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

J.J. Beltman; T. van den Akker; D. Bwirire; A. Korevaar; R. Chidakwani; L. van Lonkhuijzen; J. 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

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

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

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. © 2013 Beltman et al; licensee BioMed Central Ltd.

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

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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. {\textcopyright} 2013 Beltman et al; licensee BioMed Central Ltd.",

author = "J.J. Beltman and {van den Akker}, T. and D. Bwirire and A. Korevaar and R. Chidakwani and {van Lonkhuijzen}, L. and {van Roosmalen}, J.",

year = "2013",

doi = "10.1186/1471-2393-13-39",

language = "English",

volume = "13",

journal = "BMC Pregnancy and Childbirth",

issn = "1471-2393",

publisher = "BioMed Central Ltd.",

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TY - JOUR

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

AU - Beltman, J.J.

AU - van den Akker, T.

AU - Bwirire, D.

AU - Korevaar, A.

AU - Chidakwani, R.

AU - van Lonkhuijzen, L.

AU - van Roosmalen, J.

PY - 2013

Y1 - 2013

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. © 2013 Beltman et al; licensee BioMed Central Ltd.

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. © 2013 Beltman et al; licensee BioMed Central Ltd.

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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