One of the CLP/WR strategies is the formation and work through networks with sentinel centers. These networks are made up of specially selected and referenced health institutions, with the aim of sharing information, generating evidence, and implementing interventions of proven effectiveness and impact.
General objective: To form a Latin American and Caribbean network of sentinel care centers and other partner institutions that function as referents in the implementation of evidence-based practices and contribute to the improvement of the quality of care and sexual and reproductive health, maternal health and neonatal health.
Specific objectives:
- To monitor sexual and reproductive health, maternal health and neonatal health conditions and changes in selected indicators.
- To identify acute changes or alarms in the patterns of occurrence of maternal and neonatal mortality and near miss maternal and neonatal morbidity.
- Determine the frequency of use of key interventions for the prevention and management of severe complications related to pregnancy, abortion, childbirth, puerperium and neonate.
- To train in the use and generation of evidence.
- Develop research projects with a strong emphasis on operations research.
For data collection, sentinel sites use the Perinatal Information System (SIP) or another linked system available and interoperable with it.
CLP Network for Surveillance and Research in Maternal Health
The purpose of this network is to monitor the causes of maternal and child deaths due to complications related to pregnancy or childbirth in Latin America and the Caribbean, and to produce information that will allow the generation of policies to prevent these deaths. Although the creation of the network was formalized in 2015, there were previously experiences of coordinated work between centers.
There are currently 14 centers that make up the network.
CLP MUSA Network
It was created at the end of 2015 to join the already existing CLAP Network for Surveillance and Research in Women's, Maternal and Neonatal Health. This network connects centers where women in abortion situations are assisted, seeking to improve the quality of care and reduce maternal morbidity and mortality. It is made up of 29 sentinel centers in 13 countries in Latin America and the Caribbean, which work together to strengthen epidemiological surveillance and improve the care of women undergoing abortion.
Since its creation, it has promoted the use of safe uterine evacuation methods and the use of long-acting reversible contraceptives after abortion. It also promotes comprehensive care and monitoring of abortion-related services in Latin America and the Caribbean.
Video Red CLAP MUSA
Red CLAP MUSA / CLAP WAS Network
Congenital Anomalies Surveillance Network
Its objective is to gather information about the characteristics and general results of the National Surveillance Registries of Congenital Anomalies in Latin America and the Caribbean.
Congenital defects or anomalies have a great impact on infant mortality and disability. Therefore, in order to reduce their frequency and impact on health, the strategies used must be supported by epidemiological surveillance systems that can verify the effectiveness of these procedures, making it possible to monitor temporal or geographic differences in the frequency of these events and identify vulnerable population groups, among other actions.
With this premise, the regional repository of national birth defects systems was launched in 2019, which already has information from 8 countries (Argentina, Brazil, Colombia, Costa Rica, Honduras, Mexico, Nicaragua, Paraguay).
Associated publications:
CLP Network for Surveillance and Research in Maternal Health:
Aleman A, Colomar M, Colistro V, Tomaso G, Sosa C, Serruya S, de Francisco LA, Ciganda A, De Mucio B. Predicting severe maternal outcomes in a network of sentinel sites in Latin-American countries. Int J Gynaecol Obstet. 2023 Mar;160(3):939-946. doi: 10.1002/ijgo.14436. Epub 2022 Sep 24. PMID: 36062397; PMCID: PMC10087448.
Bohren MA, Hazfiarini A, Vazquez Corona M, Colomar M, De Mucio B, Tunçalp Ö, Portela A. From global recommendations to (in)action: A scoping review of the coverage of companion of choice for women during labour and birth. PLOS Glob Public Health. 2023 Feb 1;3(2):e0001476. doi: 10.1371/journal.pgph.0001476. PMID: 36963069; PMCID: PMC10021298.
CLP MUSA Network:
Gomez Ponce de Leon R, Baccaro LF, Rubio Schweizer G, Bahamondes V, Messina A, de Francisco LA, Serruya Jacob S; CLAP MUSA-Network Working Group. Building a network of sentinel centres for the care of women in an abortion situation: advances in Latin America and the Caribbean. BMJ Glob Health. 2022 Oct;7(10):e010059. doi: 10.1136/bmjgh-2022-010059. PMID: 36283731; PMCID: PMC9608541.
Williams CR, Valeria Bahamondes M, Gómez Ponce de León R, da Costa Machado H, Bahamondes L, Caffe S, Serruya SJ. Analysing the context and characteristics of legal abortion and comprehensive post-abortion care among adolescents aged 10-14 in a network of sentinel centres in Latin America: a retrospective cross-sectional study, 2016-2020. Sex Reprod Health Matters. 2023 Dec;31(1):2175442. doi: 10.1080/26410397.2023.2175442. PMID: 36919908; PMCID: PMC10026806.
Serruya SJ, Gómez Ponce de León R, Bahamondes MV, De Mucio B, Costa ML, Durán P, Díaz-Rosello JL, Kim C, Lavelanet AF, Artigas A, Forster TA, Cecatti JG. EviSIP: using evidence to change practice through mentorship - an innovative experience for reproductive health in the Latin American and Caribbean regions. Glob Health Action. 2020 Dec 31;13(1):1811482. doi: 10.1080/16549716.2020.1811482. PMID: 32867629; PMCID: PMC7480421.
Castro R, Paz J. Métodos anticonceptivos elegidos por mujeres después de aborto en un hospital público de Honduras. Rev Méd Hondur. 2021; 89 (2): 96-102. DOI: https://doi.org/10.5377/rmh.v89i2.12526
Gonzalo Rubio Schweizer, Marcela Caro Elgueta, Daniela Witker Jiménez, Nataly Paredes de la Cruz, Valeria Tona Castellanos. Atención a mujeres en situación de aborto en el Hospital San José (2016-2019) REV CHIL OBSTET GINECOL 2021; 86(2): 202 – 209
Francisca Solar, Karen Rumante, Fernanda Valenzuela, María Durán, Manuela, Bugueño, Julio Jiménez. Experiencia clínica del uso de la ficha SIP/CLAP en mujeres con aborto espontáneo resuelto por vía quirúrgica. REV CHIL OBSTET GINECOL 2020; 85(4): 324 – 334
Camila Ayume Amano Cavalari, Nelio Neves Veiga-Junior, Beatriz Deguti Kajiura, Caroline Eugeni, Barbara Virgínia Gonçalves Tavares, Luiz Francisco Baccaro, Factors Associated with Abortion Complications after the Implementation of a Surveillance Network (MUSA Network) in a University Hospital, Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics, 10.1055/s-0041-1735129, 43, 07, (507-512), (2021)
Congenital Anomalies Surveillance Network:
Zarante I, Hurtado-Villa P, Walani SR, Kancherla V, López Camelo J, Giugliani R, et al. A consensus statement on birth defects surveillance, prevention, and care in Latin America and the Caribbean. Rev Panam Salud Publica. 2019;43:e2. https://doi.org/10.26633/RPSP.2019.2
Durán P, Liascovich R, Barbero P, Bidondo MP, Groisman B, Serruya S, et al. Congenital anomaly surveillance systems in Latin America and the Caribbean: present and future. Rev Panam Salud Publica. 2019;43:e44. https://doi.org/10.26633/RPSP.2019.44
Pan American Health Organization and World Bank. Present and future of birth defects surveillance in the Americas. Washington, D.C.: PAHO, World Bank; 2020. https://doi.org/10.37774/9789275321928. https://doi.org/10.37774/9789275321928