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How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia

Thesis (MFamMed)--Stellenbosch University, 2018.

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Main Author: Nsangamay, Tshimanga
Other Authors: Mash, Robert
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2018
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access_status_str Open Access
author Nsangamay, Tshimanga
author2 Mash, Robert
author_browse Mash, Robert
Nsangamay, Tshimanga
author_facet Mash, Robert
Nsangamay, Tshimanga
author_sort Nsangamay, Tshimanga
collection Thesis
dc_rights_str_mv Stellenbosch : Stellenbosch University
description Thesis (MFamMed)--Stellenbosch University, 2018.
format Thesis
id oai:scholar.sun.ac.za:10019.1/103363
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:46:20.037Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2018
publishDateRange 2018
publishDateSort 2018
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/103363 How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia Nsangamay, Tshimanga Mash, Robert Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. Women patients -- Medical care -- Oshana (Namibia) Labor (Obstetrics) -- Complications Onandjokwe State Hospital -- Oshana (Namibia) UCTD Thesis (MFamMed)--Stellenbosch University, 2018. ENGLISH SUMMARY : Background: Although no studies on the quality of emergency obstetric care including care for postpartum haemorrhage have been published from Namibia, the condition is a major cause of maternal morbidity and mortality and the huge burden of pregnancy related death is disproportionately shared by low and middle income countries in Africa and Asia. Aim: The aim of this project was to assess and improve the quality of care for women with postpartum haemorrhage Setting: Onandjokwe Hospital (maternity ward), Namibia Methods: Quality improvement cycle Results: One hundred and fifty two files were audited (eighty two in the baseline audit and seventy in the re-audit). In the baseline audit twelve out of nineteen structural target standards were achieved and none of the process target standard were met. During the re-audit ten months later, statistically-significant improvement in performance(p < 0.05) was observed, all structural target standard were achieved, six out of nine process target standard and two out three outcome target standard were met. Conclusion: The quality of care for postpartum haemorrhage was substandard in our healthcare setting. Interventions were setup and implemented to improve the quality of care for postpartum haemorrhage. These interventions induced a significant improvement in structural and process criteria and a significant improvement was also seen in 91.4 % of women treated and stabilised from postpartum haemorrhage complications within six hours after being diagnosed during re-audit. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. 2018-02-13T07:40:27Z 2018-04-09T06:54:06Z 2018-02-13T07:40:27Z 2018-04-09T06:54:06Z 2018-03 Thesis http://hdl.handle.net/10019.1/103363 en_ZA Stellenbosch : Stellenbosch University 19 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle Women patients -- Medical care -- Oshana (Namibia)
Labor (Obstetrics) -- Complications
Onandjokwe State Hospital -- Oshana (Namibia)
UCTD
Nsangamay, Tshimanga
How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
title How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
title_full How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
title_fullStr How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
title_full_unstemmed How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
title_short How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
title_sort how to improve the quality of care for woman with postpartum haemorrhage at onandjokwe hospital namibia
topic Women patients -- Medical care -- Oshana (Namibia)
Labor (Obstetrics) -- Complications
Onandjokwe State Hospital -- Oshana (Namibia)
UCTD
url http://hdl.handle.net/10019.1/103363
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