1. CHAMPS Updates

a. MITS Activities

Maternal Sample Collection: During hospital admission and 24 hours after delivery.

• Identify infection source (maternal/hospital-acquired).
• Compare baseline and follow-up conditions.
• Interpret clinical differences.

Definition Updates:

• Mortality definitions revised: Facility Death / Community Death.

Performance Improvement (April 2024 – March 2025):

• Death Notification
• Sample Collection via MITS
• Consent Success Rate

b. DeCoDe (Determinants of the Cause of Death)

Meeting Summary (April 2024 – March 2025):

• 26 meetings: 22 online, 4 in-person (2 marathon sessions)
• Total cases reviewed: 217
  • Stillbirth: 55%
  • Early Neonatal Death: 35%
  • Late Neonatal Death: 10%

Report Shared: 199

Causes of Death:

• Intrauterine hypoxia (majority)
• Domestic violence (new qualitative findings)

c. DSS (Demographic Surveillance System)

Household Survey: Conducted in 7 unions of Faridpur Upazila (2nd round over 2 years). Categorized into rural and urban.

Changes in Baliakandi Upazila:

• Inclusion of new households
• Reduction in under-5 and infant mortality rates
• Contributing Factors:
  • Improved road access (e.g., Padma Bridge → better referrals to Faridpur/Dhaka)

Pregnancy Surveillance:

• Total pregnant women: 6,517 (55.1% at 20 weeks)
• High rural C-section rate: 68.7%
• Next Steps:
  • Identify places (Govt./Private) and reasons for C-section
  • Analyze by gravida status (primigravida vs. multigravida)

Collaboration: Compare DSS with MICS data (by UNICEF & Bangladesh Demographic Survey)

Antenatal Care Improvements:

• Counseling (April 2024–March 2025): 3,004 sessions; 912 follow-ups
• Use of “Motherhood Calendar Journey” for 4 ANC visits
• Mid-term Assessment:
  • Evaluate healthcare seeking behavior change before/after
  • Identify infrastructure needs, queue reduction, pathway directions

Pregnancy Perception & Practices: Improving call center use by pregnant mothers.

2. Data to Action (Phase 2 → Phase 3)

• Maternal Sample Piloting
• Algorithm Development: Focus on high-risk mothers
• Community Motivation: Household team to involve families
• Community Engagement:
  • Target: Pregnant women, under-5 mothers, in-laws
  • Include male family members, Health Assistants, CHCPs
• Feedback Mechanism: Gather information on CHAMPS activities, prevention awareness
• Sustainability Focus:
  • Align new actions with existing initiatives
  • Form Technical Committee for scalability
  • Explore replication in other districts
• Use of Study Findings: Apply/ Replicate methods/results in broader contexts (Upazilla/District level)
• Death Panel Discussions:
  • Government representative involvement
  • Initiation of structured form clinical reports, inclusion of maternal data
  • Cost-benefit analysis
  • Strengthen notification practices:
    • Possible inclusion in Upazila/district monthly meetings

3. Policy Forum

• Completion of 3rd cohort policy training
• 4th cohort upcoming
• CHAMPS integrated into FETP,B curriculum

4. National Bulletin in Public Health

Includes:

• Surveillance updates
• Case studies e.g., Nipah outbreak, AMR
• Impact /feedback of published articles

5. Committee Meetings

• Technical Advisory Meetings
• CHAMPS Review Meetings
  • Includes latest surveillance data
  • ICD-10 to ICD-11 data transformation underway

6. CHAMPS Website

• New layout in progress
• Enhanced data presentation

7. Upcoming Events

CHAMPS Global Meeting

• Date: 27 April – 1 May 2025
• Venue: Nairobi, Kenya
• Agenda: DeCoDe, SBS, DSS workshops
• Participants: Representatives from 9 countries

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