Investigating factors associated with puerperal sepsis and its implications in mothers admitted to maternity ward at Mangochi District Hospital

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2021-10-08
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Kamuzu University of Health Sciences
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Type of study: The study will use mixed approach research methods; qualitative and quantitative study. It will investigate the associated factors that may predispose to puerperal sepsis and its implications in mothers admitted to maternity ward at Mangochi District Hospital Statement of the problem: Puerperal sepsis contributes to 15% % of the maternal deaths that occur annually globally and contribute to even more maternal deaths in some low income countries like Malawi. However, puerperal sepsis is preventable if maternal mothers are well taken care of, hence need to establish associated factors to puerperal sepsis and its implications to mothers in order to prevent its occurrence and implications. Objectives: Broad objective: To investigate factors associated with puerperal sepsis and its implications in mothers admitted to maternity ward at Mangochi District Hospital Specific objectives: 1. To explore health care factors associated with puerperal Sepsis to mothers admitted to maternity department at Mangochi District Hospital 2. To determine maternal factors associated with puerperal sepsis at Mangochi District Hospital: Strategy for optimizing identification of associated factors to puerperal sepsis 3. To assess effects of puerperal sepsis on mothers. Methodology: The study will use mixed approach research method. This will be quantitative and qualitative through exploratory and descriptive study to investigate factors associated with puerperal sepsis. The expected sample size for qualitative data will be taken through Key Informants Interviews for 15 participants from the health care workers and this will depend on saturation. Quantitative data will be collected retrospectively from case files of mothers who were diagnosed with puerperal sepsis and were admitted in maternity ward. The expected sample size will be determined by the number of case files available. The sample size has been determined from the total number of files for the target population in the three years which is 440 case files. Using Raosoft, at 95% CI, sampling error of 5% and response distribution of 50%, the minimum desired sample size is 206 files. Proportionate samples will be taken for each year with the multiplication factor that was obtained by dividing total number of files in each year by total number of files for the whole 3 year period as follows: 0.67, 0.15, and 0.18 for 2018/19, 2019/20 and 2020/21 fiscal years respectively giving respective samples of 138, 31 and 37 case files. Using stratified consecutive sampling technique for each year, files will be selected. This will be done using medical extract form. The data will be verified and then entered into a Microsoft Excel file and there-after be imported into STATA Version 14.1 for cleaning and further analysis. For qualitative data, consistency will be maintained by listening to audio recorded KIIs. The verified data will be stored in a password protected file in a USB flash disk, computer and will be backedup in an external driver. Expected findings and dissemination. The research will be conducted on academic requirement to the award of Master of Science Global Health Implementation. Therefore, some copies will be submitted for marking at University of Malawi, College of Medicine. The final dissertation document will be submitted to the College of Medicine Research and Ethics Committee (COMREC) and the College of Medicine Library (COM). The Health Science Research Committee and The University Research and Publication committee through the COMREC secretariat. Furthermore, the intention of the researcher is to take the results and present to Mangochi District Council through Mangochi District Executive Committee (DEC) and the copy will be submitted to the District Health Management Team (DHMT) for Mangochi DHO through Mangochi Research and Ethics Committee. Recommendations will be made to the stakeholders and partners through Mangochi DHO on any improvements that might be suggested to improve the precision of puerperal sepsis.
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Research Subject Categories::MEDICINE
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