Maternal newborn outcome of community midwives (CMWS) services in Pakistan: a retrospective analysis of management information system (MIS)

The study aimed to explore the management information system (MIS) of the maternal newborn and child health program to determine the maternal and new born outcomes of community midwives services in Pakistan. Methodology A descriptive retrospective design was used to examine the monthly reports of CMWs stoned in the MNCH-MIS, for the period of January, 2013 to December, 2015 CMWs were selected from 23 districts of the Sindh province. The outcomes of the CMW’s services were analyzed using the descriptive statistics Result The analysis of data revealed that out of 103836 total registered pregnant women. 23296 (22.4%) were registered for intranatal care of which 78.3 %(n=18, 233) returned at the time of delivery. Out of these deliveries 17.849 were lives births the still birth rate was 13.4/1000 abortion rate was 7.3 per 1000 pregnant women, low birth weight newborns were 9% newborn mortality rate was 12.4/1000 live birth, and the maternal mortality ratio was 142.5 100.000live births. Conclusion This is probably the earliest study in Pakistan that has utilized the government’s electronic database of MNCH-MIS to determine the outcomes of services provided by the CMWs. Overall the findings suggest that the CMW mode can serve as an effective model which should be embedded within the health system of Pakistan as primary providers of maternity care for the low risk women. The costumes presented in this study are well connected to the challenges of this model illustrated in other studies conducted in Pakistan. Therefore supporting the CMW model can serve as a cost effective strategy for accelerating progress towards the sustainable development goals (SDGs) 3.1 and 3.