The healthcare system and client failures contributing to maternal mortality in rural Kenya
Abstract Background The global maternal mortality ratio is estimated at 211/100 000 live births in 2017. In Kenya, progress on reducing maternal mortality appears to be slow and persistently higher than the global average, despite efforts by the government’s provision of free maternity services in b...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-05259-w |
| _version_ | 1811204105500098560 |
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| author | Brian Barasa Masaba Rose Mmusi-Phetoe Bernard Rono Damaris Moraa John K. Moturi Jane W. Kabo Samuel Oyugi Jonathan Taiswa |
| author_facet | Brian Barasa Masaba Rose Mmusi-Phetoe Bernard Rono Damaris Moraa John K. Moturi Jane W. Kabo Samuel Oyugi Jonathan Taiswa |
| author_sort | Brian Barasa Masaba |
| collection | DOAJ |
| description | Abstract Background The global maternal mortality ratio is estimated at 211/100 000 live births in 2017. In Kenya, progress on reducing maternal mortality appears to be slow and persistently higher than the global average, despite efforts by the government’s provision of free maternity services in both private and public facilities in 2013. We aimed to explore and describe the experiences of midwives on maternal deaths that are associated with the healthcare system and client failures in Migori, Kenya. Methods An explanatory, qualitative approach method was adopted. In-depth interviews were conducted with the purposively selected midwives working in peripartum units of the three sampled hospitals within Migori County in Kenya. The hospitals included two county referral hospitals and one private referral hospital. Saturation was reached with 37 respondents. NVivo 11 software was used for analysis. Content analysis using a qualitative approach was adopted. Accordingly, the data transcripts were synthesised, coded and organised into thematic domains. Results Identified sub-themes: sub-optimal care, staff inadequacy, theatre delays, lack of blood and essential drugs, non-adherence to protocols, staff shortage, inadequate equipment and supplies, unavailable ICU wards, clients’ ANC non-adherence. Conclusion In conclusion, the study notes that the healthcare system and client failures are contributing to maternal mortality in the study setting. The major failures are across the pregnancy continuum starting from antenatal care, and intrapartum to post-natal care. This can illustrate that some pregnant mothers are getting sub-optimal care reducing their survival chances. To reduce maternal mortality in Migori County, the key highlighted healthcare system and client failures should be addressed through a multidisciplinary approach mechanism. |
| first_indexed | 2024-04-12T03:05:48Z |
| format | Article |
| id | doaj.art-1712eef4cb994b3abf06777ea2716a93 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-12T03:05:48Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-1712eef4cb994b3abf06777ea2716a932022-12-22T03:50:29ZengBMCBMC Pregnancy and Childbirth1471-23932022-12-0122111210.1186/s12884-022-05259-wThe healthcare system and client failures contributing to maternal mortality in rural KenyaBrian Barasa Masaba0Rose Mmusi-Phetoe1Bernard Rono2Damaris Moraa3John K. Moturi4Jane W. Kabo5Samuel Oyugi6Jonathan Taiswa7Department of Health Studies, College of Human Sciences, School of Social Sciences, University of South Africa (UNISA)Department of Health Studies, College of Human Sciences, School of Social Sciences, University of South Africa (UNISA)Centre of Microbiology Research, Kenya Medical Research Institute (KEMRI)School of Nursing, Kaimosi Friends UniversitySchool of Nursing, Kibabii UniversitySchool of Nursing, Kibabii UniversityDepartment of Clinical Nursing and Health Informatics, Masinde Muliro University of Science and TechnologyDepartment of Clinical Nursing and Health Informatics, Masinde Muliro University of Science and TechnologyAbstract Background The global maternal mortality ratio is estimated at 211/100 000 live births in 2017. In Kenya, progress on reducing maternal mortality appears to be slow and persistently higher than the global average, despite efforts by the government’s provision of free maternity services in both private and public facilities in 2013. We aimed to explore and describe the experiences of midwives on maternal deaths that are associated with the healthcare system and client failures in Migori, Kenya. Methods An explanatory, qualitative approach method was adopted. In-depth interviews were conducted with the purposively selected midwives working in peripartum units of the three sampled hospitals within Migori County in Kenya. The hospitals included two county referral hospitals and one private referral hospital. Saturation was reached with 37 respondents. NVivo 11 software was used for analysis. Content analysis using a qualitative approach was adopted. Accordingly, the data transcripts were synthesised, coded and organised into thematic domains. Results Identified sub-themes: sub-optimal care, staff inadequacy, theatre delays, lack of blood and essential drugs, non-adherence to protocols, staff shortage, inadequate equipment and supplies, unavailable ICU wards, clients’ ANC non-adherence. Conclusion In conclusion, the study notes that the healthcare system and client failures are contributing to maternal mortality in the study setting. The major failures are across the pregnancy continuum starting from antenatal care, and intrapartum to post-natal care. This can illustrate that some pregnant mothers are getting sub-optimal care reducing their survival chances. To reduce maternal mortality in Migori County, the key highlighted healthcare system and client failures should be addressed through a multidisciplinary approach mechanism.https://doi.org/10.1186/s12884-022-05259-wDelivery of healthcareHumansKenyaMaternal mortalityRural population |
| spellingShingle | Brian Barasa Masaba Rose Mmusi-Phetoe Bernard Rono Damaris Moraa John K. Moturi Jane W. Kabo Samuel Oyugi Jonathan Taiswa The healthcare system and client failures contributing to maternal mortality in rural Kenya BMC Pregnancy and Childbirth Delivery of healthcare Humans Kenya Maternal mortality Rural population |
| title | The healthcare system and client failures contributing to maternal mortality in rural Kenya |
| title_full | The healthcare system and client failures contributing to maternal mortality in rural Kenya |
| title_fullStr | The healthcare system and client failures contributing to maternal mortality in rural Kenya |
| title_full_unstemmed | The healthcare system and client failures contributing to maternal mortality in rural Kenya |
| title_short | The healthcare system and client failures contributing to maternal mortality in rural Kenya |
| title_sort | healthcare system and client failures contributing to maternal mortality in rural kenya |
| topic | Delivery of healthcare Humans Kenya Maternal mortality Rural population |
| url | https://doi.org/10.1186/s12884-022-05259-w |
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