Antenatal Doppler ultrasound implementation in a rural sub-Saharan African setting: exploring the perspectives of women and healthcare providers.
Sam AliOlive KabajaasiMichael G KawooyaJosaphat K ByamugishaDavid ZakusAris T PapageorghiouKerstin Klipstein-GrobuschMarcus J RijkenPublished in: Reproductive health (2021)
We found limited exposure to Doppler ultrasound technology among women and healthcare providers in mid-western Uganda. Engaging male partners may potentially influence the likelihood of accepting and using it to improve the health of women and their fetuses while wide spread myths and misconceptions about it may be changed by community engagement. Healthcare workers experienced difficulties in offering follow-up care to mothers detected with complications and Doppler ultrasound required a high level of training. While introducing advanced ultrasound machines to weak health systems, it is important to adequately train healthcare providers to avoid inappropriate interventions based on misinterpretation of the findings, consider where it is likely to be most beneficial, and embed it with realistic clinical practice guidelines.
Keyphrases
- healthcare
- magnetic resonance imaging
- polycystic ovary syndrome
- pregnancy outcomes
- ultrasound guided
- south africa
- blood flow
- cervical cancer screening
- pregnant women
- contrast enhanced ultrasound
- mental health
- breast cancer risk
- primary care
- physical activity
- quality improvement
- risk assessment
- palliative care
- insulin resistance
- type diabetes
- high speed
- pain management
- men who have sex with men
- adipose tissue
- metabolic syndrome
- mass spectrometry
- affordable care act
- human immunodeficiency virus
- hiv testing