Assessment of structural and process readiness for postpartum haemorrhage care in Uganda and Ghana: A mixed methods study

Tancred, Tara ORCID: https://orcid.org/0000-0002-8718-5110, Weeks, AD, Mubangizi, V, Dei, E N, Natukunda, S, Cobb, Chloe, Bates, Imelda ORCID: https://orcid.org/0000-0002-0862-8199, Asamoah-Akuoko, L and Natukunda, B (2024) 'Assessment of structural and process readiness for postpartum haemorrhage care in Uganda and Ghana: A mixed methods study'. PLOS Global Public Health, Vol 6, Issue 4, e100388. (In Press)

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Abstract

Objective
To determine structural and process readiness for postpartum haemorrhage (PPH) care at referral-level facilities in Ghana and Uganda to identify opportunities for strengthening.

Design
Mixed-methods cross-sectional study.

Setting
Three districts in Ghana and two in Uganda.

Population or Sample
Nine hospitals in Ghana and seven in Uganda; all hospitals had theoretical capacity for caesarean section and blood transfusion.

Methods
We deployed a modular quantitative health facility assessment to explore structural readiness (drugs, equipment, staff) complemented by in-depth interviews with maternity health service providers to understand process readiness (knowledge, attitudes, and practices as related to World Health Organization [WHO] guidance on PPH care).

Main Outcome Measures
Availability of essential structural components needed to support key PPH processes of care.

Results
In both countries, there was generally good structural readiness for PPH care. However, key common gaps included inadeq

Item Type:	Article
Subjects:	WB Practice of Medicine > Therapeutics > WB 356 Blood transfusion WQ Obstetrics > Pregnancy Complications > WQ 240 Pregnancy complications (General)
Faculty: Department:	Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):	https://doi.org/10.1111/1471-0528.17953
Depositing User:	Rachel Dominguez
Date Deposited:	01 Oct 2024 08:22
Last Modified:	29 Nov 2024 09:08
URI:	https://archive.lstmed.ac.uk/id/eprint/25314

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