Experiences of Community Members on Reporting Community Maternal Deaths in Mangochi District of Malawi

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DOI: 10.4236/ojn.2015.53027    3,712 Downloads   4,403 Views  

ABSTRACT

The purpose of this study was to explore and describe the experiences of community stakeholders on reporting community maternal deaths to relevant authorities in Mangochi District of Malawi. The study employed qualitative hermeneutic phenomenology approach to data collection, analysis and interpretation. It was conducted in three health zones of Mangochi district which are Monkey-bay, Mangochi boma and Namwera zones. Purposive sampling was used to select major community stakeholders on issues of safe motherhood and these were; Village heads, Health Surveillance Assistants (HSAs), safe motherhood volunteers and members of village health committees (VHCs). A total of eighteen in-depth interviews and three focus group discussions were conducted. Descriptive statistics were computed for the demographic variables and the qualitative data were analysed using modified Colaizzi (1978) method based on Heideggerian and Gademerian philosophy. Findings showed that community maternal deaths were not always reported because there were no records in the district. Most participants lacked knowledge on the process and their role in reporting community maternal deaths despite knowing the importance of reporting such deaths. However, findings indicated a positive perception of participants towards reporting community maternal deaths to authorities. The study recommends that health education be offered to community members and Health Surveillance Assistants regarding reporting maternal deaths to improve the situation.

Cite this paper

Dzoole, J. , Pindani, M. and Maluwa, A. (2015) Experiences of Community Members on Reporting Community Maternal Deaths in Mangochi District of Malawi. Open Journal of Nursing, 5, 226-236. doi: 10.4236/ojn.2015.53027.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Federal Democratic Republic of Ethiopia (2012) Maternal Death Surveillance and Response (MDSR) Technical Guideline. Ministry of Health,
[2] World Health Organisation (2007) Maternal Mortality in 2005: Estimates Developed by WHO, UNICEF, UNFPA and The World Bank.
[3] World Health Organisation (2012) Maternal Mortality. WHO, Geneva.
http://www.who.int/mediacentre/factsheets/fs348/en/
[4] Nieburg, P. (2012) Improving Maternal Mortality and Other Aspects of Women’s Health: The United States Global Role. A Report of the CSIS Global Health Policy Centre, Centre for Strategic & International Studies, Washington DC.
[5] Kalter, H., Mohan, P., Mishra, A., Gaonkar, N., Biswas, A., Balakrishnan, S. and Babille, M. (2011) Maternal Death inquiry and Response in India—The Impact of Contextual Factors on Defining an Optimal Model to Help Meet Critical Maternal Health Policy Objectives. Health.
[6] Plata, N., Passano, P., Screenivas, A. and Gerdts, C. (2010) Maternal Mortality in Developing Countries: Challenges in Scaling-Up Priority Interventions Ndola Prata, Paige Passano, Amita Sreenivas & Caitlin Elisabeth Gerdts. Women’s Health, 2, 311-327.
[7] National Statistics Office (NSO) & ICF Macro. (2011) Malawi Demographic and Health Survey 2010. NSO and ICF Macro, Zomba, Malawi, and Calverton, Maryland.
[8] Bakker, W., Akker, T., Mwagomba, B., Khukulu, R., Elteren, M. and Roosmalen, J. (2011) Health Workers’ Perceptions of Obstetric Critical Incident Audit in Thyolo District, Malawi. Tropical Medicine and International Health, 16, 1243-1250.
http://dx.doi.org/10.1111/j.1365-3156.2011.02832.x
[9] Ratman, Y., Lungu, K., Hofman, J. and White, S. (2005) Why More Mothers Die: Confidential Inquiries into Institutional Maternal Deaths in the Southern Region of Malawi, 2001. Malawi Medical Journal, 17, 75-80.
[10] Hisar, N. and Sohoo, N. (2010) Maternal Mortality in Rural Community: A Challenge for Achieving Millennium Development Goal. Journal of Pakistan Medical Association, 60, 20-24.
[11] American Public Health Association (2011) Reducing US Maternal Mortality as a Human Right: Overview of Maternal Health as a Human Rights Issue in the United States. Washington DC.
[12] World Health Organisation (2004) Beyond the Numbers: Reviewing Maternal Deaths and Complications to Make Pregnancy Safer. Geneva.
[13] Mills, S., Lewis, G., Say, L., Mathews, M. and Okwero, P. (2011) Maternal Death Audit as a Tool Reducing Maternal Mortality.
[14] Kongnyuy, E., Mlava, G. and Broek, N. (2009) Facility-Based Maternal Death Review in Three Districts in the Central Region of Malawi: An Analysis of Causes and Characteristics of Maternal Deaths. Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health, 19, 14-20.
http://dx.doi.org/10.1016/j.whi.2008.09.008
[15] Hofman, J. and Ndemera, M. (2005) Review of Community Based Maternal Deaths in Mangochi District. Malawi Medical Journal, 17, 81-84.
[16] Ochi, H. (2012) Perceptions of Quality of Health Care Services and Maternal Mortality in Rural Communities in Kaduna State (Masters). Ahmadu Bello University, Zaria.
[17] United Nations Development Programme (2011) The Millennium Development Goals. New York.
[18] Groenewald, T. (2004) A Phenomenological Research Design Illustrated. International Journal of Qualitative Methods, 3, 1-26.
[19] Burns, N. and Grove, S. (2009) The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence. 6th Edition, Saunders, St. Louis.
[20] Colaizzi, P.F. (1978) Psychological Research as the Phenomenologist Views It. In: Valle, R.S. and King, M., Eds., Existential Phenomenological Alternatives for Psychology, Plenum, New York, 48-71.
[21] Edward, K. (2005) The Phenomenon of Resilience in Crisis Care Mental Health Clinicians. International Journal of Mental Health Nursing, 14, 142-148.
http://dx.doi.org/10.1111/j.1440-0979.2005.00371.x
[22] Munjanja, S., Nystrom, L., Nyandoro, M. and Magwali, T. (2007) Maternal and Perinatal Mortality Study.
[23] Abdo, S., Jarrar, K., El-Nakhal, S., Ramlawi, A., Hijaz, T., Saman, K. and Abu-Fannonah, J. (2011) Report on Maternal Mortality in Palestine.
[24] Kalaichandran, A. and Zakus, D. (2007) The Obstetric Pathology of Poverty: Maternal Mortality in Kep Province, Cambodia. World Health and Population and World Health Organisation.
[25] McCaw-Binns, A., Lindo, J.L.M., Lewis-Bell, K.N. and Ashley, D.E.C. (2008) Maternal Mortality Surveillance in Jamaica. International Journal of Gynecology & Obstetrics, 100, 31-36.
http://dx.doi.org/10.1016/j.ijgo.2007.06.054
[26] Ali, M. and Kuroiwa, C. (2007) Accurate Record Keeping in Referral Hospitals in Pakistan’s North West Frontier Province and Punjab: A Crucial Step Needed to Improve Maternal Health. Journal of Pakistan Med Association, 57, 443-446.
[27] Malawi Ministry of Health (2007) Road Map for Accelerating the Reduction of Maternal and Neonatal Mortality and Morbidity in Malawi. Ministry of Health, Lilongwe.
[28] Kululanga, L.I., Sundby, J., Malata, A. and Chirwa, E. (2011) Striving to Promote Male Involvement in Maternal Health Care in Rural and Urban Settings in Malawi—A Qualitative Study. Reproductive Health, 8, 36.
http://dx.doi.org/10.1186/1742-4755-8-36
[29] Daniel, I., Graham, W. and Boerma, T. (2011) Maternal Death Surveillance and Response. Bulletin of the World Health Organization, 89, 779-779A.
http://dx.doi.org/10.2471/BLT.11.097220
[30] Mairiga, A.G., Kawuwa, M.B. and Kulima, A. (2008) Community Perception of Maternal Mortality in Northeastern Nigeria. African Journal of Reproductive Health, 12, 27-34.
[31] Adah, S., Ogbonna, C., Anga, P., Chingle, M., Ashikeri, M., Envulandu, E. and Zoakah, A. (2009) The Impact of Advocacy and Community Mobilization on the Utilization of Health Services at the Comprehensive Health Centre.
[32] Lawoyin, T., Lawoyin, O., Olusheyi, O. and Adewole, D. (2007) Men’s Perception of Maternal Mortality in Nigeria. Journal of Public Health Policy, 28, 299-318.
http://dx.doi.org/10.1057/palgrave.jphp.3200143

  
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