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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Local health workers' perceptions of substandard care in the management of obstetric hemorrhage in rural Malawi
BMC Pregnancy and Childbirth, Volume 13, Article 39, Year 2013
Notification
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Description
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. © 2013 Beltman et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Beltman, Jogchum Jan
Malawi, Lilongwe
Ministry of Health Malawai
Netherlands, Leiden
Leids Universitair Medisch Centrum
van den Akker, Thomas
Malawi, Lilongwe
Ministry of Health Malawai
Netherlands, Leiden
Leids Universitair Medisch Centrum
Bwirire, Dieudonné
Unknown Affiliation
Korevaar, Anneke
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Chidakwani, Richard
Malawi, Lilongwe
Ministry of Health Malawai
van Lonkhuijzen, Luc R.C.W.
Canada, Toronto
University of Toronto
van Roosmalen, Jos J.M.
Netherlands, Leiden
Leids Universitair Medisch Centrum
Netherlands, Amsterdam
Amsterdam Umc - Vrije Universiteit Amsterdam
Statistics
Citations: 23
Authors: 7
Affiliations: 5
Identifiers
Doi:
10.1186/1471-2393-13-39
e-ISSN:
14712393
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Study Approach
Qualitative
Study Locations
Malawi