01/02/2018
Key Challenges that Health Workers face when trying to provide high quality maternity care include:
1) Human resources
- Staff shortages and heavy workloads hinder health workers’ ability to provide high quality care to every patient and can cause stress and frustration.
- Lack of specialists or experienced staff such as anesthesiologists can lead to unsafe task-shifting to unqualified personnel.
- Insufficient salaries, benefits and financial incentives often negatively affect motivation among health workers.
- Unsupportive management can leave health workers’ concerns unacknowledged or unaddressed.
2) Education and training
- Inadequate pre-service and in-service training limits health workers’ ability to provide skilled care, especially for high-risk pregnancies or deliveries.
- In-service trainings can be unaffordable, inconvenient or inaccessible for some staff members.
3) Commodities and health services infrastructure
- Unreliable availability of drugs, supplies and equipment can force health workers to administer suboptimal medications or provide care under unsafe or unsanitary conditions.
- Scarcity of blood or infrastructure for blood transfusions is dangerous in cases of obstetric emergencies such as postpartum hemorrhage.
- Poor access to electricity, fuel or clean water is a barrier to high quality care.
- Suboptimal physical layout or insufficient space can make health workers’ jobs more difficult.
4) Referral mechanisms
- Reluctance of mothers to be referred to a higher-level facility may result in midwives feeling pressured to handle high-risk deliveries when they are not comfortable doing so.
- Absence of transport or fuel prohibits transfer to another health facility.
Please do open this link for the full systematic review
The Cochrane Database of Systematic Reviews recently published a qualitative evidence synthesis of factors that influence the provision of intrapartum and postnatal care by skilled birth attendants…