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Quality of Intrapartum Care: Direct Observations in Selected Health Facilities in Zambia

Health 2020年第11期12卷 1415-1427页

作者： Concepta N. Kwaleyela Brenda Nambala Sianchapa Patricia Katowa-Mukwato Yolan banda Emmanuel Mwila Musenge Victoria Mwiinga-Kalusopa Fabian Chapima jeane ngala banda Besia Phiri Margaret Connie Maimbolwa Department of Research Monitoring and Evaluation School of Nursing Sciences University of Zambia Lusaka Zambia Department of Midwifery Women and Child Health School of Nursing Sciences University of Zambia Lusaka Zambia Department of Basic and Clinical Sciences School of Nursing Sciences University of Zambia Lusaka Zambia Lusaka District Health Office Health Lusaka Zambia Mumbwa District Health Office Lusaka Zambia

Approximately 303,000 women die annually while giving birth, worldwide, and more than 99% of the deaths occur in developing countries. In Zambia, a developing country situated in sub-Saharan Africa, most of the maternal mortalities occur during the intrapartum and immediate postpartum periods, arising from postpartum hemorrhage, sepsis, obstructed labor, and hypertensive disorders. Aim: The aim of this study was to assess the quality of intrapartum services provided in health facilities in the country. Methodology: Guided by a descriptive cross sectional design, data were collected from 264 women in labor using a World Health Organization validated observation checklist. Convenience sampling was used to recruit the women, while multistage sampling was used to select four health facilities. The Social Package for Social Sciences, version 23 was used to analyze the data. Results: One health facility met the World Health Organization 80% minimum standard in four out of the five categories used to measure quality in intrapartum care, while the other three met the minimum standard in one category each. Conclusion: Low numbers of midwives, inadequate supplies and equipment were major obstacles to following national and international agreed standards for providing optimal care during intrapartum period. Recommendations:<

关键词： Intrapartum Care Quality Health Facility Midwife Women

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