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Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi
BACKGROUND: Maternal death reviews provide an in-depth understanding of the causes of maternal deaths. Midwives are well positioned to contribute to these reviews. Despite midwives’ participation as members of the facility-based maternal death review team, maternal mortality continues to occur, ther...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10124038/ https://www.ncbi.nlm.nih.gov/pubmed/37095456 http://dx.doi.org/10.1186/s12884-023-05536-2 |
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author | Chirwa, Mercy Dokiso Nyasulu, Juliet Modiba, Lebitsi Limando, Makombo Ganga- |
author_facet | Chirwa, Mercy Dokiso Nyasulu, Juliet Modiba, Lebitsi Limando, Makombo Ganga- |
author_sort | Chirwa, Mercy Dokiso |
collection | PubMed |
description | BACKGROUND: Maternal death reviews provide an in-depth understanding of the causes of maternal deaths. Midwives are well positioned to contribute to these reviews. Despite midwives’ participation as members of the facility-based maternal death review team, maternal mortality continues to occur, therefore, this study aimed to explore the challenges faced by midwives as they participate in maternal death reviews in the context of the healthcare system in Malawi. METHODS: This was a qualitative exploratory study design. Focus group discussions and individual face-to-face interviews were used to collect data in the study. A total of 40 midwives, who met the inclusion criteria, participated in the study. Data was analyzed manually using a thematic content procedure. RESULTS: Challenges identified were: knowledge and skill gaps; lack of leadership and accountability; lack of institutional political will and inconsistency in conducting FBMDR, impeding midwives’ effective contribution to the implementation of maternal death review. The possible solutions and recommendations that emerged were need-based knowledge and skills updates, supportive leadership, effective and efficient interdisciplinary work ethics, and sustained availability of material and human resources. CONCLUSION: Midwives have the highest potential to contribute to the reduction of maternal deaths. Practice development strategies are required to improve their practice in all the areas they are challenged with. |
format | Online Article Text |
id | pubmed-10124038 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-101240382023-04-25 Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi Chirwa, Mercy Dokiso Nyasulu, Juliet Modiba, Lebitsi Limando, Makombo Ganga- BMC Pregnancy Childbirth Research BACKGROUND: Maternal death reviews provide an in-depth understanding of the causes of maternal deaths. Midwives are well positioned to contribute to these reviews. Despite midwives’ participation as members of the facility-based maternal death review team, maternal mortality continues to occur, therefore, this study aimed to explore the challenges faced by midwives as they participate in maternal death reviews in the context of the healthcare system in Malawi. METHODS: This was a qualitative exploratory study design. Focus group discussions and individual face-to-face interviews were used to collect data in the study. A total of 40 midwives, who met the inclusion criteria, participated in the study. Data was analyzed manually using a thematic content procedure. RESULTS: Challenges identified were: knowledge and skill gaps; lack of leadership and accountability; lack of institutional political will and inconsistency in conducting FBMDR, impeding midwives’ effective contribution to the implementation of maternal death review. The possible solutions and recommendations that emerged were need-based knowledge and skills updates, supportive leadership, effective and efficient interdisciplinary work ethics, and sustained availability of material and human resources. CONCLUSION: Midwives have the highest potential to contribute to the reduction of maternal deaths. Practice development strategies are required to improve their practice in all the areas they are challenged with. BioMed Central 2023-04-24 /pmc/articles/PMC10124038/ /pubmed/37095456 http://dx.doi.org/10.1186/s12884-023-05536-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Chirwa, Mercy Dokiso Nyasulu, Juliet Modiba, Lebitsi Limando, Makombo Ganga- Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi |
title | Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi |
title_full | Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi |
title_fullStr | Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi |
title_full_unstemmed | Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi |
title_short | Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi |
title_sort | challenges faced by midwives in the implementation of facility-based maternal death reviews in malawi |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10124038/ https://www.ncbi.nlm.nih.gov/pubmed/37095456 http://dx.doi.org/10.1186/s12884-023-05536-2 |
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