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Documentation and Reporting of Perinatal Deaths in Two Districts of Karnataka, India: A Situational Analysis
H N Harsha Kumar1, Shantaram Baliga2, Pralhad Kushtagi3
1Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), Karnataka, India. Correspondence to: Dr HN Harsha Kumar, Former Associate Professor, Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), 575 001, Karnataka, India. drhnhk@rediffmail.com.
Insights
Perinatal mortality in Karnataka is high, similar to infant mortality. This study identified poor documentation and staff apprehension as key barriers to implementing perinatal death audits in two districts.
Area of Science:
- Public Health
- Maternal and Child Health
Background:
- Perinatal mortality rates in Karnataka are comparable to infant mortality rates.
- Addressing perinatal mortality is a critical public health concern.
Purpose of the Study:
- To investigate challenges in establishing a perinatal death audit system in two districts of Karnataka.
- To assess current documentation, reporting, and audit practices in healthcare facilities.
Main Methods:
- A preliminary study was conducted in 94 hospitals across Dakshina Kannada and Koppal Districts.
- Data collection focused on documentation systems, healthcare personnel roles, and existing audit procedures.
Main Results:
- Documentation and reporting systems were found to be poor in Koppal District and inadequate in Dakshina Kannada District.
- Healthcare personnel expressed apprehension regarding the implementation of a perinatal death audit.
Conclusions:
- Significant challenges, including inadequate documentation and staff concerns, must be resolved before initiating a perinatal death audit.
- Systemic improvements are necessary to effectively implement perinatal death audits and reduce perinatal mortality.
Objective:
In Karnataka state, perinatal mortality rate is almost equal to infant mortality rate. This preliminary study was conducted in two districts of Karnataka to study potential problems to start of perinatal death audit.
Methods:
Hospitals providing maternal and child health care services, which met study inclusion criteria, in Dakshina Kannada and Koppal Districts were included. Following variables were studied: (i) Documentation and reporting systems in these hospitals; (ii) Role of health care personnel in documentation and reporting (iii) Existing system of audit, if any.
Results:
Totally 94 hospitals met our criteria with Dakshina Kannda District having 63 (67.02%) and the rest in Koppal District. Documentation and reporting was poor in Koppal District and inadequate in Dakshina Kannada district. Health care personnel were apprehensive about perinatal death audit.
Conclusion:
Problems identified need to be addressed before starting perinatal death audit.
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