Quality of Intrapartum Care: Direct Observations in Selected Health Facilities in Zambia

• 作者: Besia Phiri Brenda Nambala Sianchapa Concepta N. Kwaleyela Emmanuel Mwila Musenge Fabian Chapima Jeane Ngala Banda Margaret Connie Maimbolwa Patricia Katowa-Mukwato Victoria Mwiinga-Kalusopa Yolan Banda
• 来源期刊: 健康(英文)
• 学科: 数学
• 关键词: Intrapartum Care QUALITY Health Facility MIDWIFE WOMEN
• 年，卷（期）: 2020,（11）
• 页码范围: 1415-1427
• 页数: 13页
• 分类号: O17

摘要

Approximately 303,000 women die annually while giving birth, worldwide, and more than 99% of the deaths occur in developing countries. In Zambia, a developing country situated in sub-Saharan Africa, most of the maternal mortalities occur during the intrapartum and immediate postpartum periods, arising from postpartum hemorrhage, sepsis, obstructed labor, and hypertensive disorders. <b><span style="font-family:Verdana;">Aim:</span></b><span style="font-family:Verdana;"> The aim of this study was to assess the quality of intrapartum services provided in health facilities in the country. </span><b><span style="font-family:Verdana;">Methodology:</span></b><span style="font-family:Verdana;"> Guided by a descriptive </span><span style="font-family:Verdana;">cross sectional</span><span style="font-family:Verdana;"> design, data were collected from 264 women in labor using a World Health Organization validated observation checklist. Convenience sampling was used to recruit the women, while multistage sampling was used to select four health facilities. The Social Package for Social Sciences, version 23 was used to analyze the data. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> One health facility met the World Health Organization 80% minimum standard in four out of the five categories used to measure quality in intrapartum care, while the other three met the minimum standard in one category each. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Low numbers of midwives, inadequate supplies </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> equipment were major obstacles to following national and international agreed standards for providing optimal care during </span><span style="font-family:Verdana;">intrapartum</span><span style="font-family:Verdana;"> period. </span><b><span style="font-family:Verdana;">Recommendations:</span></b><span style="font-family:Verdana;"> There is </sp