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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Exploring terminology for puerperal sepsis and its symptoms in urban Karachi, Pakistan to improve communication, care-seeking, and illness recognition
Global Public Health, Volume 17, No. 12, Year 2022
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Description
Puerperal sepsis is an important cause of maternal morbidity and mortality in developing countries. Awareness of local terminology for its signs and symptoms may improve communication about this illness, what actions to take when symptoms appear, timely care seeking, and clinical outcomes. This formative research aimed to improve recognition and management of postpartum sepsis in Pakistan by eliciting local terms used for postpartum illnesses and symptoms. We conducted 32 in-depth interviews with recently delivered women, their relatives, traditional birth attendants, and health care providers to explore postpartum experiences. Terms for symptoms and illness are used interchangeably (i.e. bukhar, the Urdu word for fever), many variations exist for the same term, and gradations of severity for each term as not associated with different types of illnesses. The lack of a designated term for postpartum sepsis in Urdu delays care-seeking and proper diagnosis, particularly at the community level. Ideally, a common lexicon for symptoms and postpartum sepsis would be developed but this may not be feasible or appropriate given the nature of the Urdu language and local understandings of postpartum illness. These insights can inform how we approach educational campaigns, the development of clinical algorithms that focus on symptoms, and counselling protocols. © 2022 Informa UK Limited, trading as Taylor & Francis Group.
Authors & Co-Authors
Kalbarczyk, Anna
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Mir, Fatima
Pakistan, Karachi
The Aga Khan University
Ariff, Shabina
Pakistan, Karachi
The Aga Khan University
Ali Nathwani, Apsara
Pakistan, Karachi
The Aga Khan University
Kazi, Abdul Momin
Pakistan, Karachi
The Aga Khan University
Sultana, Shazia
Pakistan, Karachi
The Aga Khan University
Bartlett, Linda A.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
LeFevre, Amnesty E.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Bhutta, Shereen Zulfiqar
Pakistan, Karachi
Jinnah Postgraduate Medical Centre, Karachi
Soofi, Sajid Bashir
Pakistan, Karachi
The Aga Khan University
Zaidi, Anita Kaniz Mehdi
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Winch, Peter J.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Statistics
Authors: 12
Affiliations: 3
Identifiers
Doi:
10.1080/17441692.2022.2115527
ISSN:
17441692
Research Areas
Maternal And Child Health
Study Design
Exploratory Study
Study Approach
Qualitative
Participants Gender
Female