How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
| dc.contributor.advisor | Mash, Robert | en_ZA |
| dc.contributor.author | Nsangamay, Tshimanga | en_ZA |
| dc.contributor.other | Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. | en_ZA |
| dc.date.accessioned | 2018-02-13T07:40:27Z | |
| dc.date.accessioned | 2018-04-09T06:54:06Z | |
| dc.date.available | 2018-02-13T07:40:27Z | |
| dc.date.available | 2018-04-09T06:54:06Z | |
| dc.date.issued | 2018-03 | |
| dc.description | Thesis (MFamMed)--Stellenbosch University, 2018. | en_ZA |
| dc.description.abstract | 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. | en_ZA |
| dc.description.abstract | AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. | af_ZA |
| dc.format.extent | 19 pages | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/103363 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Stellenbosch : Stellenbosch University | |
| dc.rights.holder | Stellenbosch : Stellenbosch University | |
| dc.subject | Women patients -- Medical care -- Oshana (Namibia) | en_ZA |
| dc.subject | Labor (Obstetrics) -- Complications | en_ZA |
| dc.subject | Onandjokwe State Hospital -- Oshana (Namibia) | en_ZA |
| dc.subject | UCTD | |
| dc.title | How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia | en_ZA |
| dc.type | Thesis | en_ZA |