“Confidence comes with frequent practice”: health professionals’ perceptions of using manual vacuum aspiration after a training program
Abstract Background Malawi has one of the highest maternal mortality rates in the world, with unsafe abortion as a major contributor. Curettage is most frequently used as the surgical method for treating incomplete abortions, even though it is costly for an impoverished health system and the less ex...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-02-01
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| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12978-019-0683-z |
| _version_ | 1818912318472323072 |
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| author | Maria Lisa Odland Gladys Membe-Gadama Ursula Kafulafula Jon Øyvind Odland Elisabeth Darj |
| author_facet | Maria Lisa Odland Gladys Membe-Gadama Ursula Kafulafula Jon Øyvind Odland Elisabeth Darj |
| author_sort | Maria Lisa Odland |
| collection | DOAJ |
| description | Abstract Background Malawi has one of the highest maternal mortality rates in the world, with unsafe abortion as a major contributor. Curettage is most frequently used as the surgical method for treating incomplete abortions, even though it is costly for an impoverished health system and the less expensive and safe manual vacuum aspiration (MVA) method is recommended. Methods The aim of this 2016–17 study is to explore health worker’s perception of doing MVA 1 year after an educational intervention. Focus group discussions were recorded, transcribed verbatim, and analyzed using content analysis for interpreting the findings. A knowledge, attitude and practice survey was administered to health professionals to obtain background information before the MVA training program was introduced. Results Prior to the training sessions, the participants demonstrated knowledge on abortion practices and had positive attitudes about participating in the service, but preferred curettage over MVA. The training was well received, and participants felt more confident in doing MVA after the intervention. However, focus group discussions revealed obstacles to perform MVA such as broken equipment and lack of support. Additionally, the training could have been more comprehensive. Still, the participants appreciated task-sharing and team work. Conclusion Training sessions are considered useful in increasing the use of MVA. This study provides important insight on how to proceed in improving post-abortion care in a country where complications of unsafe abortion are common and the health system is low on resources. |
| first_indexed | 2024-12-19T23:12:41Z |
| format | Article |
| id | doaj.art-7ece1475fac140f2923d6d2510cf4b81 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-12-19T23:12:41Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-7ece1475fac140f2923d6d2510cf4b812022-12-21T20:02:10ZengBMCReproductive Health1742-47552019-02-0116111010.1186/s12978-019-0683-z“Confidence comes with frequent practice”: health professionals’ perceptions of using manual vacuum aspiration after a training programMaria Lisa Odland0Gladys Membe-Gadama1Ursula Kafulafula2Jon Øyvind Odland3Elisabeth Darj4Department of Public Health and Nursing, Norwegian University of Science and TechnologyQueen Elizabeth Central HospitalKamuzu College of NursingDepartment of Public Health and Nursing, Norwegian University of Science and TechnologyDepartment of Public Health and Nursing, Norwegian University of Science and TechnologyAbstract Background Malawi has one of the highest maternal mortality rates in the world, with unsafe abortion as a major contributor. Curettage is most frequently used as the surgical method for treating incomplete abortions, even though it is costly for an impoverished health system and the less expensive and safe manual vacuum aspiration (MVA) method is recommended. Methods The aim of this 2016–17 study is to explore health worker’s perception of doing MVA 1 year after an educational intervention. Focus group discussions were recorded, transcribed verbatim, and analyzed using content analysis for interpreting the findings. A knowledge, attitude and practice survey was administered to health professionals to obtain background information before the MVA training program was introduced. Results Prior to the training sessions, the participants demonstrated knowledge on abortion practices and had positive attitudes about participating in the service, but preferred curettage over MVA. The training was well received, and participants felt more confident in doing MVA after the intervention. However, focus group discussions revealed obstacles to perform MVA such as broken equipment and lack of support. Additionally, the training could have been more comprehensive. Still, the participants appreciated task-sharing and team work. Conclusion Training sessions are considered useful in increasing the use of MVA. This study provides important insight on how to proceed in improving post-abortion care in a country where complications of unsafe abortion are common and the health system is low on resources.http://link.springer.com/article/10.1186/s12978-019-0683-zManual vacuum aspirationMVAIncomplete abortionsPost-abortion careHealth care providers |
| spellingShingle | Maria Lisa Odland Gladys Membe-Gadama Ursula Kafulafula Jon Øyvind Odland Elisabeth Darj “Confidence comes with frequent practice”: health professionals’ perceptions of using manual vacuum aspiration after a training program Reproductive Health Manual vacuum aspiration MVA Incomplete abortions Post-abortion care Health care providers |
| title | “Confidence comes with frequent practice”: health professionals’ perceptions of using manual vacuum aspiration after a training program |
| title_full | “Confidence comes with frequent practice”: health professionals’ perceptions of using manual vacuum aspiration after a training program |
| title_fullStr | “Confidence comes with frequent practice”: health professionals’ perceptions of using manual vacuum aspiration after a training program |
| title_full_unstemmed | “Confidence comes with frequent practice”: health professionals’ perceptions of using manual vacuum aspiration after a training program |
| title_short | “Confidence comes with frequent practice”: health professionals’ perceptions of using manual vacuum aspiration after a training program |
| title_sort | confidence comes with frequent practice health professionals perceptions of using manual vacuum aspiration after a training program |
| topic | Manual vacuum aspiration MVA Incomplete abortions Post-abortion care Health care providers |
| url | http://link.springer.com/article/10.1186/s12978-019-0683-z |
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