The difficulties of conducting maternal death reviews in Malawi

被引：48

作者：

Kongnyuy E.J. ^{[1
]}

van den Broek N. ^{[1
]}

机构：

[1] Child and Reproductive Health Group, Liverpool School of Tropical Medicine, Liverpool

来源：

BMC Pregnancy and Childbirth | / 8卷 / 1期

关键词：

Health Facility; Maternal Mortality; Maternal Death; Swot Analysis; Confidential Enquiry;

D O I：

10.1186/1471-2393-8-42

中图分类号：

学科分类号：

摘要：

Background: Maternal death reviews is a tool widely recommended to improve the quality of obstetric care and reduce maternal mortality. Our aim was to explore the challenges encountered in the process of facility-based maternal death review in Malawi, and to suggest sustainable and logically sound solutions to these challenges. Methods: SWOT (strengths, weaknesses, opportunities and threats) analysis of the process of maternal death review during a workshop in Malawi. Results: Strengths: Availability of data from case notes, support from hospital management, and having maternal death review forms. Weaknesses: fear of blame, lack of knowledge and skills to properly conduct death reviews, inadequate resources and missing documentation. Opportunities: technical assistance from expatriates, support from the Ministry of Health, national protocols and high maternal mortality which serves as motivation factor. Threats: Cultural practices, potential lawsuit, demotivation due to the high maternal mortality and poor planning at the district level. Solutions: proper documentation, conducting maternal death review in a blame-free manner, good leadership, motivation of staff, using guidelines, proper stock inventory and community involvement. Conclusion: Challenges encountered during facility-based maternal death review are provider-related, administrative, client related and community related. Countries with similar socioeconomic profiles to Malawi will have similar 'pull-and-push' factors on the process of facility-based maternal death reviews, and therefore we will expect these countries to have similar potential solutions. © 2008 Kongnyuy and van den Broek; licensee BioMed Central Ltd.

引用

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