{"id":105,"date":"2025-10-09T14:42:41","date_gmt":"2025-10-09T13:42:41","guid":{"rendered":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/?page_id=105"},"modified":"2026-08-24T12:24:27","modified_gmt":"2026-08-24T11:24:27","slug":"work-package-2","status":"publish","type":"page","link":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/work-package-2\/","title":{"rendered":"Work package 2"},"content":{"rendered":"\n<div class=\"wp-block-columns alignwide has-accent-5-background-color has-background is-layout-flex wp-container-core-columns-is-layout-794e3cfa wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-cover alignfull has-custom-content-position is-position-center-right\" style=\"border-radius:20px;min-height:132px;aspect-ratio:unset;\"><img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"287\" class=\"wp-block-cover__image-background wp-image-191 size-full\" alt=\"\" src=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner.png\" data-object-fit=\"cover\" srcset=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner.png 1920w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner-300x45.png 300w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner-1024x153.png 1024w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner-768x115.png 768w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2025\/11\/Banner-1536x230.png 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-0 has-background-dim\" style=\"background-color:#3d3023\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<p class=\"has-text-align-right has-accent-5-color has-text-color has-link-color has-x-large-font-size wp-elements-a546a2e7fc45ec5639551f17a72f4fb2 wp-block-paragraph\" style=\"margin-top:0;margin-right:var(--wp--preset--spacing--40);margin-bottom:0;margin-left:0;padding-right:0;padding-left:0;text-transform:uppercase\">Work package 2<br>Creating an Enabling Legal Environment for<br>the Implementation of MPDSR&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-794e3cfa wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-accent-2-background-color has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"border-radius:20px;padding-top:var(--wp--preset--spacing--40);padding-right:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--40);padding-left:var(--wp--preset--spacing--40)\">\n<h2 class=\"wp-block-heading has-base-color has-text-color has-link-color has-large-font-size wp-elements-ffcb0afac410f97455fd80e00e4252b2\" style=\"text-transform:uppercase\"><strong>Rationale<\/strong><\/h2>\n\n\n\n<p class=\"has-base-color has-text-color has-link-color has-medium-font-size wp-elements-18e6f9ffd0b04eee9fee9bb487b86312 wp-block-paragraph\">International, regional, and national laws and policies recognise that the reduction of preventable maternal and new-born mortality requires the development and implementation of an effective MPDSR system, consisting of a comprehensive legal and regulatory environment. Legislation can facilitate accountability, including the creation of a participatory and transparent institutional framework that has mandatory legal powers and duties to conduct surveillance, collate information, review maternal and perinatal deaths, and recommend timely interventions in respect of modifiable factors at facilities and in the community.<br><br>WHO advocates for a \u201cNo-Blame\u201d legal and policy ecosystem to promote transparency, learning, and accountability.\u200b Yet, the fear of blame is a major barrier to effective MPDSR systems.<strong> <\/strong>Legal guarantees need to be developed to ensure protection for individuals who participate in MPDSR through ensuring confidentiality of data in the review process, while not removing effective remedies from the families of the victims (separate from MPDSR).&nbsp;<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns has-base-color has-text-color has-link-color wp-elements-926dc8874991412502ab80cbb7b8444b is-layout-flex wp-container-core-columns-is-layout-794e3cfa wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-accent-1-background-color has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"border-radius:20px;padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30)\">\n<h2 class=\"wp-block-heading has-base-color has-text-color has-link-color has-large-font-size wp-elements-77ed84fd006713efe38a0f2cf8d4049c\" style=\"text-transform:uppercase\"><strong>Objectives<\/strong><\/h2>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">We want to identify and analyse existing laws, regulations, and policies relevant to MPDSR, and to highlight opportunities, gaps, barriers and inconsistencies in strengthening the legal accountability of MPDSR.<br><br>We will investigate how legislation can enhance the accountability of MPDSR systems, including:<\/p>\n\n\n\n<ul class=\"wp-block-list has-medium-font-size\">\n<li>budget allocation<\/li>\n\n\n\n<li>effective implementation of recommendations derived from MPDSR data and analysis<\/li>\n\n\n\n<li>establishing legally mandated roles and responsibilities for various stakeholders<\/li>\n<\/ul>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">We want to identify and propose legal solutions that foster a \u201cno blame approach\u201d within MPDSR systems by ensuring the confidentiality of MPDSR information, and by clarifying opportunities for families to seek remedies through other mechanisms (separate from the MPDSR system).<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns has-base-color has-text-color has-link-color wp-elements-205970866d4cf53f54840c32bb87cd90 is-layout-flex wp-container-core-columns-is-layout-794e3cfa wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-accent-2-background-color has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"border-radius:20px;padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30)\">\n<h2 class=\"wp-block-heading has-base-color has-text-color has-link-color has-large-font-size wp-elements-e19ec3332c101a3560a9832610ba6cd8\" style=\"text-transform:uppercase\"><strong>Our work so far<\/strong><\/h2>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">We have conducted a desk review of the laws, policies and guidelines that govern the MPDSR process in Uganda, Ethiopia and Ghana. We have also conducted interviews with legal stakeholders such as judges, prosecutors, lawyers, civil society and health professionals exploring how they perceive legal accountability in the context of MPDSR and the barriers and facilitators of strengthening the legal environment in the three countries.\u00a0\u00a0<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">We held legal stakeholder workshops in Ghana, Ethiopia and Uganda with 94 stakeholders (Uganda- 29, Ghana- 31 and Ethiopia- 34) comprising judges, prosecutors, lawyers, civil society, public health\/maternal health practitioners.<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">Each country has developed a plan for creating a law to protect MPDSR data so that it cannot be used for prosecuting health workers who participated in death review meetings. In each country, we have also identified remedial mechanisms that provide avenues for community members\/patients who have complaints. CAB members have provided feedback on the proposed remedial mechanisms in each country.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-large-font-size\">Remedies and Redress Mechanisms \u2013 advice for bereaved families who wish to make a complaint<\/h3>\n\n\n\n<div class=\"wp-block-group has-accent-5-background-color has-background is-horizontal is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-36400c79 wp-block-group-is-layout-flex\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--30)\">\n<div class=\"wp-block-columns has-contrast-color has-text-color has-link-color wp-elements-0a5d7b03cacab45478032c8e47e346c1 is-layout-flex wp-container-core-columns-is-layout-794e3cfa wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30)\">\n<h4 class=\"wp-block-heading\"><strong>1. At Health Facility Level<\/strong><\/h4>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Midwife, medical director, or CEO<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Patient rights desk or complaints office<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Psycho-social support services<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Complaint handling or ethics committees<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns has-contrast-color has-text-color has-link-color wp-elements-d00313ad4e3c33b9af4610064d2c0190 is-layout-flex wp-container-core-columns-is-layout-794e3cfa wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30)\">\n<h4 class=\"wp-block-heading\"><strong><strong>2. Community Level<\/strong><\/strong><\/h4>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Community health workers<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Local health committees or leaders<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Local administration or civil society organisations<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns has-contrast-color has-text-color has-link-color wp-elements-90f62a6a72176b20a54563269d73f9d3 is-layout-flex wp-container-core-columns-is-layout-794e3cfa wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"border-top-left-radius:20px;border-top-right-radius:20px;border-bottom-left-radius:20px;border-bottom-right-radius:20px;padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30)\">\n<h4 class=\"wp-block-heading\"><strong><strong>3. Administrative Bodies<\/strong><\/strong><\/h4>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022District, regional, or national health authorities<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Parliamentary oversight bodies<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Human Rights Commission<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">\u2022Ombudsman<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-794e3cfa wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading has-contrast-color has-text-color has-link-color has-large-font-size wp-elements-be91c4d2d64d9ed1dee7b7b6c3deca3c\" style=\"margin-left:var(--wp--preset--spacing--40);text-transform:uppercase\"><strong>Leads<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-group is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-3b5a7fda wp-block-group-is-layout-flex\" style=\"padding-top:0;padding-bottom:0\">\n<div class=\"wp-block-group has-accent-5-background-color has-background wp-container-content-69bc4bdf has-global-padding is-layout-constrained wp-container-core-group-is-layout-34a480d6 wp-block-group-is-layout-constrained\" style=\"border-radius:40px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--20);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--20);box-shadow:var(--wp--preset--shadow--natural)\">\n<figure class=\"wp-block-image size-full is-resized\" style=\"margin-bottom:24px\"><img loading=\"lazy\" decoding=\"async\" width=\"276\" height=\"276\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Dr-Eszter-Kismod.png\" alt=\"Dr Eszter Kismod\" class=\"wp-image-256\" style=\"aspect-ratio:1;object-fit:contain;width:auto;height:200px\" srcset=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Dr-Eszter-Kismod.png 276w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Dr-Eszter-Kismod-150x150.png 150w\" sizes=\"auto, (max-width: 276px) 100vw, 276px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong>Dr Eszter Kismodi<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-2693cb22 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100\"><a class=\"wp-block-button__link has-accent-1-background-color has-background wp-element-button\" href=\"https:\/\/www.srhm.org\/srhm-team\/\">Visit profile<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-accent-5-background-color has-background wp-container-content-69bc4bdf has-global-padding is-layout-constrained wp-container-core-group-is-layout-34a480d6 wp-block-group-is-layout-constrained\" style=\"border-radius:40px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--20);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--20);box-shadow:var(--wp--preset--shadow--natural)\">\n<figure class=\"wp-block-image size-full is-resized\" style=\"margin-bottom:24px\"><img loading=\"lazy\" decoding=\"async\" width=\"278\" height=\"270\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/03\/Brenda-Kharono.png\" alt=\"Brenda Kharono\" class=\"wp-image-534\" style=\"aspect-ratio:1;object-fit:contain;width:auto;height:200px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong>Dr Brenda Kharono<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-2693cb22 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100\"><a class=\"wp-block-button__link has-accent-1-background-color has-background wp-element-button\" href=\"https:\/\/www.researchgate.net\/profile\/Brenda-Kharono-2\">Visit profile<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-accent-5-background-color has-background wp-container-content-69bc4bdf has-global-padding is-layout-constrained wp-container-core-group-is-layout-34a480d6 wp-block-group-is-layout-constrained\" style=\"border-radius:40px;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--20);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--20);box-shadow:var(--wp--preset--shadow--natural)\">\n<figure class=\"wp-block-image size-full is-resized\" style=\"margin-bottom:24px\"><img loading=\"lazy\" decoding=\"async\" width=\"276\" height=\"269\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Abera-Kenay-1.png\" alt=\"\" class=\"wp-image-252\" style=\"aspect-ratio:1;object-fit:contain;width:auto;height:200px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong>Dr Abera Kenay Tura<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-2693cb22 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100\"><a class=\"wp-block-button__link has-accent-1-background-color has-background wp-element-button\" href=\"https:\/\/www.lstmed.ac.uk\/about\/people\/dr-abera-kenay-tura\">Visit profile<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">\u202f\u202f&nbsp;<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Rationale International, regional, and national laws and policies recognise that the reduction of preventable maternal and new-born mortality requires the development and implementation of an effective MPDSR system, consisting of a comprehensive legal and regulatory environment. Legislation can facilitate accountability, including the creation of a participatory and transparent institutional framework that has mandatory legal powers [&hellip;]<\/p>\n","protected":false},"author":5669,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-105","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/pages\/105","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/users\/5669"}],"replies":[{"embeddable":true,"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/comments?post=105"}],"version-history":[{"count":9,"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/pages\/105\/revisions"}],"predecessor-version":[{"id":593,"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/pages\/105\/revisions\/593"}],"wp:attachment":[{"href":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-json\/wp\/v2\/media?parent=105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}