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Routine Health Information Systems (HIS)

Also: Health Facility Records

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Health information system (HIS) data on deaths are generated from health facilities including hospitals and health centres by medical professionals. Facilities compile statistics on maternal deaths and births and report these to the central level. HIS data are generally available, in some form, in most settings. However, quality can be variable and its scope is limited.

Please also see the related topic of ICD Coding

Identification of death

Medical professional/ facility records death at time it occurs.

Ascertainment of maternal/pregnancy related status



Measurement requirements:

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Health Metrics Network Health Metrics Network. Strengthening country health information systems: assessment and monitoring tool. Version 1.96: 04 November 2006. Geneva: World Health Organization.

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Obstetrics and Gynecology Deneux-Tharaux, C, Berg, C, Bouvier-Colle, MH; Gissler, M; Harper, M; Nannini, A; Alexander, S; Wildman, K; Breart, G; Buekens, P (2005) Underreporting of pregnancy-related mortality in the United States and Europe. Obstetrics & Gynecology. 106(4):684-92.

Revista de Saude Publica De Sousa, MH; Cecatti, JG; Hardy, EE; Serruya, SJ (2007) Declared maternal death and the linkage between health information systems. Revista de Saúde Pública, 41(2): 1-8.

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.

The Lancet Graham, W; Hussein J (2004) The right to count. The Lancet, 363(9402): 67-8.

Tropical Doctor Sombie, I.; Meda, N.; Hounton, S.; Bambara, M.; Ouedraogo, T.W.; Graham, W. (2007) Missing maternal deaths: lessons from Souro Sanou University Hospital in Bobo-Dioulasso, Burkina Faso. Tropical Doctor, 37(2): 96-8.

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Health Metrics Network

World Health Organisation Additional descripive information from WHO

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