Perceptions of women of reproductive age towards maternal death in Qaukeni sub-District, Eastern Cape Province, South Africa: A qualitative study

Nomahlubi Dorcas Mayekiso, Daniel Ter Goon, Nonceba Vellem, Uchenna Benedine Okafor, Ntombana M. Rala

Abstract

Maternal mortality is a global problem, particularly in developing countries. This study explored perceptions, knowledge and attitudes of women of reproductive age concerning maternal deaths in Qaukeni Sub-District, Eastern Cape Province, South Africa. This was a community-based qualitative study using using in-depth interviews among women of reproductive age. Data was analyzed using thematic analysis.  The study found some of the mothers knew the causes, signs and symptoms of pregnancy as well as danger signs during pregnancy such as haemorrhage, sepsis, high blood pressure and complications of unsupervised home deliveries, while others had little knowledge about these signs and symptoms. The participants indicated that using herbal medications during pregnancy could result to serious complications and even maternal death. Women do not attend antenatal care because of the long distances, absence of clinics, shortage of nurses and doctors; thus, predisposing women to deliver at homes with the assistance of traditional birth attendants, who had limited knowledge related to health issues and the Prevention of Mother-to-Child-Transmission programme. The findings indicated that some women are knowledgeable about the causes of maternal deaths during pregnancy as well as the signs and symptoms of pregnancy. Health education during pregnancy and provision of better resources would help improve the maternal health of women in this rural setting. (Afr J Reprod Health 2020; 24[4]: 147-163).

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References

World Health Organisation. Women health. Fact sheet

No 334, Geneva: WHO, 2013.http://www.who.int/mediacentre/factsheets/fs334/en. Accessed 5th May 2017.

World Health Organisation. Maternal mortality. Factsheet

No 348; 2012.

Nyiongabo P, Douwes R, Dieleman M, Irambona F,

Mategeko J, Nsengiyumva G and De Cock Buning, T. “Ways andchannels for voice regarding perceptions of maternal health care services within the communities of the Makamba and Kayanza provinces in the Republic of Burundi: an exploratory study”. BMC Health Services Res 2018; 18:46.

Hofman JJ and Mohammed H. Experience with facility

based maternal death reviews in Northern Nigeria, Int J Gynaecol 2014; 126(2):111-114.

Oxaal Z and Baden S. Challenges to women’s

reproductive health: maternal mortality: Bridge Development Gender, report No. 38; 1996

Garrene M, Kahn K, Collinson MA, Gomex-Olive FX

and Tollman S. Maternal mortality in rural South Africa: The impact of case definition on levels and trends. Int J Women's Health 2013; 5:457-463.

Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M,

Makela SM, Lopez AD, Lozano R and Murray CJL. Maternal mortality for 181 countries, 1980-2008: A systematic analysis of progress towards Millenium Development Goal 5. The Lancet, 2010; 375(9730): 1609-1623.

Pattinson RC. Saving Mothers: Report on Confidential

Enquiries into Maternal Deaths in South Africa 1998. Pretoria: Department of Health, 1998.

Republic of South Africa Department of Health, 2018.

Saving mothers 2014-2016 :seventh triennal report on confidential enquiries into maternal deaths in South Africa, Available at: https://www.sasog.co.za/Content/Docs/Saving_Mothers.pdf. Accessed on 9th May2018.

Rala N. Barriers to quality care during intrapartum in

Buffalo City, Eastern Cape Province, South Africa. Afr J Phys Health Edu Recr Dance 2013; 19(Suppl 4):152-159.

De Waal M. Eastern Cape's so-called health system: In

dire need of resuscitation. Daily Maverick 2012.

Zuzile M. Teams to probe OR Tambo maternal deaths.

Daily Dispacth. Daily Dispatch Newspaper, 22 October, 2013. Available at: https://www.dispatchlive.co.za/news/2013-10-22-team-to-probe-ort-maternal- deaths/. Accessed on 24th August 2017.

Jogdand KS, Pravin N and Jogdand YM. A perception of

maternal mortality among women in an urban slum area of South India. Int J Recent Trends Sci Technol. 2013; 8(1):49-51.

Okonofua F, Ogu R, Agholor K, Okike O, Abdus-Salam

R, Gana M, Randawa A, Abe E, Durodola A, Galadanci H and WHARC WHO FMOH MNCH Implementation Research Study Team. Qualitative assessment of women’s satisfaction with maternal health care in referral hospitals in Nigeria. Reprod

Health 2017; 14:44.

Ebuehi OM and Akintujoye IA. Perception and

utilisation of traditional birth attendants by pregnant women attending primary health care clinics in a rural Local Government Area in Ogun State, Nigeria. Int J Women’s Health 2012; 4: 25-34.

Abdulkarim GM, Mohammed BK and Abubakar K.

Community perceptions of maternal mortality in Northeastern Nigeria. Afr J Reprod Health 2008; 12(3): 27-34.

Butawa NN, Tukur B, Idris H, Adiri F and Taylor KD.

Knowledge and perceptions of maternal health in Kaduna State, Northern Nigeria. Afri J Reprod Health 2010; 14(3):71-76.

Rööst M, Johns Dotter S, Liljestrand J and Essen B. A

qualitative study of conceptions and attitudes regarding maternal mortality among traditional birth attendants in rural Guatemala. Int J Obstetr Gynaecol. 2004; (111) : 1372–1377.

Kambala C, Lohmann J, Mazalale J, Brenner S, Sarker

M, Muula AS and De Allegr M. Perceptions of quality across the maternal care continuum in the context of a health financing intervention: Evidence from a mixed methods study in rural Malawi. BMC Health Services Research, 2017; 17:392.

Capurchande R, Coene G, Roelens K and Meulemans H.

“If I have only two children and they die…wo will take care of me?”-a qualitative study exploring knowledge, attitudes and practices about family planning among Mozambican female and male adults. BMC Women’s Health 2017; 17: 66.

Sychareu V, Somphet V, Chaleunvong K, Hansana V,

Phengsavanh A, Xayavong S and Popenoe R. Perceptions and understandings of pregnancy, antenatal care and postpartum care among rural Lao women and their families. BMC Pregn Childbirth 2016; 16:245.

Byrne A, Caulfield T, Onyo P, Nyagero J, Morgan A,

Nduba J and Kermode M. Community and provider perceptions of traditional and skilled birth attendants providing maternal health care for pastoralist communities in Kenya: a qualitative study. BMC Pregn Childbirth 2016; 16:43.

Petrucka P, Bassendowski S, Dietrich-Leurer M, Spence-

Gress C, Athuman Z and Buza J. Maternal, newborn and child health needs, opportunities and preferred futures in Arusha and Ngorongoro: hearing women’s voices. BMC Res Notes 2015; 8:773.

District Health Information System. Department of

Health, Pretoria, 2014.

Moyer CA, Dako-Gyeke P and Adam RM. Facility-

based delivery and maternal and early neonatal morality in sub-Saharan Africa: a regional review of the literature. Afr J Reprod Health 2013; 17(3): 30-43.

Mannava P, Durrant K, Fisher J, Cherish M and Luchters

S. Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review. Global and Health 2015; 11:36.

Brink H, Van De Walt C and van Rensburg G.

Fundamentals of Research Methodology for Health Care Professionals. Juta & Co. Ltd, Cape Town; 2013.

Joubert G and Ehrlich R. Epidemiology: A research

manual for South Africa. Oxford University Press Southern Africa (PTY) Ltd. Cape Town; 2007.

Creswell J. Research Design, qualitative, quantitative

and mixed methods approaches, Los Angeles: Sage; 2014.

Babbie ER and Mouton J. The practise of social research.

th edition. Cape Town, South Africa: Oxford University Press, 2011.

Hadayat A, Amasha SS, Manar F and Heeba HF.

Maternal awareness of pregnancy and abnormal signs: An exploratory descriptive study. J Nurs Health Sci. 2013; 2(5):39-45.

Waiswa P, Kallander K, Peterson S, Tomson G and

Pariyo GW. Using the three delays model to understand why newborn babies die in eastern Uganda. Trop Med Int Health 2010; 15(8): 964-972.

Kidanto HL, Mogren I, van Roosmalen J, Thomas AN,

Massawe SN, Nystrom L, and Lindmark G. Introduction of a qualitative perinatal audit at Muhimbili National Hospital, Dar es Salaam, Tanzania. BMC Preg Childbirth 2009; 9(1): 45.

Wall SN, Lee AC, Carlo W, Goldenberg R, Niermeyer S,

Darmstadt GL, Keenan W, Bhutta ZA, Perlman J and Lawn JE. Reducing intrapartum-related neonatal deaths in low-and middle-income countries-what works? Semin Perinatol. 2010; 34(6):395-407.

Azuh DE, Azuh AE, Iweala EJ, Adeloye D, Akanbi M

and Mordi RC. Factors influencing maternal mortality among rural communities in Southern Nigeria. Int J Women’s Health 2017;9:179-188.

Say L, Chou D, Gemmill A, Tuncalp O, Moller AB,

Daniels J, Gülmezoglu AM, Temmerman M, and Alkema L. Global causes of maternal death; a WHO sysytematic analysis. The Lancet 2014; 2(6):e323-e333.

Pattinson B. Reducing direct causes of maternal death.

South Afr J Obstet Gynaecol. 2013;19(3): 59-60.

International Council of Nurses. The International Code

of Nurses, 3, place Jean-Marteau, Geneva, Switzerland, 2012.

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