Mortality impact of implementing maternal perinatal deaths surveillance and response quality-of-care improvement strategy for maternal and newborn care, northeast Namibia: a quasi-experimental study

High perinatal (stillbirths and early neonatal deaths) accounted for most deaths within the neonatal period. Thus, improving the quality-of-care around childbirth and immediate postnatal care when most neonates are highly vulnerable requires urgent health system programmatic and policy attention. Overall, implementation of maternal perinatal death surveillance and response strategy proved feasible in improving care and reducing maternal and newborn mortality.