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dc.contributor.authorKumbani, Lily C
dc.contributor.authorChirwa, Ellen
dc.contributor.authorMalata, Address
dc.contributor.authorOdland, Jon Øyvind
dc.contributor.authorBjune, Gunnar Aksel
dc.date.accessioned2013-03-13T14:29:51Z
dc.date.available2013-03-13T14:29:51Z
dc.date.issued2012
dc.description.abstractMalawi has a high perinatal mortality rate of 40 deaths per 1,000 births. To promote neonatal health, the Government of Malawi has identified essential health care packages for improving maternal and neonatal health in health care facilities. However, regardless of the availability of health services, women’s perceptions of the care is important as it influences whether the women will or will not use the services. In Malawi 95% of pregnant women receive antenatal care from skilled attendants, but the number is reduced to 71% deliveries being conducted by skilled attendants. The objective of this study was to describe women’s perceptions on perinatal care among the women delivered at a district hospital. A descriptive study design with qualitative data collection and analysis methods. Data were collected through face-to-face in-depth interviews using semi-structured interview guides collecting information on women’s perceptions on perinatal care. A total of 14 in depth interviews were conducted with women delivering at Chiradzulu District Hospital from February to March 2011. The women were asked how they perceived the care they received from health workers during antepartum, intrapartum and postpartum. They were also asked about the information they received during provision of care. Data were manually analyzed using thematic analysis. Two themes from the study were good care and unsatisfactory care. Subthemes under good care were: respect, confidentiality, privacy and normal delivery. Providers’ attitude, delay in providing care, inadequate care, and unavailability of delivery attendants were subthemes under unsatisfactory care. Although the results show that women wanted to be well received at health facilities, respected, treated with kindness, dignity and not shouted at, they were not critical of the care they received. The women did not know the quality of care to expect because they were not well informed. The women were not critical of the care they received because they were not aware of the standard of care. Instead they had low expectations. Health workers have a responsibility to inform women and their families about the care that women should expect. There is also a need for standardization of the antenatal information that is provided.en
dc.identifier.citationReproductive Health 9(2012) nr. 30en
dc.identifier.cristinIDFRIDAID 1010019
dc.identifier.doihttp://dx.doi.org/10.1186/1742-4755-9-30
dc.identifier.issn1742-4755
dc.identifier.urihttps://hdl.handle.net/10037/5003
dc.identifier.urnURN:NBN:no-uit_munin_4703
dc.language.isoengen
dc.publisherBioMed Centralen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en
dc.titleDo Malawian women critically assess the quality of care? A qualitative study on women’s perceptions of perinatal care at a district hospital in Malawien
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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