#ConversandoSobreSIS #ZeroMaternalDeaths #EveryMaternalDeathMatters

Series of Webinars – The Dominican Republic’s experience with implementing BIRMM 


Thursday - 18 October

Presenters: Dr. Edna María Nadal Bargalló / Dr. Emiliana Peña Sepúlveda / Dr. Acerina Esmeralda Gilbert 


Additional informationSuscribe
Issues with the Registry of Maternal Deaths in the Dominican Republic

- The death registry’s existing limitations for detecting maternal deaths: underreporting and omission of causes on the death certificate. 

- Establishing a national maternal mortality surveillance system: objectives, procedures, and differences found between this system and the death registry. 

- Efforts to improve the quality of mortality statistics.


Implementation of BIRMM 

- Reasons for implementation of the Deliberate Search and Reclassification of Maternal Deaths (BIRMM): objectives, description of the procedure.

- Detection of deaths that should be investigated. 

- List of causes to identify suspicious or probable cases of maternal deaths, based on Reproductive Age Mortality Survey (RAMOS). 

- Process of investigation, correction, and verification of causes. 

- Comparison and integration with other death databases. 

- Improvement of the procedure after automatically checking the death registry. 


Principal successes and limitations

- The results obtained with this procedure, from its implementation in 2013 until 2017. 

- The procedure’s contribution to improving the quality of the country’s death registry. 

- Factors contributing to the success of its implementation, and principal limitations.


Integration continues with epidemiological surveillance

- BIRMM’s contribution to the maternal death surveillance system. 

- Efforts to maintain the process’s continuity and its integration at the local level.


PAHO’s contribution

- Description of the technical and financial support given by the Pan American Health Organization through the “Zero Maternal Deaths from Hemorrhage” project carried out in 2015 in the health regions with the highest incidences of maternal deaths. 

- Support provided by PAHO through the Latin American and the Caribbean Network for Strengthening Health Information Systems (RELACSIS) and the Mexican Center for the Classification of Diseases (CEMECE), with the participation of country experts in the First International BIRMM Workshop held in Mexico in 2015.



Dr. Edna María Nadal Bargalló

Public Health Physician, Master’s in Public Health. 

Specialist in modern health management, with a fellowship in sexual and reproductive health project management. 


Dr. Emiliana Peña Sepúlveda

Physician, Master’s in Public Health, and Master’s in Field Epidemiology. 

Specialist in virtual learning environments, and reproductive health program management. 

Director-General of the Bureau of Health Situation Analysis, Monitoring, and Performance Auditing, Ministry of Public Health. 

Director of Information and Health Statistics, Ministry of Public Health, 2013 to 2015.


Dr. Acerina Esmeralda Gilbert

Doctor of Medicine, Master’s in Hospital Management.

Epidemiology analyst, Department of Epidemiological Surveillance, Directorate-General of Epidemiology (DIGEPI), Ministry of Public Health.

Supervisor, capacity-building project on the management of live births information, DIGEPI, United Nations Children's Fund: supervision and quality control of the digitization of the on-line platform for certificates of live birth at two priority maternity hospitals.