100,000 in 2000 to 16 deaths per 100,000 in 2017) [5]. There is a need for more effort and interventions beyond existing programs [3, 6]
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