Kabarole district has implemented facility based maternal death audits (MDAs) since 2010. MDAs have a potential to inform improvement of obstetric care and to reduce maternal deaths if MDA recommendations are implemented. Currently, there is limited documented evidence on the implementation of MDA recommendations in Kabarole district. A total of 231 maternal deaths occurred at the four health facilities from 2012 to 2016 and only 40.3% of the MDA forms were available at the facilities. All (93/93) of the maternal audit forms reviewed had recommendations documented. Health system factors affecting implementation of MDA recommendations were: Political and administrative participation and commitment; inadequate funding; staff training, staff attitudes and motivation, attendance of MDA meetings, staff attrition, shortage of critical health workers, weak communication channel between the community, health workers, health facility, DHO, and MOH; lack of support supervision and functional maternal death audit committees.

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Source: School of Public Health, College of Health Sciences (CHS)