Factors affecting utilization of Non-pneumatic Anti-shock Garment (NASG) in management of Postpartum Hemorrhage (PPH) in urban health centers in Blantyre
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Date
2022-02-09
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Kamuzu University of Health Sciences
Abstract
Type of research study: Cross-sectional mixed method study.
Problem to be studied: Postpartum Hemorrhage is the leading cause of maternal mortality globally and
in Malawi. World Health Organisation recommended the use of Non Pneumatic Anti-shock Garment in
management of Postpartum Hemorrhage until appropriate advanced medical care is available. Non
Pneumatic Anti-shock Garment is a low cost technology that is used on women who have excessive
bleeding after delivery. Its purpose is to decreases blood loss in the uterus, hence restore vital signs, and
reverse shock in women who have lost excessive blood after delivery until they receive appropriate
advanced medical care at Comprehensive Emerency Obtetric Care health facilities. However, in spite of
the demonstrated effectiveness and benefits associated with the use of NASG in the management of
PPH, its utilization is very low. Therefore, the study will assess the factors affecting utilization of Nonpneumatic
Anti-shock Garment in Management of Postpartum hemorrhage.
Objectives: The study will assess the factors affecting utilization of Non-pneumatic Anti-shock Garment
in Management of Postpartum hemorrhage. Specifically the study will:
1. Assess the prevalence of NASG use among women with PPH.
2. Assess knowledge and practices of midwives on effective use of NASG in management of PPH,
3. Analyze attitude of midwives regarding the use of NASG in management of PPH
4. Examine patients perceptions in use of NASG in the management of PPH.
Methodology: The study will sample 83midwives working in health facilities with NASG available: 40
midwives will be included in structured interviews and 43 midwivesin Focus Group Discussions.The
study will also sample 12 patients from QECH: 6 patients in structured interviews and 6 patients will be
included in Focus Group Discussions. After data collection, data will be entered in a computer using SPSS
for analysis.Statistical and thematic analysis will be used to analyse the data.
Expected findings and their dissemination: I expect to find out the factors that are affecting utilization
of NASG in management of PPH. If found, they can be used to find appropriate measures to increase
NASG utilization. The results will help policy makers, program planners and managers, policy
implementers and other SRH stakeholders to make informed decisions and to develop strategies that
could help Malawi to achieve the SDG of MMR of less than 70 per 100,000 live.Study results will be
presented to Blantyre DHO, QECH, KUHeS and COMREC. Results will also be disseminated through
professional conferences and events to exchange knowledge and raise awareness of the results.
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Keywords
Management of Postpartum Hemorrhage