State Strategies for Preventing Pregnancy-Related Deaths: Four Step Process

4 step process wheel, emphasis on step 1: Understand the Scope of the Problem

Step 1: Use data to understand the scope of the problem [PDF – 6 MB]

There are population-based data sources that can enhance the MMRC data and provide complementary information for identifying and adapting potential strategies.

While there are many types of data available about the populations that MMRC recommendations will impact, and the providers and systems that serve them, commonly used population-based data sources highlighted in this guide include:

Other ways for gathering complementary data to inform and adapt potential strategies, particularly related to health equity, include collecting and analyzing qualitative data such as key informant interviews and community-led focus groups.

4 step process wheel, emphasis on step 2: Understand the Context of the Solution

Step 2: Understand the context of the solution [PDF – 6 MB]

Another important step is placing MMRC priority recommendations in the context of the organization, state, community, and implementing partners. Context can influence the success of implementation. In Step 2, we describe key community and organizational factors to consider when selecting and implementing strategies that address priority recommendations:

  • Identify community strengths and potential barriers.
  • Collaborate with decisionmakers.
  • Consider organizational readiness and capacity.
  • Map human and fiscal resources.
  • Engage public health, clinical, and community partners.
4 step process wheel, emphasis on step 3: Identify Potential Goals and Strategies

Step 3: Identify potential goals and strategies [PDF – 6 MB]

This section provides a summary of five potential goals to address priority recommendations from a MMRC. These five goals were identified from experiences supporting state and local MMRCs, including analyzing contributing factors and recommendations from MMRC data.

Effective actions will likely require implementing a number of strategies that address multiple goals, including acting on more than one strategy within a goal. In addition, it is essential to identify potential goals and related strategies that aim to improve equity and eliminate disparities in maternal mortality. Applying an equity lens is important in selecting goals and associated strategies and may lead to improvements in outcomes and decreased disparities among populations disproportionately impacted by maternal mortality. The goals and associated strategies provided here are illustrative and are not exhaustive. The five goals used in Step 3 are:

4 step process wheel, emphasis on step 4: Act on Your Strategies

Step 4: Act on your selected strategies [PDF – 6 MB]

In Step 4, selecting strategies for implementation is based on an assessment of the fit of these strategies with the identified goals and with the context in which they will be implemented, development of an implementation plan and timeline, and creation of a plan for evaluation of these strategies.