A critical appraisal on the implementation of facility-based maternal death audits: The case of Ntcheu District, Malawi
| dc.contributor.author | Sinkhala Mwita, Lumbani | |
| dc.date.accessioned | 2022-05-09T15:36:32Z | |
| dc.date.available | 2022-05-09T15:36:32Z | |
| dc.date.issued | 2022-03-16 | |
| dc.description.abstract | 1 EXECUTIVE SUMMARY Nearly 349 women per 100000 live birth die with pregnancy-related complications in Malawi. This high maternal deaths prompted the Ministry of Health to adopt maternal death audit, a strategy to reduce these deaths in all district and central hospitals. Maternal death audit reveal causes of deaths. This induces solutions to deaths that are preventable. A facilitybased maternal death audit is one of the approaches mostly practiced by hospitals in Malawi. The implementation of this strategy faces barriers with few facilitators in Ntcheu district. This study will assess the implementation of facility-based maternal death audit to improve the quality of care and to prevent future deaths in Ntcheu district. Broad objective To assess the implementation of the facility-based maternal death audit to improve the quality of maternal care and to prevent future maternal deaths in Ntcheu district, Malawi. Specific objectives 1. To establish the proportion of completed maternal death reviews in Ntcheu district in the 2020/2021 fiscal year. 2. To describe the barriers and facilitators of maternal death audit implementation in Ntcheu district Methodology Qualitative approaches will be used to gather data through key informant interviews, focus group discussions and maternal death reviews. Key informant will include hospital managers directly involved in the implementation of maternal death audit. Three focus group discussions will be conducted with health care team of labour and delivery, postnatal and female wards. The study will also review maternal deaths documents and reports for the 2020/2021 fiscal year. The research runs from May 2021 to 0ctober 2022. The study will recruit participants through convenience sampling. Data will be collected by the principal investigator. All interviews and group discussions will be conducted in English, recorded and transcribed verbatim. The data will be stored in the personal computer and protected by passwords. The data will be analysed using the CFIR framework. Expected findings and their dissemination. The study expect to find a strong level of MDA practice in the district. It is expected that a facility-based maternal death audit is being practices. The assessment expect to find guidelines for conducting MDAs in place and abided to. There should be a formal system of reporting maternal death. The assessment will reveal facilities’ analysis of data and presentation of trends as stipulated in national maternal death audit guidelines. There should be evidence of implementation of recommendations from audit meetings. The research further expect to find linking MDR to other quality improvement activities at the facility. The dissertation will be submitted to the course coordinator and supervisor for partial fulfillment of a Master’s degree in Global Health Implementation. The final report will also be forwarded to COMREC, the Kamuzu University of Health Sciences library, and the Ntcheu district health office. The results will be further disseminated at the College of 16-Mar-2022 3 Medicine research dissemination symposium. Presentation of the findings at the Ntcheu district health office will be presented to the DHMT at an arranged meeting and all members of staff during the morning report. | en_US |
| dc.description.sponsorship | self | en_US |
| dc.identifier.uri | http://rscarchive.kuhes.ac.mw/handle/20.500.12988/972 | |
| dc.publisher | Kamuzu University of Health Sciences | en_US |
| dc.relation.ispartofseries | P.08/21/3388; | |
| dc.title | A critical appraisal on the implementation of facility-based maternal death audits: The case of Ntcheu District, Malawi | en_US |
| dc.type | Plan or blueprint | en_US |