What question did this study set out to answer?

To examine the relative contribution of each stage in the three delays model to maternal mortality in the context of expanded healthcare coverage.

July 12, 2017BMC Pregnancy and ChildbirthOpen Access

Factors associated with maternal mortality in Malawi: application of the three delays model

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Authors

FMFlorence MgawadereUniversity of Liverpool RURegine UnkelsKarolinska Institutet AKAbigail KazembeKamuzu Central Hospital

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Implication

Mortality survey reveals facility-based care delays drive most deaths in pregnant women, highlighting the critical need for improved clinical quality.

Key Points

To examine the relative contribution of each stage in the three delays model to maternal mortality in the context of expanded healthcare coverage.
Conducted a 12-month reproductive age mortality survey (RAMOS) in Malawi, identifying N=151 maternal deaths.
Used verbal autopsies and facility-based medical record reviews to analyze delays across three cohorts: women dying at a facility, women dying at home after accessing care, and women dying at home without care.
A total of 62.2% (94/151) of maternal deaths occurred in a healthcare facility, and 21.2% (32/151) occurred at home after accessing care.
Type 3 delays (delays in receiving adequate care) were identified in 96.8% of women who reached or accessed a healthcare facility, driven by long wait times, admission holdups, drug shortages, and absent or unskilled staff.
Type 2 delays (reaching a facility) occurred in 59.6% of all cases primarily due to distance, Type 1 delays (deciding to seek care) affected 39.7%, and 52.1% of facility deaths involved multiple delays.

Cite This Study

Mgawadere et al. (2017) studied this question.

synapsesocial.com/papers/69ffa1d66be84a7ac8854ba4 https://doi.org/10.1186/s12884-017-1406-5

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Implication

Mortality survey reveals facility-based care delays drive most deaths in pregnant women, highlighting the critical need for improved clinical quality.

Factors associated with maternal mortality in Malawi: application of the three delays model

Discussion

Member takes

Implication

Key Points

Cite This Study

Factors associated with maternal mortality in Malawi: application of the three delays model

Discussion

Member takes

Implication

Key Points

Cite This Study

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