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Local health workers' perceptions of substandard care in the management of obstetric hemorrhage in rural Malawi | Journal Article / Research | MSF Science Portal
Journal Article
|Research

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

Beltman JJ, van den Akker T, Bwirire D, Korevaar A, Chidakwani R, van Lonkhuijzen L, van Roosmalen J
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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.

Countries

Malawi

Subject Area

women's healthmodels of care

Languages

English
DOI
10.1186/1471-2393-13-39
Published Date
15 Feb 2013
PubMed ID
23414077
Journal
BMC Pregnancy and Childbirth
Volume | Issue | Pages
Volume 13, Issue 1, Pages 39
Issue Date
2013-02-15
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