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Factors contributing to self-referrals of antenatal women for delivery at Dilokong Hospital, Grater Tubatse Local MunicipalityMagoro, Salphy Mamoropo January 2015 (has links)
Thesis (M. Cur.) --University of Limpopo, 2015 / The purpose of this study was to determine the factors that were contributing to selfreferrals
of antenatal women at the Dilokong Hospital in the Tubatse Local
Municipality. By employing a quantitative, non-experimental research method, 360
women completed and submitted a structured questionnaire. Validity and reliability
were insured by pre-testing the data collection instrument on respondents who were
not part of the main study. Data was analysed by using the SPSS and Excel computer
programs with the assistance of a statistician. The age group between 21 and 30
years 197 (54.7%) was larger than the other age groups. Primigravida women
represented less than half 147 (40.3%) of the respondents. These women were also
supposed to be referred to the hospital for delivery; however, only 23.3% of the women
were referred to the hospital for delivery. The choice of the delivery site was influenced
by a lack of women’s knowledge about the referral system and of services offered at
the clinics, as well as the unavailability of doctors, midwives, food, equipment, enough
space for delivery at the clinics, and the perceptions that nurses and midwives were
rude. The government should ensure that the clinics are provided with adequate
human resources and other resources that are needed for providing these health
services. Pregnant women should be given referral letters and information with regard
to where they are supposed to deliver.
Key concepts: Antenatal women, self-referral, referral system, and Primary Health
Care (PHC).
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Factors contributing to the increased perinatal mortality rate in Limpopo provinceMaesela, Phogole Crawford 10 1900 (has links)
The purpose of the study was to determine the causes, of the increased perinatal
mortality, identify and describe other factors contributing to the increased perinatal
mortality rate in a rural healthcare facility situated in Sekhukhune district in Limpopo
province, and to formulate the recommendations that will reduce the perinatal mortality
rate based on the results. A quantitative, descriptive, cross-sectional and retrospective
design was conducted. The study population was one hundred and sixty two (162)
records of babies who died in the perinatal facility from the 1st January 2015 to the 31st
December 2015 with a gestational age of about 28 weeks or more. No sampling was
done, but a census was used. The sample comprised of one hundred and sixty two (162)
of all the records related to perinatal mortality. Data were collected from patients’ records
by using a checklist. Analysis of the data was performed by the IBM Statistical Package
for Social Sciences (SPSS) version 14 computer software. Frequency tables and pie
graphs were used to present the data.
The results indicated that 75.3% (n=122) of the records were associated with health
personnel as a factor contributing to perinatal mortality. Furthermore, preterm cases
accounted for 45.1% (n=73) and prematurity accounted for 37.0% (n=60) of the cases of
perinatal mortality. Therefore, preterm births and prematurity are risk factors that should
be managed immediately after birth, and all babies should be managed prior to being
transferred to the other healthcare institutions.
The recommendations are that the education of patients about early antenatal visit, signs
of labour and danger signs during pregnancy and training of healthcare workers on
record-keeping have to be done on a continuous basis. Managers should conduct quality
improvement programmes, benchmarking and implement maternal and neonatal
guidelines in the clinical area throughout pregnancy. / Health Studies / M. P. H. (Health Studies)
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Factors contributing to sub-standard intrapartrum care in maternity wards of selected hospitals in the Mopani District, Limpopo ProvinceMabunda, Sonia Sokufa 18 September 2017 (has links)
MCur / Department of Advanced Nursing Sciences / See the attached abstract below
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