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DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=16880&th=7894#msg_16880
The questions we propose are a product of the Lancet Commission on Global Surgery (LCoGS), a body of work spanning three years involving 25 commissioners and a diverse group of academic, governmental and civil society collaborators from 110 countries. Of the six indicators proposed by the LCoGS, four were published in the World Development Indicators by the World Bank and all six are included in the World Health Organization's Global Reference List of 100 Core Health Indicators. Nevertheless, there currently are no mechanisms in place to collect the data required for these indicators, creating a critical gap in knowledge for surgical care strengthening.
The new indicators in this proposal span four existing DHS modules. For clarity, they are listed in the table below. Of particular interest are the questions on out-of-pocket expenditure and household expenditure to enable the calculation of financial risk protection for all medical interventions captured by the DHS (both surgical and medical), a core component of Sustainable Development Goal 3.8. The remaining questions were taken from a successful pilot DHS survey in Zambia. In the development of this application, we have been fortunate to count on a number of international partners to provide expert review and the indicators proposed are a culmination of these consensus building discussions. Please refer to Appendix A for a full list of international stakeholders who support this application.
Data Utility:
1. WHO: 100 Core Health indicators]]>PGSSC2019-03-12T22:54:22-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=16988&th=7894#msg_16988
taylorwurdeman2019-03-14T23:58:07-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17071&th=7894#msg_17071
The suggested questions here warrant inclusion in the DHS.
]]>Scott Corlew2019-03-15T14:33:33-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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Cstrader12019-03-15T15:21:36-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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https://www.telegraph.co.uk/news/2019/03/14/maternal-deaths- c-sections-50-times-higher-africa-uk/
Surgical systems are vital for achieving UHC and intersect with major public health foci such as cancer care, injuries and maternal & child health and so we are undoubtedly facing an increase of surgical care delivered. With just 3 additional questions, the DHS can begin to monitor and thus change the surgical quality inequity seen in LMICs. ]]>vsanthirapala2019-03-15T17:44:46-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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djumbam2019-03-15T18:07:52-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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JohnMeara2019-03-15T18:34:39-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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Aboatin2019-03-15T18:38:17-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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ptruche2019-03-15T18:52:35-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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Cstrader12019-03-15T18:55:50-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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jpyda@bidmc.harvard.edu]]>Jordan Pyda2019-03-15T18:57:07-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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AlexPetersMD2019-03-15T18:57:39-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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FadySoliman2019-03-15T19:08:15-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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anm1562019-03-15T19:15:12-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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Vicente Gracias2019-03-15T19:21:18-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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POMR has been included in the WHO 100 Core Health Indicators, yet very few countries produce high quality POMR data (Holmer H, Bekele A, Hagander L et al. Evaluating the collection, comparability and findings of six global surgery indicators. Br J Surg. 2019 Jan;106(2):e138-e150).
An estimated 4.2 million people die within 30 days of surgery each year (Nepogodiev D, Martin J, Biccard B, Makupe A, Bhangu A, on behalf of the NIHR Global Health Research Unit on Global Surgery. Deaths within 30 days of surgery in low-, middle-, and high-income countries. Lancet. 2019 Feb 2;393(10170):401), but there is little contextual data for who these people are or why they died.
Integrating POMR/ c-section mortality in to DHS will support high level health outcome surveillance via the WHO 100 Core Health Indicators, whilst also unlock a huge wealth of contextual data to better inform strategies aimed at improving patients' peri-operative care around the world.
I strongly support inclusion of both indicators in future DHS surveys.
Dmitri Nepogodiev
Research Fellow in Public Health & Surgery
University of Birmingham, UK]]>dnepogodiev2019-03-15T19:26:59-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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RPatterson2019-03-15T19:58:37-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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shehnaz Alidina2019-03-15T20:01:13-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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blakealkire2019-03-15T20:02:24-00:00Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template
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dominiquevervoort2019-03-15T20:04:14-00:00