{"id":571,"date":"2026-03-04T15:58:50","date_gmt":"2026-03-04T15:58:50","guid":{"rendered":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/?page_id=571"},"modified":"2026-09-25T11:48:43","modified_gmt":"2026-09-25T10:48:43","slug":"work-package-5-2","status":"publish","type":"page","link":"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/work-package-5-2\/","title":{"rendered":"Work package 6"},"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<h2 class=\"wp-block-heading has-text-align-right has-accent-5-color has-text-color has-link-color has-x-large-font-size wp-elements-a74fedb5126899af72287502d14c1171\">Work Package 6<br>Community death reporting and review\u00a0<\/h2>\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 is-layout-flow wp-block-column-is-layout-flow\">\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<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<h3 class=\"wp-block-heading has-x-large-font-size\" style=\"text-transform:uppercase\">Rationale<\/h3>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">More than half of neonatal deaths and a third of maternal deaths in sub-Saharan Africa occur outside of hospitals.\u00a0 The aim of this work package is to ensure completeness of data on deaths that happen outside health facilities (in communities or when patients are in transit to health facilities) by improving death notification and reporting in the community.\u00a0 We recognise that there are many modifiable factors in the community that can be addressed to prevent deaths, yet most death reviews take place in health facilities. Despite high mortality rates, there are no systems to provide families with bereavement care and support after maternal and\/or perinatal deaths.\u00a0 We will\u00a0co-design and evaluate a tailored community death\u00a0notification and reporting,\u00a0community death review and bereavement care and support building upon existing community health worker (CHW) systems in each country.<\/p>\n\n\n\n<h4 class=\"wp-block-heading has-large-font-size\">Work package 6 has four components:<\/h4>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-space-between is-nowrap is-layout-flex wp-container-core-buttons-is-layout-32c63e0a wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-accent-1-background-color has-background has-large-font-size has-custom-font-size wp-element-button\" style=\"border-radius:20px\"><strong>C<\/strong>ommunity death reporting<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-accent-1-background-color has-background has-large-font-size has-custom-font-size wp-element-button\" style=\"border-radius:20px\">Verbal and social autopsy<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-accent-1-background-color has-background has-large-font-size has-custom-font-size wp-element-button\" style=\"border-radius:20px\">Community death reviews<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-accent-1-background-color has-background has-large-font-size has-custom-font-size wp-element-button\" style=\"border-radius:20px\">Bereavement counselling<\/a><\/div>\n<\/div>\n<\/div>\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 has-base-color has-accent-2-background-color has-text-color has-background has-link-color wp-elements-5793f64d523cbb77761cd3895e3f9919 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<h3 class=\"wp-block-heading has-base-color has-text-color has-link-color has-x-large-font-size wp-elements-0be55560b386f2fe53a78b6985180fb5\" style=\"text-transform:uppercase\">We will<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-medium-font-size\">Develop electronic tools\/apps to support community death notification and train community health workers (or their equivalent) in Ghana, Uganda and Ethiopia on how to use the apps for reporting.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Conduct qualitative interviews and focus group discussions with health workers, bereaved families and community leaders to understand the challenges that families face in relation to maternal and perinatal deaths. We will also explore opportunities for intervention by empowering community members to get involved in community MPDSR<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Bring together stakeholders (health professionals, community leaders, bereaved families) to co-design tools for community death reporting and review and bereavement care and support.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"663\" height=\"349\" src=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/09\/Stakeholder-engagement.jpg\" alt=\"\" class=\"wp-image-622\" srcset=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/09\/Stakeholder-engagement.jpg 663w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/09\/Stakeholder-engagement-300x158.jpg 300w\" sizes=\"auto, (max-width: 663px) 100vw, 663px\" \/><\/figure>\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<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-5-color has-accent-1-background-color has-text-color has-background has-link-color wp-elements-3e6a190724153790c715c5ab593349b2 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--40);padding-right:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--40);padding-left:var(--wp--preset--spacing--40)\">\n<h3 class=\"wp-block-heading has-accent-5-color has-text-color has-link-color has-x-large-font-size wp-elements-d314582afe81dce6e78cf5a3eeedfb8c\">Our work so far<\/h3>\n\n\n\n<h4 class=\"wp-block-heading has-accent-5-color has-text-color has-link-color has-large-font-size wp-elements-86cf796851fe9a6503aca868b6bedf1a\">Phase two- (October 2025-June 2026)<\/h4>\n\n\n\n<p class=\"has-accent-5-color has-text-color has-link-color has-medium-font-size wp-elements-a80a356dc2638d022475f9df83f9c562 wp-block-paragraph\">We have used the findings from the baseline qualitative research in phase one and feedback from co-design workshops with stakeholders (for the different work packages) to develop an \u2018intervention toolbox.<\/p>\n\n\n\n<p class=\"has-accent-5-color has-text-color has-link-color has-medium-font-size wp-elements-120bcdf6c4c79defc2188d07f9eed338 wp-block-paragraph\">We have developed four tools to improve community MPDSR drawing from the findings of baseline qualitative study and stakeholder engagement:<\/p>\n\n\n\n<h5 class=\"wp-block-heading has-accent-5-color has-text-color has-link-color has-large-font-size wp-elements-d76e4329a686cd1deb5e402e1c0fce38\">Community death notification forms<\/h5>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:30% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"355\" height=\"307\" src=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/09\/community-death-reporting-form.png\" alt=\"sample of the community death reporting form\n\" class=\"wp-image-619 size-full\" srcset=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/09\/community-death-reporting-form.png 355w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/09\/community-death-reporting-form-300x259.png 300w\" sizes=\"auto, (max-width: 355px) 100vw, 355px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-medium-font-size wp-block-paragraph\">We adapted a community death reporting tool to address bottlenecks in death reporting. We developed the forms in paper, and as smartphone apps (ODK \/ eCHIS \/ Redcap) to collect data on maternal and perinatal deaths in the study sites. We worked with  Health Extension Workers in Ethiopia, Community Health Volunteers in Ghana, and Community Health Extension Workers \/ Village Health Teams in Uganda. We have collected information on deaths since July 2025 to provide baseline data prior to the intervention. <\/p>\n<\/div><\/div>\n\n\n\n<h5 class=\"wp-block-heading has-large-font-size\">Simplified verbal\/social autopsy (VASA) forms for community health workers<\/h5>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">we have adapted an existing VASA tool from Ethiopia to a shorter, user- friendly tool that community health extension workers (or their equivalent) can use to collect data from bereaved family members about the deceased\u2019s symptoms and social circumstances before the death. This will be used to prepare a summary narrative of events that will be discussed in community death reviews.<\/p>\n\n\n\n<h5 class=\"wp-block-heading has-large-font-size\">A Community death review (CDR) training guide<\/h5>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">The guide has been developed and adapted it to ensure that it is contextually relevant in each country. Training of CDR facilitators will begin in July 2026 once the intervention starts. We have sought the advice of CABs in each country in developing the CDR training guide and identifying appropriate people to train as CDR facilitators.<\/p>\n\n\n\n<h5 class=\"wp-block-heading has-large-font-size\">Bereavement care and support training guide<\/h5>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">We will use the training guide to train bereavement care providers in each country. Each country will train different community actors based on feedback received from our baseline interviews and our consultations with CABs and other stakeholders. In each country, bereavement care providers will be people that bereaved families would feel comfortable sharing with- these include religious leaders, community health workers, village leaders.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<ol class=\"wp-block-list\"><\/ol>\n\n\n\n<h3 class=\"wp-block-heading has-x-large-font-size\">Next steps<\/h3>\n\n\n\n<h4 class=\"wp-block-heading has-accent-5-color has-text-color has-link-color has-large-font-size wp-elements-fe71e59ca16abfc0516412dbd59691cb\">Phase 3: July 2026- June 2028<\/h4>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Objective: <\/strong>To evaluate the effectiveness and cost-effectiveness of implementing a customised \u201ctoolbox\u201d of interventions to optimise MPDSR.<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Design:<\/strong> Stepped-wedge cluster-randomised design<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Participants: <\/strong>3 Health districts in each country<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Intervention<\/strong>: the \u201ccustomised intervention package\u201d<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Comparison<\/strong>: standard care during control period<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Composite Primary Outcome<\/strong>: Perinatal mortality rate &#8211; severe neonatal morbidity (Apgar score at 5 minutes of &lt;7)<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"558\" height=\"394\" src=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/09\/image-3.png\" alt=\"example graph you might get from a stepped-wedge trial\" class=\"wp-image-621\" style=\"width:312px;height:auto\" srcset=\"https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/09\/image-3.png 558w, https:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/09\/image-3-300x212.png 300w\" sizes=\"auto, (max-width: 558px) 100vw, 558px\" \/><figcaption class=\"wp-element-caption\">Example graph<\/figcaption><\/figure>\n\n\n\n<h5 class=\"wp-block-heading has-large-font-size\">Primary outcome<\/h5>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">The aim of the trial will to be able to detect 30% reduction from baseline in perinatal mortality rate (based on other studies of effect of MPDSR). Calculation based on baseline rates of perinatal mortality of 30 per 1000 (correct at the time the proposal was written)<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">To be able to detect a 30% reduction, from 30 to 21 per 1000 births, with an average cluster size of 1200 births per step (six months), we will randomise 9 clusters in three steps (excluding the baseline measurement) to achieve at least 83% power at a 0.05 level of significance assuming an intra-cluster correlation coefficient of 0.01. This is the most conservative estimate of ICC.<\/p>\n\n\n\n<h5 class=\"wp-block-heading has-large-font-size\">Secondary outcomes<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-medium-font-size\">Stillbirth rate<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Institutional perinatal mortality rate<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Maternal mortality ratio<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Institutional maternal mortality ratio\u00a0<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Institutional Maternal death notification rate<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Institutional Perinatal death notification rate<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Completeness of community maternal death notification<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Completeness of community perinatal death notification<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Maternal death institutional review rate<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Perinatal death institutional review rate<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Community death review rate<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Clinical record availability<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Quality of clinical records<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Level of implementation of MPDSR at facility level<\/li>\n\n\n\n<li class=\"has-medium-font-size\">MPDSR committee training<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Accuracy of cause of death<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Completeness of avoidable factor identification<\/li>\n\n\n\n<li class=\"has-medium-font-size\">SMARTness of recommendations<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Implementation of recommendations made at facility death review meetings<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Implementation of recommendations made at community death review meetings<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Bereavement counselling<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Costs<\/li>\n<\/ul>\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\" style=\"border-radius:20px\">\n<p class=\"has-contrast-color has-text-color has-link-color has-large-font-size wp-elements-a78c1e1fb58f650d21f8b060ac7ec595 wp-block-paragraph\" style=\"margin-left:var(--wp--preset--spacing--30);text-transform:uppercase\"><strong>Leads<\/strong><\/p>\n\n\n\n<div class=\"wp-block-group is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-959a4999 wp-block-group-is-layout-flex\" style=\"padding-top:0;padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-group has-accent-5-background-color has-background 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=\"259\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Merlin-Wilcox-cuttout-1.png\" alt=\"Dr Merlin Wilcox\" class=\"wp-image-235\" 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 Merlin Willcox<\/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.southampton.ac.uk\/people\/5xj7rn\/doctor-merlin-willcox\">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:0px\"><img loading=\"lazy\" decoding=\"async\" width=\"276\" height=\"254\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Vincent-Mubangizi.png\" alt=\"\" class=\"wp-image-262\" 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 Vincent Mubangizi<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-layout-flex wp-container-core-buttons-is-layout-f848a32a 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 has-medium-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/profiles.must.ac.ug\/staff_member\/vicent-mubangizi\/\">Visit profile<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-accent-5-background-color has-background 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=\"269\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/03\/Kasiye-.png\" alt=\"Kasiye\" class=\"wp-image-577\" style=\"object-fit:contain;width:192px;height:200px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong>Kasiye Shiferaw<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-layout-flex wp-container-core-buttons-is-layout-f848a32a 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\/Kasiye-Shiferaw\">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=\"271\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/03\/Tim-Abagre.png\" alt=\"Tim Abagre\" class=\"wp-image-530\" style=\"aspect-ratio:1;object-fit:contain;width:auto;height:200px\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong><strong>Tim Abagre<\/strong><\/strong><\/h4>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-layout-flex wp-container-core-buttons-is-layout-f848a32a 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 has-medium-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/profiles.must.ac.ug\/staff_member\/prof-kabakyenga-jerome\/\">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=\"267\" src=\"http:\/\/generic.wordpress.soton.ac.uk\/optimap\/wp-content\/uploads\/sites\/537\/2026\/01\/Mary-Mbuo-Cuttout-1.png\" alt=\"Dr Mary Mbuo\" class=\"wp-image-237\" style=\"aspect-ratio:1;object-fit:contain;width:auto;height:200px\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong><strong><strong>Mary Mbuo<\/strong><\/strong><\/strong><\/h4>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-layout-flex wp-container-core-buttons-is-layout-f848a32a 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 has-medium-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.southampton.ac.uk\/people\/65ygs5\/doctor-mary-mbuo\">Visit profile<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rationale More than half of neonatal deaths and a third of maternal deaths in sub-Saharan Africa occur outside of hospitals.\u00a0 The aim of this work package is to ensure completeness of data on deaths that happen outside health facilities (in communities or when patients are in transit to health facilities) by improving death notification and 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