Journal article
Factors influencing postpartum haemorrhage detection and management and the implementation of a new postpartum haemorrhage care bundle (E-MOTIVE) in Kenya, Nigeria, and South Africa
G Forbes, S Akter, S Miller, H Galadanci, Z Qureshi, S Fawcus, GJ Hofmeyr, N Moran, M Singata-Madliki, F Dankishiya, G Gwako, A Osoti, E Thomas, I Gallos, KM Mammoliti, A Devall, A Coomarasamy, F Althabe, L Atkins, MA Bohren Show all
Implementation Science | BMC | Published : 2023
Abstract
Background: Postpartum haemorrhage (PPH) is the leading cause of global maternal deaths, accounting for 30–50% of maternal deaths in sub-Saharan Africa. Most PPH-related deaths are preventable with timely detection and initiation of care, which may be facilitated by using a clinical care bundle. We explore influences on current PPH detection and management and on the future implementation of a new PPH bundle (E-MOTIVE) in low-resource, high-burden settings. Methods: Semi-structured qualitative interviews based on the Theoretical Domains Framework were conducted with 45 healthcare providers across nine hospitals in Nigeria, Kenya and South Africa, to identify barriers and enablers to current ..
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Awarded by Bill and Melinda Gates Foundation
Funding Acknowledgements
This work was supported, in whole or in part, by the Bill & Melinda Gates Foundation [Grant Number: INV-001393]. Under the grant conditions of the Foundation, a Creative Commons Attribution 4.0 Generic License has already been assigned to the Author Accepted Manuscript version that might arise from this submission.The funders had no role in the study design, data collection and analysis, decision to publish or preparation of the manuscript. Dr. Meghan A Bohren is supported by an Australian Research Council Discovery Early Career Researcher Award (DE20 0100264) and a Dame Kate Campbell Fellowship (University of Melbourne Faculty of Medicine, Dentistry, and Health Sciences).