E4A mission:

Evidence for Action (E4A) is a five year programme which aims to improve maternal and newborn survival in six sub-Saharan countries. Funded by the UK Department for International Development, it focuses on using better information and improved advocacy and accountability to save lives in Ethiopia, Ghana, Malawi, Nigeria, Sierra Leone and Tanzania.



E4A blog:

Welcome to our blog - this is where the E4A partners share news, info & updates on the project.





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Where we work

Ethiopia | Ghana | Malawi | Nigeria | Sierra Leone | Tanzania

Our work in Ethiopia

The Ethiopian Government and the Federal Ministry of Health are committed to improving the standard of maternal and child health within Ethiopia.

A Maternal Death Surveillance and Response system is an important tool to identify and prioritise problem areas and thereby facilitate effective action.

Starting in March 2013, the E4A focus in Ethiopia is to support the Ministry of Health to develop a functioning reliable comprehensive National Maternal Death Surveillance and Response system. This will provide local data to inform evidence-based decision-making and improvements in quality of care at all levels. The system will be supported by a wider enabling environment within health and social policy, medical education, and communities.

Initial steps will be to appoint six local technical advisers to work at Regional Health board level. Training courses will be carried out followed by a phased roll out of the MDSR system in selected zones in the Regions.

Find out more about The Ethiopian National MDSR Training Package

Challenges will include
• identifying deaths in the community where most births take place
• Encouraging a ‘no blame’ culture so that lessons can be learnt
• Managing the legal environment to encourage reporting of deaths
• Ensuring appropriate actions are delivered based on the evidence from the reviews

In May 2013, the National Guidelines for MDSR were launched in Addis Ababa by the State Minister of Health with an audience including all major partners, Ministry of Health senior officials, Regional Bureau representatives, CEOs and leading clinicians from Ethiopia’s lead hospitals.

The launch was followed by two training sessions which resulted in 52 health professionals from across the Regions of Ethiopia being trained in MDSR systems.

Regions are now developing action plans for the roll out of MDSR with the support of E4A in seven zones in the most densely populated Regions.