Perinatal / Neonatal Mortality Surveillance System″PNMSS ″

1. Perinatal / Neonatal Mortality
Surveillance System
″PNMSS ″
Egypt: 2010-2014
Sept., 2014

2. Background
 The Perinatal / Neonatal mortality indicator is one of the
best indicators to reflect the standard of health care
provided and the socio-economic status of the country.
 Despite MoHP and partners to reduce child and neonatal
mortality, data regarding PNM is still not accurate and
causes are not clearly identified.
 Therefore, in 2010 UNICEF, MoHP, and Assiut
University started a pilot PNMSS in Assiut Governorate
and in 2012 Sohag and Quena Governorates were
added to collect data from a total of 22 sentinel sites at
primary, secondary, and tertiary health levels
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3. Global Objective of PNMSSS
To help stakeholders and decision makers to
put the necessary strategic plans to decrease
perinatal and Late neonatal mortality and
achieve The Millennium Development Goals
(MDG 4)
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4. Specific Objectives of PNMSS
 Highlight the magnitude of the
problem of perinatal & late
neonatal deaths .
 Explore the various risk factors
and Identify the avoidable
ones.
 Disclose the contribution of the medical and
paramedical personnel as well as the community.
 Suggest the strategic plans.
 Test the sentinel site surveillance system
feasibility and expansion potentials.
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5. Terminology
Mortality in young children is customarily measured by
Perinatal
Neonatal
Infant
 Under-five mortality rates.
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6. Perinatal
Early neonatal deaths plus stillbirths comprise
perinatal mortality.
6
28 GW 28 daysBirth
neonatal
period
1st Wearly late
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7. Terminologies
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8. Methodology
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18. Sentinel Sites
13 Hospitals
Tertiary Level (2):
1. Assiut University Pediatric Hospital
2. Assiut University Gyn. & Obs. Hospital
3. Sohag University Hospital (Pediatric and Gyn. & Obs. )
Secondary Level (3):
4. Women Health Hospital ( Al Eman) ‫االيمان‬ , Assiut
5. Assiut General Hospital ( EL Shamla) ‫,الشاملة‬ Assiut
6. Qussia Central Hospital, Qussia District, Assiut
7. Sohag general Hospital
8. Akhmeem Central Hospital, Akhmeem District, Sohag
9. Tema Central Hospital, Tema District, Sohag
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19. Sentinel Sites (cont.)
142 Primary Health Units
Assiut:
Qussia district : 30 rural family health unites.
Sohag:
Akhmem district : 17 rural family health unites.
Tema district : 35 rural family health unites.
Quena:
Nageh Hammady district : 40 rural family health unites.
Minya,
Matay district: 20 rural family health unites
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20. Achievements in 2014
1. Expanding the system to 3
hospitals in sohag
2. Introduce the system to 20 PHUs
in Matay district, Minya
3. Finalize the new data collection
form with the ICD 10 coding
inside.
4. IT unites team in the 4
governorates were trained on the
soft system to move into the
second phase.
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21. Future plans in 2015
1. Review the system to be finalized before it is introduced to
MoHP to stretch the system to become a national program.
2. Strengthen the Governorates level review committees
3. Release a newsletter with the finding and analyses to be
shared with the Governorates.
4. Conduct a meeting with stakeholders to introduce the system ,
findings, result of the analysis, and suggested strategies.
5. Site a number of strategies to reply for the main causes of
PNM
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22. Challenges
1. Introduce new surveillance system with more sheets to
health teams to fill
2. Introducing the ICD 10 coding
3. High rate of physicians’ turnover
4. Harmonize data between all levels
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