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Patients and health care workers perceived challenges in managing preeclampsia, in Malawi.
Ngwira, Memory M; Gadama, Luis A; Shanmugalingam, Renuka; Makris, Angela; Hennessy, Annemarie.
Afiliación
  • Ngwira MM; Western Sydney University, Sydney, Australia; Kamuzu University of Health Sciences, Malawi; Heart Research Institute, University of Sydney, Sydney, Australia. Electronic address: moque87@gmail.com.
  • Gadama LA; Western Sydney University, Sydney, Australia; Kamuzu University of Health Sciences, Malawi.
  • Shanmugalingam R; Western Sydney University, Sydney, Australia; WHITU, South Western Sydney Local Health District, Sydney, Australia; South Western Sydney School of Medicine, University of New South Wales, Sydney, Australia.
  • Makris A; Western Sydney University, Sydney, Australia; WHITU, South Western Sydney Local Health District, Sydney, Australia; Heart Research Institute, University of Sydney, Sydney, Australia; South Western Sydney School of Medicine, University of New South Wales, Sydney, Australia.
  • Hennessy A; Western Sydney University, Sydney, Australia; WHITU, South Western Sydney Local Health District, Sydney, Australia; Heart Research Institute, University of Sydney, Sydney, Australia.
Pregnancy Hypertens ; 35: 61-65, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38244242
ABSTRACT

OBJECTIVES:

This study investigated perceptions of the challenges for patients and health care workers (HCW) in dealing with preeclampsia in Blantyre, Malawi.

METHODS:

A descriptive cross-sectional formative study using semi-structured In-Depth Interviews (IDI) was conducted at Queen Elizabeth Central Hospital (QECH), Malawi. Data was analyzed using NVIVO™ software. Thematic content analysis was used to analyze and interpret the findings. Emerging themes were then developed inductively and deductively. Patients were interviewed who recently had preeclampsia.

RESULTS:

Stress, lack of information, physical symptoms, delay in receiving care were identified challenges to better care among patients as well as the impact of poor pregnancy outcomes. Late diagnosis, staff burn out, inadequate skills and lack of resources were expressed as challenge to provide better management by the interviewed HCWs.

CONCLUSION:

Our study showed that a diagnosis of preeclampsia is challenging to both patients and HCWs. These challenges need to be addressed carefully at all levels for optimal management of preeclampsia in Malawi, Africa and in order to improve outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Preeclampsia Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Pregnancy Hypertens Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Preeclampsia Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Pregnancy Hypertens Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos