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Maternal and Perinatal Death Surveillance and Response (MPDSR) is an established, sound and robust system for reviewing maternal deaths and establishing nationwide enquiries into deaths during pregnancy labour and puerperium. MPDSR is a system that measures and tracks all maternal and perinatal deaths in real time, helps to understand the underlying factors contributing to the deaths, and stimulates and guides actions to prevent future deaths.

This form of continuous surveillance links the health information system and quality improvement processes from local to national levels, permits routine identification, notification, quantification, and determination of causes of maternal and perinatal deaths, and is useful information to help respond with actions that will prevent future deaths. MPDSR also supports the delivery of quality maternal and newborn health care.

A joint effort with UNICEF East and Southern Africa Regional Office and WHO Regional Office for Africa, this report represents the status of MPDSR in 2021, and documents the progress made since 2016.