scholarly journals Perspectives of stakeholders on emergency obstetric care training in Kenya: a qualitative study

2019 ◽  
Vol 12 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Aduragbemi Banke-Thomas ◽  
Judith Maua ◽  
Barbara Madaj ◽  
Charles Ameh ◽  
Nynke van den Broek
Keyword(s):  
Healthcare Providers ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Health Staff ◽  
Group Discussions ◽  
Training Outcomes ◽  
Hands On ◽  
Care Outcomes ◽  
Care Training

Abstract Background This study explores stakeholders’ perceptions of emergency obstetric care (EmOC) ‘skills-and-drills’-type training including the outcomes, strengths, weaknesses, opportunities and threats of the intervention in Kenya. Methods Stakeholders who either benefited from or contributed to EmOC training were purposively sampled. Semi-structured topic guides were used for key informant interviews and focus group discussions. Following verbatim transcriptions of recordings, the thematic approach was used for data analysis. Results Sixty-nine trained healthcare providers (HCPs), 114 women who received EmOC and their relatives, 30 master trainers and training organizers, and six EmOC facility/Ministry of Health staff were recruited. Following training, deemed valuable for its ‘hands-on’ approach and content by HCPs, women reported that they experienced improvements in the quality of care provided. HCPs reported that training led to improved knowledge, skills and attitudes, with improved care outcomes. However, they also reported an increased workload. Implementing stakeholders stressed the need to explore strategies that help to maximize and sustain training outcomes. Conclusions The value of EmOC training in improving the capacity of HCPs and outcomes for mothers and newborns is not just ascribed but felt by beneficiaries. However, unintended outcomes such as increased workload may occur and need to be systematically addressed to maximize training gains.

Risk perception on the labour ward: A mixed methods study

2021 ◽  
Vol 26 (2) ◽  
pp. 56-63
Author(s):  
Claire McCarthy ◽  
Sarah Meaney ◽  
Marie Rochford ◽  
Keelin O’Donoghue
Keyword(s):  
Mixed Methods ◽  
Lived Experience ◽  
Healthcare Providers ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Daily Basis ◽  
Mixed Methods Study ◽  
Structured Interviews ◽  
Staff Support ◽  
Staff Wellbeing

Healthcare providers commonly experience risky situations in the provision of maternity care, and there has been increased focus on the lived experience in recent years. We aimed to assess opinions on, understanding of and behaviours of risk on the LW by conducting a mixed methods study. Staff working in a LW setting completed a descriptive questionnaire-based study, followed by qualitative structured interviews. Statistical analysis was performed with SPSS on quantitative data and thematic analysis performed on qualitative data. Nearly two thirds of staff (64%; 73/114) completed the questionnaire, with 56.2% (n = 47) experiencing risk on a daily basis. Experiencing risk evoked feelings of apprehension (68.4%; n = 50) and worry (60.2%; n = 44) which was echoed in the qualitative work. Structured clinical assessment was utilised in risky situations, and staff described “ going on autopilot” to manage these situations. A large number of respondents reflected on their provision of care following an adverse event (87.7%; n = 64). Debriefing was mentioned as an important practice following such events by all respondents. This study describes the negative terminology prevailing in emergency obstetric care. These experiences can have a profound impact on staff. Risk reduction strategies and the provision of increased staff support and training are crucial to improve staff wellbeing in stressful scenarios.

Exploring the experience and challenges of maternity waiting homes in Jimma, southwest Ethiopia

2021 ◽  
pp. 1-11
Author(s):  
Woubishet Girma ◽  
Dessalegn Tamiru ◽  
Mirkuzie Woldie ◽  
Ayantu Kebede ◽  
Zewdie Birhanu ◽  
...  
Keyword(s):  
Focus Group ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Computer Software ◽  
Obstetric Care ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Transportation Services ◽  
Care Access ◽  
Maternity Waiting Homes

Background Establishing maternity waiting homes is a key strategy to address the geographic barrier to obstetric care access among women living in rural areas. In Ethiopia, maternity waiting homes have been in use for several years, with a sharp increase in the number of such facilities recently. However, there is little empirical evidence detailing the experiences and challenges faced by women during the implementation of this initiative in Ethiopia. Methods This study used a multiple case study design with qualitative data collection methods, and was conducted from October to November 2016. Data were collected using focus group discussions, in-depth interviews and direct observation of each maternity waiting home. All interviews and focus group discussions were recorded using a digital voice recorder. Data were transcribed and translated into English. The coding process and formation of thematic structure was assisted by Atlas ti7.5 computer software. Results The participants reported that they were satisfied and comfortable with the services at the maternity waiting homes, as were their husbands and community leaders. Facility, social and environmental challenges were identified as common barriers to the utilisation of maternity waiting homes by stakeholders at different levels. Healthcare providers reported common challenges at maternity waiting homes include a lack of basic utilities (water and electric supply), and overcrowding because of a shortage of space and lack of medical supplies. Some women reported that poor transportation services and the distance to facilities hindered the utilisation of maternity waiting homes. Conclusions There are social and facility challenges related to the use of maternity waiting homes in Ethiopia. Policymakers and health managers should work with relevant sectors to mitigate the effect of facility, social and environmental barriers and maximise the use of maternity waiting homes.

Perceptions of midwives on the quality of emergency obstetric care at hospitals in Ethiopia: A qualitative explanatory study

Midwifery ◽  
2020 ◽  
Vol 90 ◽  
pp. 102814
Author(s):  
Ayele Geleto ◽  
Catherine Chojenta ◽  
Tefera Taddele ◽  
Deborah Loxton
Keyword(s):  
Emergency Obstetric Care ◽  
Obstetric Care

Availability, Utilisation and Quality of Basic and Comprehensive Emergency Obstetric Care Services in Malawi

2008 ◽  
Vol 13 (5) ◽  
pp. 687-694 ◽  
Author(s):  
Eugene J. Kongnyuy ◽  
Jan Hofman ◽  
Grace Mlava ◽  
Chisale Mhango ◽  
Nynke van den Broek
Keyword(s):  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Care Services

scholarly journals Patient-centered approaches applied in inpatient and outpatient TB services in Armenia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Z Grigoryan ◽  
N Truzyan ◽  
V Petrosyan
Keyword(s):  
Healthcare Providers ◽  
International Standards ◽  
Family Education ◽  
Outpatient Services ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Group Discussions ◽  
Legal Documents ◽  
Source Data

Abstract Background Healthcare system performance indicators are common instruments measuring and facilitating quality improvement. The End-TB strategy urges provision of integrated patient-centered (PC) care for all forms of tuberculosis (TB). This study aimed to assess and compare quality of inpatient and outpatient TB services using international standards on specific PC indicators to identify potential targets for improvement. Methods Joint Commission International (JCI) accreditation standards, adapted to local needs and context, were used as a basic instrument for qualitative and quantitative data collection. We utilized Patient and Family Right (PFR) and Patient and Family Education (PFE) 15 standards with 49 measurable elements as PC indicators for the nationwide assessment of TB services. A scoring system and a scaling approach were used to convert all-source-data and present the overall performance of services. Results We reviewed and analyzed data from 10 legal documents, 34 medical records and 155 interviews and focus group discussions with TB healthcare providers, patients and family members from inpatient and outpatient TB services to define the degree of compliance of their practices and treatment experiences to JCI standards. Outpatient TB services met the PFR and PFE standards at the 51%-level receiving a grading of partially performed and requiring improvements. The inpatient services met the PFR and PFE standards at 39%- and 26%-level respectively, receiving a grading of minimally performed for the JCI standards, showing statistically significantly less patient centeredness compared to the outpatient services (p = 0.007, CI 0.234; 0.4234), and requiring major improvements. Conclusions Strengthening interventions towards patient-centeredness are essential in both inpatient and outpatient services, but Armenia needs to put more emphasis on inpatient care to bridge the gap between the existing and recommended practices.

Introduction

2018 ◽  
Author(s):  
Kia Lilly Caldwell
Keyword(s):  
Public Health ◽  
Maternity Care ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Preventable Death ◽  
High Quality ◽  
Brazilian Woman ◽  
Medical Neglect ◽  
Provision Of Services

In 2002, Alyne da Silva Pimentel, a twenty-eight-year-old Afro-Brazilian woman, died several days after experiencing complications resulting from a stillbirth that was inadequately treated at a public health center. The circumstances leading to her death highlighted gross inadequacies and failures in the quality of maternity care and emergency obstetric care provided to poor, Afro-descendant women in Brazil. A number of missteps and instances of medical neglect led to Alyne’s premature and preventable death, including inadequate provision of services to pregnant women and a lack of high-quality emergency obstetric care in the region where she lived....

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