How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
Date
2018-03
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Stellenbosch : Stellenbosch University
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.
AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar.
AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar.
Description
Thesis (MFamMed)--Stellenbosch University, 2018.
Keywords
Women patients -- Medical care -- Oshana (Namibia), Labor (Obstetrics) -- Complications, Onandjokwe State Hospital -- Oshana (Namibia), UCTD