Improving Monitoring Data Systems to Count and Account for Stillbirths
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World Bank, Washington, DC
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Each year, globally, nearly 2 million
pregnancies result in stillbirths. Almost half (42 percent)
of all stillbirths occur during labor. Yet, stillbirth rates
are generally not considered when assessing the impact of
poor quality antenatal and intrapartum care. One of the
reasons is that the availability of stillbirth data is still
very limited in low, and middle-income countries (LMICs),
where 84 percent of stillbirths occur. Many national data
systems in LMICs do not record stillbirths, or the
stillbirth data are unusable due to nonstandard definitions,
inaccurate classification, or underreporting. Not counting
the millions of stillbirths annually in the Global Financing
Facility (GFF)-supported countries is a missed opportunity
for measuring impact and return on investments. If Every
Newborn Action Plan (ENAP) stillbirth target of 12/1,000
births were reached across the 37 GFF-supported countries,
over 500,000 stillbirths will be averted each year based on
2019 estimates. The GFF commissioned this report to improve
the monitoring and reporting of stillbirths for the 37
GFF-supported countries and to inform other LMIC
governments, including those supported by the World Bank and
other development partners. The objectives of the report are
to: (i) synthesize challenges and enablers that modify
routine stillbirth reporting in LMICs; (ii) synthesize the
current landscape of stillbirth reporting across the
countries with which the GFF partners; and (iii) provide
guidance to the GFF, the World Bank, and other development
planners on improving reporting of stillbirths.
Palabras clave
STILLBIRTH MONITORING, STILLBIRTH REPORTING CHALLENGES, ENABLING REPORTING VITAL EVENTS, GLOBAL FINANCING FACILITY (GFF), LEGAL REQUIREMENT TO REPORT STILLBIRTH, DEFINITION OF STILLBIRTH