Root-Cause Analysis of Persistently High Maternal Mortality in a Rural District of Indonesia: Role of Clinical Care Quality and Health Services Organizational Factors
Joint Authors
Wahabi, Hayfaa A.
Mahmood, Mohammad Afzal
Mufidah, Ismi
Scroggs, Steven
Siddiqui, Amna Rehana
Raheel, Hafsa
Wibdarminto, Koentijo
Dirgantoro, Bernardus
Vercruyssen, Jorien
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-02-22
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Despite significant reduction in maternal mortality, there are still many regions in the world that suffer from high mortality.
District Kutai Kartanegara, Indonesia, is one such region where consistently high maternal mortality was observed despite high rate of delivery by skilled birth attendants.
Method.
Thirty maternal deaths were reviewed using verbal autopsy interviews, terminal event reporting, medical records’ review, and Death Audit Committee reports, using a comprehensive root-cause analysis framework including Risk Identification, Signal Services, Emergency Obstetrics Care Evaluation, Quality, and 3 Delays.
Findings.
The root causes were found in poor quality of care, which caused hospital to be unprepared to manage deteriorating patients.
In hospital, poor implementation of standard operating procedures was rooted in inadequate skills, lack of forward planning, ineffective communication, and unavailability of essential services.
In primary care, root causes included inadequate risk management, referrals to facilities where needed services are not available, and lack of coordination between primary healthcare and hospitals.
Conclusion.
There is an urgent need for a shift in focus to quality of care through knowledge, skills, and support for consistent application of protocols, making essential services available, effective risk assessment and management, and facilitating timely referrals to facilities that are adequately equipped.
American Psychological Association (APA)
Mahmood, Mohammad Afzal& Mufidah, Ismi& Scroggs, Steven& Siddiqui, Amna Rehana& Raheel, Hafsa& Wibdarminto, Koentijo…[et al.]. 2018. Root-Cause Analysis of Persistently High Maternal Mortality in a Rural District of Indonesia: Role of Clinical Care Quality and Health Services Organizational Factors. BioMed Research International،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1125993
Modern Language Association (MLA)
Mahmood, Mohammad Afzal…[et al.]. Root-Cause Analysis of Persistently High Maternal Mortality in a Rural District of Indonesia: Role of Clinical Care Quality and Health Services Organizational Factors. BioMed Research International No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1125993
American Medical Association (AMA)
Mahmood, Mohammad Afzal& Mufidah, Ismi& Scroggs, Steven& Siddiqui, Amna Rehana& Raheel, Hafsa& Wibdarminto, Koentijo…[et al.]. Root-Cause Analysis of Persistently High Maternal Mortality in a Rural District of Indonesia: Role of Clinical Care Quality and Health Services Organizational Factors. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1125993
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125993