Evidence map›Paper›PMID 37095456›Full record

ArticleBMC pregnancy and childbirth2023

Challenges faced by midwives in the implementation of facility-based maternal death reviews in Malawi.

Mercy Dokiso Chirwa, Juliet Nyasulu, Lebitsi Modiba, Makombo Ganga- Limando

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Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mercy Dokiso ChirwaDepartment of Health Studies, University of South Africa, Preller Street, Po Box 392, Pretoria, 0003, South Africa. mercychirwa@yahoo.com.
Juliet NyasuluDivision of Health Systems and Public Health, Department of Global Health, Stellenbosch. University, Cape Town, South Africa.
Lebitsi ModibaDepartment of Health Studies, University of South Africa, Preller Street, Po Box 392, Pretoria, 0003, South Africa.
Makombo Ganga- LimandoDepartment of Health Studies, University of South Africa, Preller Street, Po Box 392, Pretoria, 0003, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal death reviews provide an in-depth understanding of the causes of maternal deaths. Midwives are well positioned to contribute to these reviews. Despite midwives' participation as members of the facility-based maternal death review team, maternal mortality continues to occur, therefore, this study aimed to explore the challenges faced by midwives as they participate in maternal death reviews in the context of the healthcare system in Malawi.

methodsThis was a qualitative exploratory study design. Focus group discussions and individual face-to-face interviews were used to collect data in the study. A total of 40 midwives, who met the inclusion criteria, participated in the study. Data was analyzed manually using a thematic content procedure.

resultsChallenges identified were: knowledge and skill gaps; lack of leadership and accountability; lack of institutional political will and inconsistency in conducting FBMDR, impeding midwives' effective contribution to the implementation of maternal death review. The possible solutions and recommendations that emerged were need-based knowledge and skills updates, supportive leadership, effective and efficient interdisciplinary work ethics, and sustained availability of material and human resources.

conclusionMidwives have the highest potential to contribute to the reduction of maternal deaths. Practice development strategies are required to improve their practice in all the areas they are challenged with.

Indexed as

Maternal DeathMidwiferyNurse MidwivesFemaleHumansMalawiMaternal MortalityPregnancyQualitative ResearchFacility-based maternal death reviewMaternal deathsMidwife challenges

Identifiers

PMID37095456
PMCPMC10124038

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