30/03/2019
Jordan lacks accurate registration system for reporting perinatal and neonatal (PNN) deaths, and their causes and social determinants, and accurate measures and quality indicators are lacking. J-SANDS is an electronic surveillance system that automatically collects, reports, and transfers standardized PNN mortality data to the Ministry of Health (MoH) and identify the causes of stillbirths and neonatal deaths. J-SANDS is linked to a quality improvement system. The system supports the most basic acknowledgment of human rights—one's existence—by counting all births and deaths occurring in the selected hospitals including births and deaths in Jordan. J-SANDS is structured according to the Institute of Medicine (IOM) committee recommendations to capture important social and behavioral factors—such as mother' nationality, education, and employment. Such factors are widely recognized to be important determinants of PNN mortality. This is important because health care providers and health systems can more effectively influence maternal and child health if they have information on these determinants. Moreover, incorporating social determinants of health into our surveillance system would improve health equity and reduce disparities in care. The surveillance system will collect the data that are necessary to create equity indicators.
Data disseminated by this surveillance system can be used for (i) measuring the burden of PNN mortality and its trend, and identifying the populations at high risk, (ii) guiding the planning, implementation, and evaluation of programs to prevent and control PNN deaths, (iii) acquiring immediate public health action, (iv) prioritizing the allocation of health resources, and (v) formulating research hypotheses and providing a basis for epidemiologic research. The potential users of the data include policy makers and decision makers in the MoH, clinicians and other health care providers, and health researchers.