Record Details

Factors that impact the timely treatment of obstetric fistulas in Malawi: The perspective of health care providers

HTS Teologiese Studies/Theological Studies

Field Value
Title Factors that impact the timely treatment of obstetric fistulas in Malawi: The perspective of health care providers
Creator Gondwe, Mwawi S. Maharaj, Pranitha
Subject general practice; rural health; primary care obstetric fistulas; maternal health; obstetric care; delayed treatment; obstructed labour; social isolation
Description Background: In sub-Saharan African countries, women face a high risk of obstetric fistulas. In Malawi, the prevalence rate is 1 per 1000 women. Studies suggest that several obstacles exist that prevent obstetric fistula patients from getting timely treatment for their condition.Aim: The aim of this article was to find out the factors that delay the timely treatment of obstetric fistula patients at Malawian hospitals.Setting: The study was conducted at the Queen Elizabeth Central Hospital, a referral hospital, situated in Blantyre, Malawi, and the findings have been generalised to all the hospitals in Malawi.Methods: An exploratory case study, employing key interview questions, was used to provide insights into why there are delays in providing treatment and care for fistula patients. Purposive sampling technique was used to identify study respondents. Key informant interviews were conducted with 16 health care personnel at a hospital in Malawi.Results: The presence of numerous cases of complicated obstetric fistula cases overwhelms the health care system in Malawi. In addition, the severe shortage of staff, lack of obstetric fistula surgery training, low staff morale, inadequate infrastructure or equipment and water scarcity in the city of Blantyre contribute towards delayed treatment of fistulas at the hospitals.Conclusion: The presence of numerous cases of obstetric fistulas is overwhelming health services, and hence there is a need for devising and implementing health policies that will motivate Malawian health personnel to undertake obstetric fistula surgery and care.
Publisher AOSIS
Contributor Mwawi Sitshoni Gondwe,Professor Pranitha Maharaj
Date 2019-04-30
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative Research
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/phcfm.v11i1.1900
Source African Journal of Primary Health Care & Family Medicine; Vol 11, No 1 (2019); 9 pages 2071-2936 2071-2928
Language eng
Coverage Africa 2016-2018 age; gender; medical professionals
Rights Copyright (c) 2019 Mwawi S. Gondwe, Pranitha Maharaj