ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2020
Assessing the quality of postnatal care offered to mothers and babies by midwives in Lilongwe District.
Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 34 citations in OpenAlex.
- Converting From Paper to Electronic Charting for a Nurse-Led Programme Serving High-Risk Postpartum Women and Infants in Malawi.Nursing open · 2025Article
- Assessing urban-rural inequality in the primary healthcare system readiness to provide postpartum care for mothers and newborns in Burkina Faso: a Gini index decomposition analysis.International journal for equity in health · 2025Article
- Prevalence of postpartum complications and associated factors among postpartum women in Uganda, a cross-sectional study.BMC pregnancy and childbirth · 2024Article
- Adapting group care to the postpartum period using a human-centered design approach in Malawi.BMC health services research · 2023Article
- Uptake of, barriers and enablers to the utilization of postnatal care services in Thyolo, Malawi.BMC pregnancy and childbirth · 2023Article
- Household Survey Measurement of Newborn Postnatal Care: Coverage, Quality Gaps, and Internal Inconsistencies in Responses.Global health, science and practice · 2021Article
- Exploring areas of improvement in postnatal care services in a tertiary care hospital in Lahore.Pakistan journal of medical sciencesArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe quality of care received by mothers and newborns in low-resource settings is often poor. This may partly explain the high rates of maternal deaths (60%) that occur during the postpartum period in Malawi. However, the quality of care provided to mothers and newborns in the country has not been adequately assessed. Therefore, this study aimed at assessing the quality of postnatal care services offered to mothers and babies by midwives in Lilongwe District.
methodsThis was a quantitative study that used a sample of 58 midwives to assess the quality of postnatal care at three selected health facilities. A structured questionnaire, an observation tool and a facility checklist were used to collect data. Descriptive statistics were used to analyse the data. The study received ethics approval from the relevant authority.
resultsThe study found that the percentages reported by midwives regarding client monitoring varied and were below the 80% threshold. Midwives did not always follow the reproductive health standards on client examination so that less than 75% of midwives inspected perineal wounds (52.2%), checked vital signs of neonate (66.7%) and mother (62.2%), and inspected lochia drainage (30.4%). Most midwives (91.3%) never assessed the emotional state of the mother. Midwives covered a range of topics during health education and counselling. However, some topics, including immunisations (31.1%), were never taught.
conclusionThe study has suggested that the postnatal care offered by midwives at three health facilities was generally substandard and midwives do not always monitor, assess and counsel postnatal clients.
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