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The healthcare system and client failures contributing to maternal mortality in rural Kenya

BACKGROUND: The global maternal mortality ratio is estimated at 211/100 000 live births in 2017. In Kenya, progress on reducing maternal mortality appears to be slow and persistently higher than the global average, despite efforts by the government’s provision of free maternity services in both priv...

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Autores principales: Masaba, Brian Barasa, Mmusi-Phetoe, Rose, Rono, Bernard, Moraa, Damaris, Moturi, John K., Kabo, Jane W., Oyugi, Samuel, Taiswa, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9721048/
https://www.ncbi.nlm.nih.gov/pubmed/36471265
http://dx.doi.org/10.1186/s12884-022-05259-w
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author Masaba, Brian Barasa
Mmusi-Phetoe, Rose
Rono, Bernard
Moraa, Damaris
Moturi, John K.
Kabo, Jane W.
Oyugi, Samuel
Taiswa, Jonathan
author_facet Masaba, Brian Barasa
Mmusi-Phetoe, Rose
Rono, Bernard
Moraa, Damaris
Moturi, John K.
Kabo, Jane W.
Oyugi, Samuel
Taiswa, Jonathan
author_sort Masaba, Brian Barasa
collection PubMed
description BACKGROUND: The global maternal mortality ratio is estimated at 211/100 000 live births in 2017. In Kenya, progress on reducing maternal mortality appears to be slow and persistently higher than the global average, despite efforts by the government’s provision of free maternity services in both private and public facilities in 2013. We aimed to explore and describe the experiences of midwives on maternal deaths that are associated with the healthcare system and client failures in Migori, Kenya. METHODS: An explanatory, qualitative approach method was adopted. In-depth interviews were conducted with the purposively selected midwives working in peripartum units of the three sampled hospitals within Migori County in Kenya. The hospitals included two county referral hospitals and one private referral hospital. Saturation was reached with 37 respondents. NVivo 11 software was used for analysis. Content analysis using a qualitative approach was adopted. Accordingly, the data transcripts were synthesised, coded and organised into thematic domains. RESULTS: Identified sub-themes: sub-optimal care, staff inadequacy, theatre delays, lack of blood and essential drugs, non-adherence to protocols, staff shortage, inadequate equipment and supplies, unavailable ICU wards, clients’ ANC non-adherence. CONCLUSION: In conclusion, the study notes that the healthcare system and client failures are contributing to maternal mortality in the study setting. The major failures are across the pregnancy continuum starting from antenatal care, and intrapartum to post-natal care. This can illustrate that some pregnant mothers are getting sub-optimal care reducing their survival chances. To reduce maternal mortality in Migori County, the key highlighted healthcare system and client failures should be addressed through a multidisciplinary approach mechanism.
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spelling pubmed-97210482022-12-06 The healthcare system and client failures contributing to maternal mortality in rural Kenya Masaba, Brian Barasa Mmusi-Phetoe, Rose Rono, Bernard Moraa, Damaris Moturi, John K. Kabo, Jane W. Oyugi, Samuel Taiswa, Jonathan BMC Pregnancy Childbirth Research BACKGROUND: The global maternal mortality ratio is estimated at 211/100 000 live births in 2017. In Kenya, progress on reducing maternal mortality appears to be slow and persistently higher than the global average, despite efforts by the government’s provision of free maternity services in both private and public facilities in 2013. We aimed to explore and describe the experiences of midwives on maternal deaths that are associated with the healthcare system and client failures in Migori, Kenya. METHODS: An explanatory, qualitative approach method was adopted. In-depth interviews were conducted with the purposively selected midwives working in peripartum units of the three sampled hospitals within Migori County in Kenya. The hospitals included two county referral hospitals and one private referral hospital. Saturation was reached with 37 respondents. NVivo 11 software was used for analysis. Content analysis using a qualitative approach was adopted. Accordingly, the data transcripts were synthesised, coded and organised into thematic domains. RESULTS: Identified sub-themes: sub-optimal care, staff inadequacy, theatre delays, lack of blood and essential drugs, non-adherence to protocols, staff shortage, inadequate equipment and supplies, unavailable ICU wards, clients’ ANC non-adherence. CONCLUSION: In conclusion, the study notes that the healthcare system and client failures are contributing to maternal mortality in the study setting. The major failures are across the pregnancy continuum starting from antenatal care, and intrapartum to post-natal care. This can illustrate that some pregnant mothers are getting sub-optimal care reducing their survival chances. To reduce maternal mortality in Migori County, the key highlighted healthcare system and client failures should be addressed through a multidisciplinary approach mechanism. BioMed Central 2022-12-05 /pmc/articles/PMC9721048/ /pubmed/36471265 http://dx.doi.org/10.1186/s12884-022-05259-w Text en © The Author(s) 2022 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
Masaba, Brian Barasa
Mmusi-Phetoe, Rose
Rono, Bernard
Moraa, Damaris
Moturi, John K.
Kabo, Jane W.
Oyugi, Samuel
Taiswa, Jonathan
The healthcare system and client failures contributing to maternal mortality in rural Kenya
title The healthcare system and client failures contributing to maternal mortality in rural Kenya
title_full The healthcare system and client failures contributing to maternal mortality in rural Kenya
title_fullStr The healthcare system and client failures contributing to maternal mortality in rural Kenya
title_full_unstemmed The healthcare system and client failures contributing to maternal mortality in rural Kenya
title_short The healthcare system and client failures contributing to maternal mortality in rural Kenya
title_sort healthcare system and client failures contributing to maternal mortality in rural kenya
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9721048/
https://www.ncbi.nlm.nih.gov/pubmed/36471265
http://dx.doi.org/10.1186/s12884-022-05259-w
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