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Development of strategies to facilitate the referral system of high-risk pregnant women between public sections in Bojanala District, North West, South Africa

Thesis (M. (Nursing)) -- University of Limpopo, 2022 / Background:
The referral system is an essential component of the
health system. The system meant to complement the Primary Health
Care (PHC) principle of treating patients close to their homes at the
lowest level of care with the needed expertise.
Aim of the study: The aim of the study is to develop the strategies that
will facilitate the referral system of high-risk pregnant women in between
public sectors in the Bojanala district, North West Province, South Africa.
Objectives of the study:
To explore the referral system of high-risk pregnant women
between public sectors within the Bojanala District, North West
Province, South Africa.
To develop strategies that will facilitate the referral system of high risk pregnant women in the Bojanala District, North West
Province, South Africa.
Methods:
The researcher first obtained permission from the University of
Limpopo Turfloop Research Ethics Committee (TREC), and further
requested permission from the North West Department of Health,
Bojanala District to conduct the study and was granted the permission.
Qualitative, exploratory and descriptive designs were used to explore the
referral system of high-risk pregnant women and to describe the
strategies to facilitate the referral system of high-risk pregnant women in
between public sectors in the Bojanala District, North West, South Africa.
Non-Probability Purposive sampling method was used to select the
midwives and obstetricians to participate in the study until data saturation
was reached. Data were collected through one-on-one interviews using
semi structured Interview Guide. The data were analysed using Tesch‘s
eight steps of data analysis.
Results:
The results of this study revealed that the participants are
knowledgeable about the referral system though they are many
challenges that they encounter when managing high-risk women and
having to refer them. They are aware of the current state of referral
system and made their own suggestions on how to improve the referral
system.
Recommendations: Recommendations were made to facilitate the
referral system of high-risk pregnant women in the North West Province,
Bojanala District. The Department of Health must prioritise the provision
of human and material resources to the district in order to achieve a
better referral system and reducing the maternal and neonatal mortality
as one of the millennium developmental goals.
Conclusion:
The referral system of high-risk pregnant women in the
Bojanala District still has some challenges that need the intervention of
the North West Department of Health to provide enough material and
human resources to the Maternity Section in order to improve current
status and to have an effective referral system

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:ul/oai:ulspace.ul.ac.za:10386/4199
Date January 2022
CreatorsRasekele, Mapula Nelly
ContributorsThopola, M. K., Mathebula, M. G.
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis
Formatxii, 81 leaves
RelationPDF

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