How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia

Nsangamay, Tshimanga (2018-03)

Thesis (MFamMed)--Stellenbosch University, 2018.


ENGLISH SUMMARY : Background: Although no studies on the quality of emergency obstetric care including care for postpartum haemorrhage have been published from Namibia, the condition is a major cause of maternal morbidity and mortality and the huge burden of pregnancy related death is disproportionately shared by low and middle income countries in Africa and Asia. Aim: The aim of this project was to assess and improve the quality of care for women with postpartum haemorrhage Setting: Onandjokwe Hospital (maternity ward), Namibia Methods: Quality improvement cycle Results: One hundred and fifty two files were audited (eighty two in the baseline audit and seventy in the re-audit). In the baseline audit twelve out of nineteen structural target standards were achieved and none of the process target standard were met. During the re-audit ten months later, statistically-significant improvement in performance(p < 0.05) was observed, all structural target standard were achieved, six out of nine process target standard and two out three outcome target standard were met. Conclusion: The quality of care for postpartum haemorrhage was substandard in our healthcare setting. Interventions were setup and implemented to improve the quality of care for postpartum haemorrhage. These interventions induced a significant improvement in structural and process criteria and a significant improvement was also seen in 91.4 % of women treated and stabilised from postpartum haemorrhage complications within six hours after being diagnosed during re-audit.

AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar.

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