{"id":9788,"date":"2013-05-14T00:00:00","date_gmt":"2013-05-14T00:00:00","guid":{"rendered":"http:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/"},"modified":"2017-08-21T18:30:19","modified_gmt":"2017-08-21T22:30:19","slug":"maternal-and-perinatal-death-review-guide-handouts-draft","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/","title":{"rendered":"Maternal and Perinatal Death Review Guide Handouts &#8211; DRAFT"},"content":{"rendered":"<p>This Maternal and Perinatal Death Review (MPDR) guide provides health workers and researchers with appropriate handouts on key definitions, policies, quality of care, MPDR Committees and auditing, among others.<\/p>\n<p><strong><em>Please Note: This document is still in draft form and not yet finalised.&nbsp;<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This Maternal and Perinatal Death Review (MPDR) guide provides health workers and researchers with appropriate handouts on key definitions, policies, quality of care, MPDR Committees and auditing, among others.&nbsp;<\/p>\n","protected":false},"author":7211,"featured_media":9778,"comment_status":"open","ping_status":"open","template":"","toolkit":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Healthy Newborn Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Maternal and Perinatal Death Review Guide Handouts - DRAFT - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"This Maternal and Perinatal Death Review (MPDR) guide provides health workers and researchers with appropriate handouts on key definitions, policies, quality of care, MPDR Committees and auditing, among others.&nbsp;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/\" \/>\n<meta property=\"og:site_name\" content=\"Healthy Newborn Network\" \/>\n<meta property=\"article:modified_time\" content=\"2017-08-21T22:30:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Ugandaseal.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"160\" \/>\n\t<meta property=\"og:image:height\" content=\"160\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/\",\"name\":\"Maternal and Perinatal Death Review Guide Handouts - 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DRAFT - Healthy Newborn Network","isPartOf":{"@id":"https:\/\/www.healthynewbornnetwork.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/#primaryimage"},"image":{"@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/#primaryimage"},"thumbnailUrl":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Ugandaseal.jpg","datePublished":"2013-05-14T00:00:00+00:00","dateModified":"2017-08-21T22:30:19+00:00","breadcrumb":{"@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/#primaryimage","url":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Ugandaseal.jpg","contentUrl":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Ugandaseal.jpg","width":160,"height":160},{"@type":"BreadcrumbList","@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-review-guide-handouts-draft\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.healthynewbornnetwork.org\/"},{"@type":"ListItem","position":2,"name":"Maternal and Perinatal Death Review Guide Handouts &#8211; DRAFT"}]},{"@type":"WebSite","@id":"https:\/\/www.healthynewbornnetwork.org\/#website","url":"https:\/\/www.healthynewbornnetwork.org\/","name":"Healthy Newborn Network","description":"Addressing critical knowledge gaps in newborn health.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.healthynewbornnetwork.org\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"featured_image":"<img width=\"160\" height=\"160\" src=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Ugandaseal.jpg\" class=\"attachment-medium_large size-medium_large\" alt=\"\" decoding=\"async\" srcset=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Ugandaseal.jpg 160w, https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Ugandaseal-150x150.jpg 150w\" sizes=\"(max-width: 160px) 100vw, 160px\" \/>","author_name":"HNN Team","author_image":"<img src=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/themes\/hnn\/dist\/images\/member-default.jpg\" alt=\"\" class=\"avatar avatar-32 photo\" height=\"32\" width=\"32\"\/>","acf_custom_fields":{"drupal_username":"","drupal_id":"11875","drupal_user_id":"2837","drupal_url":"resource\/maternal-and-perinatal-death-review-guide-handouts-draft","publication_date":"20130514","issues":[{"ID":120,"post_author":"7211","post_date":"2015-10-21 15:18:23","post_date_gmt":"2015-10-21 15:18:23","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Information on the number, timing, and causes of stillbirth and neonatal death, as well as the care received by each mother and baby, is crucial for planning and delivering high-quality health services.<\/h2>\r\nWhile data availability and quality have improved in recent years, there are still big gaps in indicators for newborn care. The Every Newborn Action Plan Measurement Improvement Roadmap details the challenges in measurement and provides a multi-year, multi-partner pathway to improving metrics, including testing and standardizing indicator definitions and developing new tools.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">71\r\n<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1513274052338{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of newborn deaths that are preventable with access to quality health care\r\n<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1<\/span>\/<span class=\"ticker\">3<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1517246179677{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">babies do not have a birth certificate by their first\u00a0birthday<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456360643415{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of priority Every Newborn indicators identified<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]See <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> for more newborn health specific epidemiology including rates, trends, and causes of death.\r\n\r\nEpidemiology is the \u201cstudy of the distribution and determinants of health-related states or events (including disease), and the application of this study to the control of diseases and other health problems.\u201d Epidemiology examines how health conditions are distributed among a population and seeks to understand the risks or causes associated with those conditions.[\/vc_column_text][vc_column_text]The numbers of stillbirths and neonatal deaths, and the causes, are generated through modeled estimates using information from national civil registration databases, household surveys, surveillance systems, and special studies. High-quality, universal birth and death registration are required to provide nationally representative, timely data, and to signify a shift in social norms to value counting every newborn baby and stillbirth. Increasing global momentum to improve the data is important, and highlights the human face of those who are counted the least\u2014newborn babies and stillbirths.[\/vc_column_text][vc_text_separator title=\"Key resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every-Newborn-Metrics-Cards_3.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Metrics Report Cards<\/a><\/li>\r\n \t<li><a href=\"http:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/supplements\/volume-15-supplement-2\" target=\"_blank\" rel=\"noopener\">Count every newborn, a measurement improvement roadmap for coverage data<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/series\/everynewborn\" target=\"_blank\" rel=\"noopener\">The Lancet Every Newborn Series (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\" target=\"_blank\" rel=\"noopener\">The Every Newborn Action Plan<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/184225\" target=\"_blank\" rel=\"noopener\">The WHO Technical consultation on newborn health indicators<\/a><\/li>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/153544\" target=\"_blank\" rel=\"noopener\">Strategies toward ending preventable maternal mortality (EPMM)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthdatacollaborative.org\/fileadmin\/uploads\/hdc\/Documents\/the-roadmap-for-health-measurement-and-accountability.pdf\" target=\"_blank\" rel=\"noopener\">The Roadmap for Health Measurement and Accountability<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/epidemiology-monitoring-and-evaluation\/maternal-health\" target=\"_blank\" rel=\"noopener\">WHO Maternal, Newborn, Child and Adolescent Health and Ageing (Maternal and newborn health monitoring)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Epidemiology","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"data-epidemiology","to_ping":"","pinged":"","post_modified":"2022-10-19 17:59:04","post_modified_gmt":"2022-10-19 21:59:04","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=120","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":130,"post_author":"7211","post_date":"2015-10-21 15:20:03","post_date_gmt":"2015-10-21 15:20:03","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>It is crucial to use tested and standardized indicators for tracking and monitoring trends in neonatal health over time and making comparisons between districts, countries, or regions.<\/h2>\r\nUsing standard measurements should ensure collection of data that can be meaningfully analyzed and employed to inform program and policy decisions.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046459295{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of identified priority Every Newborn indicators<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">17<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046469073{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of Sustainable Development Goals<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][vc_column_text]Several global bodies have developed recommended indicators for global tracking and use at country level. The <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every_Newborn_Action_Plan-ENGLISH_updated_July2014.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Action Plan (ENAP)<\/a> has proposed a list of 10 core indicators and 10 additional indicators of impact and coverage of evidence-based newborn interventions. The World Health Organization (WHO) is compiling a list of core indicators aligned with the UN\u2019s <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-global-strategy-for-womens-childrens-and-adolescents-health-2016-2030-survive-thrive-transform\/\" target=\"_blank\" rel=\"noopener\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a>. This list has been informed by efforts to standardize indicators for the <a href=\"http:\/\/unstats.un.org\/sdgs\/\" target=\"_blank\" rel=\"noopener\">Sustainable Development Goals (SDGs)<\/a>, Ending Preventable Maternal Mortality (EPMM), ENAP, and the <a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/259951\" target=\"_blank\" rel=\"noopener\">WHO\u2019s Global Reference List of 100 Core Health Indicators<\/a>.\r\n\r\nEfforts are also underway to develop standardized indicators for monitoring the implementation strength and coverage of priority newborn health interventions:\r\n<ul>\r\n \t<li><strong>Kangaroo mother care (KMC)<\/strong>: The KMC Acceleration Partnership developed a measurement framework and 10 core indicators covering service readiness and service delivery.<\/li>\r\n \t<li><strong>Treatment of neonatal infections:<\/strong> Following the recent release of new WHO guidelines on managing possible severe bacterial infections in young infants when referral is not possible, WHO and implementing partners in early-adopter countries are currently working on a measurement framework with indicators. More information will be available soon.<\/li>\r\n \t<li><strong>Chlorhexidine for umbilical cord care<\/strong>: The global Chlorhexidine Working Group recommended indicators for inclusion in Demographic and Health Surveys (see information below on the new DHS optional newborn module) and is tracking indicators collected across countries.<\/li>\r\n<\/ul>\r\nBelow are descriptions and links to useful data collection tools, which include questions on newborn care. More information on mortality audits can be found on <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">this page<\/a>.[\/vc_column_text][vc_text_separator title=\"Household surveys\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"http:\/\/dhsprogram.com\/What-We-Do\/Survey-Types\/DHS-Questionnaires.cfm\" target=\"_blank\" rel=\"noopener\">Demographic and Health Surveys (DHS)<\/a><\/h4>\r\nUSAID-supported Demographic and Health Surveys (DHS) are nationally-representative household surveys that provide data for a wide range of monitoring and impact evaluation indicators in the areas of population, health, and nutrition. The DHS Phase 7 model women\u2019s questionnaire now includes questions on pre- and post-discharge contacts for newborns, the content of postnatal care for newborns, and newborn care practices. In addition, an optional newborn module is under development with additional questions on newborn care practices.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/mics.unicef.org\/\" target=\"_blank\" rel=\"noopener\">Multiple Indicator Cluster Surveys (MICS)<\/a><\/h4>\r\nUNICEF-supported Multiple Indicator Cluster Surveys (MICS) are nationally-representative household surveys that provide estimates of a range of indicators in the areas of health, education, child protection, and HIV\/AIDS. The MICS questionnaire now includes questions on the pre- and post-discharge postnatal contacts for mothers and newborns.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.mcsprogram.org\/resource\/knowledge-practice-coverage-tool\/\" target=\"_blank\" rel=\"noopener\">Knowledge Practices and Coverage Survey (KPC)<\/a><\/h4>\r\nThe Knowledge Practices and Coverage Survey (KPC) is a small population-based survey originally developed by Johns Hopkins University and used by grantees of USAID's Child Survival and Health Grants Program (CSHGP) since 1991. The KPC tool was revised to collect more data on newborn care practices.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=\".vc_custom_1456358177910{background-color: #ffffff !important;}\"][vc_column][vc_text_separator title=\"Health facility assessment tools\"][\/vc_column][\/vc_row][vc_row css=\".vc_custom_1456358191657{background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.who.int\/data\/data-collection-tools\/service-availability-and-readiness-assessment-(sara)?ua=1\" target=\"_blank\" rel=\"noopener\">Service Availability and Readiness Assessment (SARA)<\/a><\/h4>\r\nThe WHO-supported SARA is a health facility assessment tool designed to assess and monitor the service availability and readiness of the health sector and to generate evidence to support the planning and managing of a health system. It includes a section on service availability for maternal and newborn health.[\/vc_column_text][vc_column_text]\r\n<h4><a href=\"https:\/\/www.mchip.net\/qocsurveys\/\" target=\"_blank\" rel=\"noopener\">Maternal and Newborn Quality of Care Surveys<\/a><\/h4>\r\nThese health facility surveys, developed by the Maternal and Child Health Integrated Program (MCHIP), focus on the frequency and quality of interventions that address the direct causes of maternal and newborn deaths and can be key sources of information for policymakers and other stakeholders in country.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]\r\n<h4><a href=\"http:\/\/dhsprogram.com\/What-We-Do\/Survey-Types\/SPA.cfm\" target=\"_blank\" rel=\"noopener\">Service Provision Assessment (SPA)<\/a><\/h4>\r\nThe USAID-supported SPA is a health facility assessment tool that provides a comprehensive overview of a country\u2019s health service delivery. It includes a section on delivery and newborn care in the inventory questionnaire, as well as additional questions related to services for newborns.[\/vc_column_text][vc_column_text]\r\n<h4><a href=\"https:\/\/www.mailman.columbia.edu\/research\/averting-maternal-death-and-disability-amdd\/toolkit\" target=\"_blank\" rel=\"noopener\">Emergency Obstetric and Neonatal Care Needs Assessment<\/a><\/h4>\r\nCreated by Averting Maternal Death and Disability (AMDD) at Columbia University, the\r\nEmergency Obstetric and Neonatal Care (EmONC) Needs Assessment is a health facility assessment tool that provides detailed data for planning to address gaps or problems in EmONC services. The tool is currently being revised to include more information on newborn services and quality of care.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/3\"][\/vc_column][vc_column width=\"2\/3\"][vc_text_separator title=\"Other tools\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/3\"][vc_single_image image=\"13807\"][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/saving-newborn-lives-tools-newborn-health-qualitative-research-improve-newborn-care-package\" target=\"_blank\" rel=\"noopener\">Guide to Qualitative Research to Improve Newborn Care Practices<\/a><\/h4>\r\nSave the Children\u2019s Guide to Qualitative Research to Improve Newborn Care Practices provides a reference tool for conducting qualitative (or formative) research and planning a behavior change communications strategy to improve newborn care practices.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener\">ENAP Tools<\/a><\/h4>\r\nENAP has also compiled <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener\">an overview of tools<\/a> that can be used to sharpen existing reproductive, maternal, newborn, and child health (RMNCH) policies and plans, incorporating available evidence and data.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Key resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every-Newborn-Metrics-Cards_3.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Metrics Data Cards<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener\">Every Newborn Tool Kit<\/a><\/li>\r\n \t<li><a href=\"http:\/\/journals.plos.org\/plosmedicine\/article?id=10.1371\/journal.pmed.1001340\" target=\"_blank\" rel=\"noopener\">New Signal Functions to Measure the Ability of Health Facilities to Provide Routine and Emergency Newborn Care<\/a><\/li>\r\n \t<li><a href=\"http:\/\/collections.plos.org\/measuring-coverage-in-mnch\" target=\"_blank\" rel=\"noopener\">Measuring Coverage in Maternal, Newborn, and Child Health<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.biomedcentral.com\/content\/pdf\/1471-2393-15-S2-S8.pdf\" target=\"_blank\" rel=\"noopener\">Count every newborn; a measurement improvement roadmap for coverage data<\/a><\/li>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/259951\" target=\"_blank\" rel=\"noopener\">Global Reference List of 100 Core Health Indicators, 2015<\/a><\/li>\r\n \t<li><a href=\"http:\/\/unstats.un.org\/sdgs\/\" target=\"_blank\" rel=\"noopener\">Sustainable Development Goal indicators<\/a><\/li>\r\n \t<li><a href=\"https:\/\/globalstrategy.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener\">Global Strategy for Women's, Children's and Adolescent's Health 2016-2030<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column][\/vc_column][vc_column][\/vc_column][\/vc_row]","post_title":"Monitoring & evaluation","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"monitoring-evaluation","to_ping":"","pinged":"","post_modified":"2022-10-20 16:44:30","post_modified_gmt":"2022-10-20 20:44:30","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=130","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":131,"post_author":"7211","post_date":"2015-10-21 15:20:16","post_date_gmt":"2015-10-21 15:20:16","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Access to reliable and timely data about the causes of death is essential for planning and implementing health services.<\/h2>\r\nA systematic analysis of mortality trends and events leading to deaths can help identify system breakdowns and address deficiencies in service delivery. This process shows a greater impact on practices and outcomes than other quality improvement strategies, particularly in settings where the audit process includes an action plan and clear targets. By establishing a multidisciplinary and no-blame environment, common problems and solutions can be identified.\r\n\r\nThe need to better understand why stillbirths and neonatal deaths occur, and what can be done to prevent them, has led to the development of <i><a href=\"http:\/\/www.who.int\/maternal_child_adolescent\/documents\/stillbirth-neonatal-death-review\/en\/\">Making Every Baby Count: Audit and Review of Stillbirths and Neonatal Deaths<\/a><\/i>. It provides the\u00a0methodology and tools for developing a mortality audit system with links to surveillance, civil registration and vital statistics, with instruction on counting, classifying and investigating stillbirths and neonatal deaths in order to prevent future avoidable deaths, in facilities and communities. There is also\u00a0guidance on establishing a legal and ethical\u00a0environment in which to create quality improvement\u00a0processes, without fear of blame or punitive actions.\u00a0Many countries already use the <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">Maternal Death\u00a0Surveillance and Response\u00a0process<\/a> as a strategy for\u00a0addressing maternal mortality. This new WHO guide will enable countries to build on Maternal Death Surveillance and Response platforms in order to improve care for babies, within an overall framework of quality of care\u00a0improvement and aligned with <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/standards-improving-quality-maternal-newborn-care-health-facilities\/\">WHO\u2019s quality of care initiative.<\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">81<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046345167{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of countries <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">reported a national policy or guideline<\/a> requiring notification all of maternal deaths within 24 hours.\u00a0<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">67<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046356459{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of\u00a0countries <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">reported a national policy or guideline<\/a> for review of neonatal deaths.\u00a0<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">44<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046368034{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">percentage of countries that <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">reported a national policy or guideline<\/a> requiring review of stillbirths.<\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"More information\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]One of the key actions recommended in both the Every Newborn Action Plan (ENAP) and the Ending Preventable Maternal Mortality (EPMM) strategy is the institutionalization of maternal and perinatal death surveillance and response systems to enable a country\u2019s use of audit data to track and prevent maternal and early newborn deaths as well as stillbirths.\r\n\r\nThe process of routine identification and timely notification of deaths is a continuous action cycle, ideally linking quality improvement from the local to the national level. Although women and their babies share the same period of highest risk, often with the same health workers present, there has been little movement towards capturing information for stillbirths and neonatal deaths. Basic information for every birth and death is needed, along with a critical review of selected deaths. [\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]Mortality audit can have multiple entry points into the health system, ranging from a single hospital to a nationally mandated program covering the community and facility levels. Generally, deaths that occur in facilities have more information available compared to those in communities, and future cases may be easier to identify and prevent. However, we\u00a0need to ensure all births and deaths are counted, no matter where they occur. We also\u00a0need strategies to determine\u00a0the number and causes of death among the 50 million births that take place in communities each year.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Key Resources\" color=\"custom\" accent_color=\"#cccccc\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-and-surveillance-and-response\/\">Maternal and perinatal death and surveillance and response<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.up.ac.za\/centre-for-maternal-fetal-newborn-and-child-healthcare\/article\/2871749\/the-perinatal-problem-identification-programme\" target=\"_blank\" rel=\"noopener\">South Africa's Perinatal Problem Identification Programme<\/a><\/li>\r\n \t<li><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.12904\/pdf\" target=\"_blank\" rel=\"noopener\">Towards greater effectiveness of perinatal death audit in low- and middle-income countries<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4577789\/\" target=\"_blank\" rel=\"noopener\">Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241511223\">Making Every Baby Count WHO audit guide<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCSP-PNDA-Brief_8.12.16.pdf\">Making Every Baby Count policy brief<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=cZ6L53EYXgQ\">Making Every Baby Count Video. Audit and Review of Stillbirths and Neonatal Deaths<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=aus5n0qQFgk\">Setting up a Death Review Committee Video<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Mortality audit","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mortality-audits","to_ping":"","pinged":"","post_modified":"2022-10-18 15:30:09","post_modified_gmt":"2022-10-18 19:30:09","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=131","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"additional_authors":"","authors":false,"other_organizations":"","language":["en"],"type":"tools_guidelines","external_links":false,"files":[{"file":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MPDR-guide-Handouts-29-april.doc"}],"regions":[{"ID":247,"post_author":"7211","post_date":"2015-11-22 21:37:22","post_date_gmt":"2015-11-22 21:37:22","post_content":"","post_title":"Africa","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"africa","to_ping":"","pinged":"","post_modified":"2016-02-11 21:42:43","post_modified_gmt":"2016-02-11 21:42:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=region&#038;p=247","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"}],"countries":[{"ID":237,"post_author":"7211","post_date":"2015-10-21 22:06:39","post_date_gmt":"2015-10-21 22:06:39","post_content":"[vc_row][vc_column css=\".vc_custom_1453305596740{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_text_separator title=\"Leading causes of neonatal deaths in Uganda (2020)\" el_class=\"transform:upperclass\"][vc_row_inner][vc_column_inner][vc_round_chart type=\"doughnut\" stroke_width=\"1\" stroke_color=\"custom\" values=\"%5B%7B%22title%22%3A%221%25%20Diarrhoea%22%2C%22value%22%3A%221%25%22%2C%22color%22%3A%22vista-blue%22%7D%2C%7B%22title%22%3A%220%25%20Tetanus%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22mulled-wine%22%2C%22custom_color%22%3A%22%23ff675b%22%7D%2C%7B%22title%22%3A%228%25%20Pneumonia%22%2C%22value%22%3A%228%25%22%2C%22color%22%3A%22peacoc%22%7D%2C%7B%22title%22%3A%2241%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2241%25%22%2C%22color%22%3A%22blue%22%7D%2C%7B%22title%22%3A%2225%25%20Intrapartum%20related%20events%22%2C%22value%22%3A%2225%25%22%2C%22color%22%3A%22turquoise%22%7D%2C%7B%22title%22%3A%226%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%226%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%228%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%228%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%2212%25%20Other%20conditions%22%2C%22value%22%3A%2212%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1686337123508{padding-right: 30px !important;padding-left: 30px !important;background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}\"][\/vc_column_inner][\/vc_row_inner][vc_column_text]\r\n<h6 style=\"text-align: left;\">Source: Estimates for causes of death 2000-2020 generated by the WHO and Maternal and Child Epidemiology Estimation Group (MCEE) 2023 and downloaded from <a href=\"http:\/\/data.unicef.org\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/data.unicef.org&amp;source=gmail&amp;ust=1551964625737000&amp;usg=AFQjCNFsFTtu9FzS8H64YC88NPOzQVbPwQ\">http:\/\/data.unicef.org<\/a><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"5\" css=\".vc_custom_1453306441839{background-image: url(\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/country-stat-bkgr.jpg?id=389) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\"][vc_column css=\".vc_custom_1453306493120{margin-top: 30px !important;margin-bottom: 30px !important;}\"][vc_text_separator title=\"key indicators\" el_class=\"transform:uppercase text-white\"][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1650990983217{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><b>19<\/b><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Newborn mortality rate (deaths per 1,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686337213840{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">2.6<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Annual reduction in newborn mortality rate 2000-2021 (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686337190567{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">46<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Proportion of under-5 child deaths that are newborn (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686337207134{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">15.1<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Stillbirth rate (deaths per 1,000 births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686337136851{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">74.2<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Skilled birth attendance (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1578923215776{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">66<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Early initiation of breastfeeding (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1698697253027{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Preterm birth rate (births &lt;37 weeks per 100 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686337155158{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">284<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Maternal mortality ratio (deaths per 100,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=\".vc_custom_1456709295400{margin-top: 20px !important;}\"]\r\n<h5 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Visit our<\/span> <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn numbers<\/a> <span style=\"color: #ffffff;\">page to explore the most recent data further<\/span><\/h5>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Uganda","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"uganda","to_ping":"","pinged":"","post_modified":"2023-10-30 16:19:27","post_modified_gmt":"2023-10-30 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