3203.0: Monday, November 13, 2000 - 4:45 PM

Abstract #16289

Hospital Maternal Mortality in Honduras: The Role of Providers and the Health System in Maternal Death

George Gilson, MD, University of New Mexico, School of Medicine, Albuquerque, NM 87131 and Anjou Parekh, MHS, Maternal and Neonatal Health Program/JHPIEGO Corporation, 1615 Thames Street, Suite 100, Baltimore, MD 21231, 410-614-2288, aparekh@jhpiego.org.

Hospital Maternal Mortality in Honduras: The Role of Providers and the Health System in Maternal Death

George Gilson, MD, and Anjou Parekh, MHS

In 1999, a maternal death review was conducted at two tertiary hospitals in Honduras: Hospital Mario Catarino Rivas (HMCR) and Hospital Escuela Francisco Morazan (HEFM). Thirty-five maternal deaths were reported over a 30 month period at HMCR (estimated hospital maternal mortality ratio is 207/100,000 live births); 81 maternal deaths were reported during a 33 month period at HEFM (estimated hospital maternal mortality ratio is 262/100,000 LB). It was determined that a large proportion of these deaths were preventable.

The death review looked at not only the causes of death, but also assessed facilities to examine provider skills and performance; policies, norms, and procedures; organization and management of services; physical facilities; accessibility and condition of appropriate drugs, supplies and equipment; and the quality of services provided. Quality of care issues were found to revolve around the following areas: clinical case management; laboratory, ultrasound and antenatal care services; epidemiologic surveillance; staffing patterns; infrastructure and equipment, and referral systems. Hospital errors or deficiencies were found in approximately 70% of deaths in both hospitals. Provider or health system errors were the primary attributable cause in 40% of cases in HMCR and 56% of cases in HEFM. Results of the death review, as well as recommendations for improved case management and program interventions, will be presented.

Learning Objectives: At the conclusion of the session, the participant in this session will be able to: -Identify the main causes of maternal mortality in two tertiary care facilities in Honduras -Describe interventions that can have an impact on hospital maternal mortality levels

Keywords: Health Assessment, Maternal Health

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA