Table 3 Key events for national stillbirth prioritization
Year | Key event | Link to theme from global campaign | Objective and relevance to stillbirth response |
|---|---|---|---|
2012 | Roll out of the Saving Mothers Giving Life (SMGL) pilot project in Uganda | Integrated prevention. Evidence of cost effective interventions. Progress monitoring Actions against stigma | • Uganda was one of the two countries where intervention was rolled out with stillbirth reduction indicators • Piloting of evidence based interventions at district health systems level. |
2013 | Sharpened Plan 2013–2017 | Country targets for stillbirth reduction. Integrated prevention Progress monitoring | • Reflection of stillbirth as indicator for subnational level outcome performance indicators • Stillbirth as an outcome indicator for tracking for a national reduction target of 11/1000 by 2020) |
2015 | ENAP country progress report with stillbirth as one of the indicator. | Progress monitoring | Tracking intervention effects on reducing stillbirth burden while monitoring progress. |
2015 | HSDP includes stillbirth as an outcome indicator for tracking with a national target of 11/1000 by 2020 | Country target for stillbirth reduction. Establish burden and disparities | National commitment towards stillbirth reduction Improved quality of care around the time of delivery to avert most stillbirths happening at that time due too poor quality of service. |
2015 | Health Financing Strategy (2015/16-2024/25 | Evidence of cost effective interventions. Integrated prevention. | Address financing bottlenecks to improve funding for health and align with international norm and funding opportunities. Alter incentive structure in health system to improve motivation at final point of service delivery and access to quality healthcare |
2016 | Investment Case – 2016. | Integrated prevention. Evidence of cost effective interventions. | Align with global funding opportunities Revised in the context to support implementation of key interventions addressing stillbirth risks |
2016 | AHSPR with stillbirths reflected as an indicator for district performance | Progress monitoring. Improve quality of care Establish burden and disparities. | Get stillbirth out of the shadow within the health systems by reporting the burden at subnational level. Responding to stillbirths occurring around the time of delivery as a reflection of the poor quality of care provided during late term and labour |
2016 | RBF framework institutionalization | Integrated prevention Evidence for cost effective interventions | Compensation for outputs including interventions to investigate and address stillbirth causes such as MPDRS among other maternal and child health prioritized interventions to incentivize performance at final point of service delivery. |
2017 | Revised MPDSR guidelines | Integrated prevention. Evidence for cost effective interventions. | Improved investigation of stillbirth cause and classification of stillbirth. BABIES matrix to guide review perinatal deaths incorporated from the SMGL project |