Factors that Led to Third Delays in the Management of Obstetric Emergencies in Midigo Health Centre IV - Yumbe District, Uganda
Abstract:
Introduction:
The third delay is the delay in
receiving adequate and appropriate treatment at
the healthcare facility by mothers during and after pregnancy. A number of factors are attributable to
this delay.
Aim: To identify factors that led to
internal delay in management of obstetric
emergency, to identify measures to address
them and determine the lived experiences
of mothers who received obstetric emergency
care in Midigo HC IV.
Methods: Purely descriptive
cross-sectional design; both qualitative and quantitative in nature. Sample size
was 36 participants (33 health workers and 3 mothers).
Results: Factors
like long hours of work due inadequate staffing (80%), inadequate refresher training
on EmONC (66.7%), poor referral system, poor lighting system, inadequate
blood transfusion services and hostility of the community led to delays. Qualitative
analysis from mothers confirmed these factors. Measures
that could be used to address them were; use of Workload Indicator of Staffing Needs
(WISN) to adequately allocate staffs – 90%, holding periodic refresher training
on EmONC -93.3%, availability of full-time doctors
and anaesthetists (93.3%). Other measures were revamping
referral system (93.3%).
Conclusion: Third
delays in accessing Emergency Obstetric Care (EmOC) are still a huge challenge in
Uganda _ Midigo HC IV.
Keywords: Workload Indicator of Staffing Needs (WISN),
Emergency Obstetric Care (EmOC), Emergency Obstetric and Neonatal Care (EmONC).
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