Local health workers' perceptions of substandard care in the management of obstetric hemorrhage in rural Malawi

Jogchum Jan Beltman; Thomas van den Akker; Dieudonne Bwirire; Anneke Korevaar; Richard Chidakwani; Luc van Lonkhuijzen; Jos van Roosmalen

doi:10.1186/1471-2393-13-39

Local health workers' perceptions of substandard care in the management of obstetric hemorrhage in rural Malawi

Jogchum Jan Beltman^*
, Thomas van den Akker
, Dieudonne Bwirire
, Anneke Korevaar
, Richard Chidakwani
, Luc van Lonkhuijzen
, Jos van Roosmalen

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

17 Citations (Scopus)

234 Downloads (Pure)

Abstract

Background: To identify factors contributing to the high incidence of facility-based obstetric hemorrhage in Thyolo District, Malawi, according to local health workers.

Methods: Three focus group discussions among 29 health workers, including nurse-midwives and non-physician clinicians ('medical assistants' and 'clinical officers').

Results: Factors contributing to facility-based obstetric hemorrhage mentioned by participants were categorized into four major areas: (1) limited availability of basic supplies, (2) lack of human resources, (3) inadequate clinical skills of available health workers and (4) substandard referrals by traditional birth attendants and lack of timely self-referrals of patients.

Conclusion: Health workers in this district mentioned important community, system and provider related factors that need to be addressed in order to reduce the impact of obstetric hemorrhage.

Original language	English
Article number	39
Number of pages	5
Journal	BMC Pregnancy and Childbirth
Volume	13
DOIs	https://doi.org/10.1186/1471-2393-13-39
Publication status	Published - 15-Feb-2013

Keywords

TRANSMISSION PROGRAM
MATERNAL MORTALITY
FOLLOW-UP
PREVENTION
DISTRICT
MOTHERS

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Local health workers’ perceptions of substandard care in the management of obstetric hemorrhage in rural MalawiFinal publisher's version, 246 KBLicence: CC BY

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title = "Local health workers' perceptions of substandard care in the management of obstetric hemorrhage in rural Malawi",

abstract = "Background: To identify factors contributing to the high incidence of facility-based obstetric hemorrhage in Thyolo District, Malawi, according to local health workers.Methods: Three focus group discussions among 29 health workers, including nurse-midwives and non-physician clinicians ('medical assistants' and 'clinical officers').Results: Factors contributing to facility-based obstetric hemorrhage mentioned by participants were categorized into four major areas: (1) limited availability of basic supplies, (2) lack of human resources, (3) inadequate clinical skills of available health workers and (4) substandard referrals by traditional birth attendants and lack of timely self-referrals of patients.Conclusion: Health workers in this district mentioned important community, system and provider related factors that need to be addressed in order to reduce the impact of obstetric hemorrhage.",

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T1 - Local health workers' perceptions of substandard care in the management of obstetric hemorrhage in rural Malawi

AU - Beltman, Jogchum Jan

AU - van den Akker, Thomas

AU - Bwirire, Dieudonne

AU - Korevaar, Anneke

AU - Chidakwani, Richard

AU - van Lonkhuijzen, Luc

AU - van Roosmalen, Jos

PY - 2013/2/15

Y1 - 2013/2/15

N2 - Background: To identify factors contributing to the high incidence of facility-based obstetric hemorrhage in Thyolo District, Malawi, according to local health workers.Methods: Three focus group discussions among 29 health workers, including nurse-midwives and non-physician clinicians ('medical assistants' and 'clinical officers').Results: Factors contributing to facility-based obstetric hemorrhage mentioned by participants were categorized into four major areas: (1) limited availability of basic supplies, (2) lack of human resources, (3) inadequate clinical skills of available health workers and (4) substandard referrals by traditional birth attendants and lack of timely self-referrals of patients.Conclusion: Health workers in this district mentioned important community, system and provider related factors that need to be addressed in order to reduce the impact of obstetric hemorrhage.

AB - Background: To identify factors contributing to the high incidence of facility-based obstetric hemorrhage in Thyolo District, Malawi, according to local health workers.Methods: Three focus group discussions among 29 health workers, including nurse-midwives and non-physician clinicians ('medical assistants' and 'clinical officers').Results: Factors contributing to facility-based obstetric hemorrhage mentioned by participants were categorized into four major areas: (1) limited availability of basic supplies, (2) lack of human resources, (3) inadequate clinical skills of available health workers and (4) substandard referrals by traditional birth attendants and lack of timely self-referrals of patients.Conclusion: Health workers in this district mentioned important community, system and provider related factors that need to be addressed in order to reduce the impact of obstetric hemorrhage.

KW - TRANSMISSION PROGRAM

KW - MATERNAL MORTALITY

KW - FOLLOW-UP

KW - PREVENTION

KW - DISTRICT

KW - MOTHERS

U2 - 10.1186/1471-2393-13-39

DO - 10.1186/1471-2393-13-39

M3 - Article

SN - 1471-2393

VL - 13

JO - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

M1 - 39

ER -

Local health workers' perceptions of substandard care in the management of obstetric hemorrhage in rural Malawi

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Keywords

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