This study will evaluate the MPDRS program, with a specific focus on identifying the main barriers and enablers for accessing and utilization maternity services. The effectiveness of the MPDRS implementation and its impact in terms of identification, notification, analysis, determination of causes, and potential to prevent maternal and perinatal deaths will be evaluated by comparing pre and post-implementation data.
The study also aims to assess the prevalence, determinants, and trends of maternal and perinatal mortality in Ethiopia. By employing a population-based study, the Student will include all maternal and perinatal deaths reported the implementation years so far. This data was continuously collected by the MPDRS system using a questionnaire developed for neonatal mortality, translated and pre-tested in the local context. Data analysis will include using descriptive statistics and regression modelling to identify determinants of deaths. Qualitative data will be collected.