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How to conduct a mortality audit in stabilisation centres?

This question was posted the Management of wasting/acute malnutrition forum area and has 2 replies.

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Tamsin Walters

en-net moderator

Forum moderator

12 Nov 2020, 13:50

The nutrition cluster in Nigeria is urgently looking for guidance on conducting a mortality audit in stabilisation centers. If you have such guidance or if you can share best pactices, please do post them here, thank you.

Tamsin Walters

en-net moderator

Forum moderator

25 Nov 2020, 12:00

Dear all, 

In the absence of responses to this question, we've been enquiring behind the scenes and there seems to be no commonly used tool for conducting mortality audits in stabilisation centres. 

If you have any experience or have developed tools, please do share them.

Many thanks!

DOMAYA DIONGOTO Esaïe

Nutritionniste, Bureau d'Appui Santé et Environnem

Normal user

25 Nov 2020, 14:05

My little contribution

1. You will need to gather all the records of the deceased.

2. Classify the death records by phase: i) death occurring within 48 hours; ii) death occurring between 48 hours and 72 hours; iii) death occurring after 72 hours

NB: the critical phase is the first 72 hours in the  stabilization center 

3. Check the time of death. Most care-related deaths occur in the early hours of the morning. In the new protocols the tendency is to give 6 meals per day (from 6 a.m. to 9 p.m.)

CHECKING THE MILK RATIONS TAKEN BY THE CHILD IN THE STABILIZATION PHASE

5. Check the type of therapeutic milk and the quantity of milk meals taken by the deceased child during the following hours: 3 pm, 6 pm and 9 pm.

6. Check if the child has taken less than half or only the equivalent of half of the therapeutic milk meal during these hours (3 p.m., 6 p.m. and 9 p.m.)

7. Check if the child has been fed through the nasogastric tube.

8. Check in which team cases of death recur regularly

9. Check with those accompanying children who are still alive if the meal sheets correspond well with the ration taken by the child.

VERIFICATION OF MEDICAL TREATMENT

10. Which molecule has been prescribed and at what dose given according to the child's weight?

11. has the child taken his treatment

12. Has the child been protected against the cold?

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