Get Hmis 010a: Maternal Death Audit Form - Ministry Of Health

The HMIS 010a: Maternal Death Audit Form is a critical document for recording and analyzing maternal deaths within health facilities. Proper completion of this form ensures that essential data is collected, which can improve maternal health services and outcomes.

Follow the steps to accurately complete the HMIS 010a form.

1. Click ‘Get Form’ button to obtain the Maternal Death Audit Form and open it in your chosen editing software.
2. Begin by providing the serial number at the top of the form. This unique identifier is essential for tracking and reference purposes.
3. In the 'Locality Where Death Occurred' section, fill out the district, facility name, facility code, health facility type, and ownership. Ensure that you mark the applicable options clearly.
4. The 'Details of the Deceased' section requires information about the deceased person. Enter initials, inpatient number, usual residence address, age, marital status, and religion as prompted.
5. Proceed to the 'Admission at Health Facility Where Death Occurred / Was Reported' section. Provide details such as time of admission, date of death, duration of stay before death, and any referred conditions.
6. In the 'Antenatal Care' section, document if antenatal care was received, how many times, the facility attended for ANC, and any risk factors associated with the pregnancy.
7. For 'Delivery and Puerperium Information,' indicate if labor occurred, the duration of labor, place of delivery, mode of delivery, and any complications that arose during the process.
8. In the 'Interventions' section, tick all interventions that were applicable during the antenatal, intrapartum, and postpartum stages.
9. Complete the 'Autopsy/Post Mortem' section by indicating whether an autopsy was performed and reporting gross findings if applicable.
10. In the 'Cause of Death' and 'Avoidable Factors' sections, provide detailed information about the cause of death and any factors that contributed to it, including health system issues.
11. Lastly, fill out the 'Case Summary' and 'Recommendations' sections to summarize key events surrounding the death and suggest improvements based on your findings.
12. The form should be signed and dated by the person completing it, along with providing any additional team members who assisted in filling it out.
13. Once you have completed all relevant sections, ensure to review the entire form for accuracy, save your changes, and download a copy for your records. You may also choose to print or share the completed form as necessary.

Complete the HMIS 010a: Maternal Death Audit Form online to support maternal health initiatives.