Technical review on pilot implementation of the Beyond the Numbers approaches in Tajikistan
To make pregnancy safer, the Ministry of Health of Tajikistan started using a WHO tool called Beyond the Numbers (BTN) to review maternal deaths and complications in the country. Since 2008, five maternity hospitals have been pilot-testing near-miss case review (NMCR), and confidential enquiries into maternal deaths (CEMD) have been implemented at the national level.
To follow up on BTN implementation and within the framework of the biennial collaborative agreement between the Ministry and WHO/Europe, the pilot implementation was reviewed on 23–31 August 2010 by the Ministry, WHO, the United Nations Population Fund (UNFPA) and the German organization Gesellschaft für Technische Zusammenarbeit (GTZ).
The mission team visited pilot maternity hospitals to review NMCR and observe a CEMD session. A two-day workshop was held in Dushanbe on 30–31 August to present and discuss the BTN pilot phase and scaling up. The participants were representatives of the Ministry, city and regional health departments, academia, NMCR pilot maternity hospitals and members of the CEMD committee. The programme comprised presentations by the facilitators and participants, question-and-answer sessions, discussions and group work. At the end of the workshop, the participants developed and agreed a work plan on future steps for further NMCR and CEMD implementation.
In addition to the workshop, a WHO/Europe staff member met with local journalists on 30 August, to provide information on making pregnancy safer.
Every minute, at least one woman dies from complications related to pregnancy or childbirth – that means 529 000 women a year and 98% of these cases occur in the developing world. In addition, for every woman who dies in childbirth, around 20 women suffer injury, infection or disease: about 10 million women each year.