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Rapid Ascertainment Process for Institutional Deaths (RAPID) is a method designed to identify un-reported maternal deaths within health facilities, and to highlight areas for improvement in routine institutional death reporting. Developed by Immpact, RAPID involves reviewing health facility records of all deaths of women of reproductive age and subsequently identifying pregnancy-related deaths. This process uncovers pregnancy-related deaths that may have been missed in routine reports. Once the level and circumstances of under-reporting is assessed, recommendations can be made on how to improve gaps to ensure more complete reporting (see HIS/Health Facility Records)

Identification of deaths

All deaths of women aged 15-49 are identified through review of institutional records, mainly registers.

Ascertainment of maternal/pregnancy-related status

Where pregnancy status is not clear in the register, evidence is sought from individual medical records.



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Immpact Immpact, University of Aberdeen (2007) Rapid ascertainment process for institutional deaths (RAPID). Module 4, Tool 2. In: Immpact Toolkit: A guide and tools for maternal mortality programme assessment. Aberdeen: University of Aberdeen.

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Oxford Journals - International Journal of Epidemiology Bouvier-Colle MH, Varnoux N, Costes P, Hatton F (1991) Reasons for the underreporting of maternal mortality in France, as indicated by a survey of all deaths among women of childbearing age. Intl J Epidemiol; 20: 717-21.

Elsevier - International Journal of Gynecology and Obstetrics Graham, WJ; Hussein, J (2006) Universal reporting of maternal mortality: an achievable goal? International Journal of Gynaecology and Obstetrics, 94(3): 234-42.

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Immpact Immpact website

Immpact Immpact/Population Reference Bureau. Measuring maternal mortality: challenges, solutions and next steps. Washington DC: Population Reference Bureau. February 2007.
Population Reference Bureau

Immpact Immpact/Population Reference Bureau. Delivering safer motherhood: sharing the evidence. Policy brief.
Washington DC: Population Reference Bureau. February 2007.
Population Reference Bureau

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