Perspectives of health workers on the referral of women with obstetric complications: a qualitative study in rural Sierra Leone.
Ryan ProosHanna MathéronJonathan Vas NunesAbdul FalamaPatricia Sery KamalMartin Peter GrobuschThomas van den AkkerPublished in: BMJ open (2020)
Factors identified that complicate timely and adequate referral of women in need of emergency obstetric care must be considered in efforts to reduce maternal mortality. Possible interventions that may reduce delay in referral include increased communication by mobile phones between health workers for advice and feedback regarding referrals, involvement of influential stakeholders to increase women's compliance to referral, and consistent use of standardised management protocols.
Keyphrases
- healthcare
- public health
- primary care
- pregnancy outcomes
- polycystic ovary syndrome
- pregnant women
- mental health
- health information
- emergency department
- quality improvement
- risk factors
- palliative care
- cardiovascular events
- cardiovascular disease
- type diabetes
- pain management
- cervical cancer screening
- adipose tissue
- skeletal muscle
- insulin resistance
- social media
- body mass index
- preterm birth