Missed Opportunity for Neonates to Live: A Cross-Sectional study on Utilization of Peri-Natal Death Audits to address the Causes of Peri-Natal Mortality in District Hospitals of East–Central Uganda.

Authors

  • Christopher Knox Waako Clarke International University, P. O. Box 7782 Kampala, Uganda.
  • Miisa Nanyingi Faculty of Health Sciences, Uganda Martys University, P. O. Box 5498 Kampala, Uganda
  • Simon Peter Katongole Uganda Martys University, P. O. Box 5498 Kampala, Uganda.
  • Christine Atuhairwe Clarke International University, P. O. Box 7782 Kampala, Uganda.
  • Jennipher Mariam Konso Mulago School of Nursing and Midwifery P.O. Box 7051, Kampala, Uganda.
  • Everd Maniple Kabale University School of Medicine, Kabale University, P.O. Box 317 Kabale, Uganda

DOI:

https://doi.org/10.51168/sjhrafrica.v3i9.230

Keywords:

perinatal deaths audits, maternal deaths, Eastern Uganda, neonatal deaths, still births

Abstract

Aim: 

To assess the utilization of PDAs in addressing the avoidable causes of perinatal mortality in the eastern region of Uganda.

Methodology:

 A cross-section design using a mixed method was conducted between 2014-2015 at Iganga, Bugiri, and Kamuli general hospitals in the East-Central region of Uganda. The interviews involved 115 health workers who included Doctors, Nurses/Midwives, Clinical officers, and Laboratory and Theatre staff. These were drawn from four departments including the Maternity ward, Outpatient department, Theatre, and pediatric ward. Hospital top and departmental managers formed the key informants for this study. Annual reports for the period 2009/10-2012/13 were reviewed. In addition, monthly reports for the calendar year 2013 together with patients’ clinical case notes and patients’ registers were also reviewed to determine the magnitude and causes of perinatal mortality. Factors contributing to perinatal death were assessed and categorized into fetal, maternal, and health facility factors.

Results: 

Results revealed a high and rising perinatal mortality rate of 70/1,000 live births and a decreasing maternal mortality ratio of 363/100,000 live births. Most perinatal deaths were fresh stillbirths 48/88 which occurred during the intrapartum period and the majority of early neonatal death was due to birth asphyxia. None of the health facilities was conducting perinatal death audits and the quality of data used for perinatal death audits was inadequate and was scored poorly. Challenges hindering utilization of perinatal death audits included lack of staff sensitization and training, work overload, lack of motivation, fear of blame and litigation, political interference, and lack of support from the community.

Conclusion: 

There was a high prevalence of perinatal deaths in east-central Uganda yet none of the hospitals was conducting perinatal death reviews.

Recommendations:

Health workers should be trained on perinatal death audit tools and guidelines. Records departments to revitalize with tools and personnel for effective data management.

Author Biographies

Christopher Knox Waako, Clarke International University, P. O. Box 7782 Kampala, Uganda.

Is a Senior Lecturer at Clarke International University, Holds an MSc. Hospital Management, MBChB, Dip. Health Tutorship, Diploma in Clinical Medicine, and Community Health.

Miisa Nanyingi, Faculty of Health Sciences, Uganda Martys University, P. O. Box 5498 Kampala, Uganda

Is the dean of Studies at UMU Faculty of Health Sciences, Holds an MPH and MBChB

Simon Peter Katongole, Uganda Martys University, P. O. Box 5498 Kampala, Uganda.

Is an Associate Professor with a PhD in PH, MSc. Hospital Management, BSc. HSM, Dip. Clinical Medicine and Community Health

Christine Atuhairwe, Clarke International University, P. O. Box 7782 Kampala, Uganda.

Is a Senior Lecturer at Clarke International University, a PhDc in Population Studies, holds MPH, MSc. Population and Reproductive Health, BSc. Dev’t Studies.

Jennipher Mariam Konso, Mulago School of Nursing and Midwifery P.O. Box 7051, Kampala, Uganda.

Is a Nurse/Midwifery tutor at Mulago SNM, an MPHc, and holds BSN, Dip. Health Tutorship, RN, RM, EM.

Everd Maniple, Kabale University School of Medicine, Kabale University, P.O. Box 317 Kabale, Uganda

Is a Professor at Kabaale University with a PhD in HSR, MPH, MBChB.

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Published

2022-09-30

How to Cite

Knox Waako, C., Nanyingi, M. ., Katongole, S. P. ., Atuhairwe, C. ., Konso, J. M. ., & Maniple, E. (2022). Missed Opportunity for Neonates to Live: A Cross-Sectional study on Utilization of Peri-Natal Death Audits to address the Causes of Peri-Natal Mortality in District Hospitals of East–Central Uganda. Student’s Journal of Health Research Africa, 3(9), 18. https://doi.org/10.51168/sjhrafrica.v3i9.230

Issue

Section

Section of Obstetrics and Gynecology Research