历史上,各国主要依靠政策而不是立法来实施孕产妇和围产期死亡监测和反应系统(MPDSR)。然而,有证据表明,不同国家在实施MPDSR方面存在显著差异。在这篇文章中,我们主张建立法律授权的MPDSR系统的重要性,并与国家的宪法规定保持一致,区域和国际人权义务,和公共卫生承诺。我们强调如何规范“无责”方法,以在系统的机密性与诉诸司法和补救措施之间取得平衡。
Historically, countries have primarily relied on policy rather than legislation to implement Maternal and Perinatal Death Surveillance and Response systems (MPDSR). However, evidence shows significant disparities in how MPDSR is implemented among different countries. In this article, we argue for the importance of establishing MPDSR systems mandated by law and aligned with the country\'s constitutional provisions, regional and international human rights obligations, and public health commitments. We highlight how a \"no blame\" approach can be regulated to provide a balance between confidentiality of the system and access to justice and remedies.