An exploratory study to unveil the behavioral aspects and practical approaches of healthcare providers to detect and manage the post-partum hemorrhage: Insights from the COM-B model

Abstract Objectives This study aimed to determine the perspectives and practical approaches of healthcare providers about the detection and management of PPH in Southern Punjab, Pakistan. Methods The COM-|B model and Theoretical Domains Framework (TDF) were utilized to design this study. Data were collected from the healthcare providers (HCPs) working in gynecology and obstetrics departments of various public and private hospitals after their written consent. A total of 17 in-depth interviews were conducted at time and place convenient to study participants. Data were transcribed, translated and analyzed by inductive thematic analysis and deductive framework analysis in accordance with the constructs of COM-B (Capability, Opportunity, Motivation-Behavior) model and TDF domains. Results Data analysis yielded six themes that were mapped onto the COM-B model and TDF domains. For the detection of PPH, “visual estimation of blood loss” was common practice while for the management practices, all measures mentioned in standard protocols were taken step by step, however, HCPs were unaware of E-MOTIVE as a bundle of care. Conclusion Unfamiliarity of new trends in medical field, unavailability of training and awareness sessions, low healthcare facilities, insufficient blood bank services, no compulsion of updating practices by hospital management negatively impacts the healthcare provider’s decision making regarding PPH detection and management.