Title : Nurse/Midwives knowledge, involvement and barriers in the implementation of maternal and perinatal death review(MPDR) for reduction of maternal mortality in Lagos Nigeria
The understanding of exactly why women dies in pregnancy or around the time of childbirth is a crucial first step towards preventing other women from dying in the same way. This led to this study, aimed at assessing the nurse/midwives’ knowledge, level of involvement and barriers to implementation of findings from Maternal Perinatal Death Review (MPDR) for reduction of maternal mortality in Lagos State.
This project was carried out amidst Nurses and midwives in selected healthcare facilities. Questionnaires were used as test instruments for data collection and were administered on required sample size of 337 using an estimated response rate of 80% of estimated sample size. Open and closed ended questions were used to obtain data from the respondents. In addition, 422 questionnaires were distributed and 302 were returned which was acceptable for this study. The researcher used the descriptive statistics in processing and interpretation of the data collected, which were based on the response of the participants.
It was discovered that Nurses/midwives had knowledge of MPDSR policy as a strategy for reduction of maternal mortality in Lagos State. It was also observed that the Nurses/Midwives were closely involved in the implementation of MPDSR in selected facilities in Lagos State as 87.1% of the respondents had participated in MPDSR.
The findings also revealed that there are constraints/barriers encountered by the Nurses/Midwives in the implementation of findings from MPDSR for reduction of maternal mortality in Lagos State.
The findings of the two hypotheses tested revealed that, there is significant influence of educational qualification on nurse/midwife’s knowledge of MPDRX2cal = 11.158, df = 2, p = 0.004 at 0.05 level of significance. Since X2cal = 11.158 > X2tab = 5.99 at 0.05 level of significance. Also, there is significant influence of nurses/midwives level of knowledge of MPDR on implementation of MPDR, X2cal = 11.398, df = 4, p = 0.004 at 0.02 level of significance. Since X2cal = 11.398 > X2tab = 9.49 at 0.05 level of significance.
In conclusion, the research work recommended that training of nurses/midwives is essential for adequate knowledge, involvement and effective implementation of MPDSR policies. Provision of adequate materials and equipment should be made available for Nurses to function effectively. Prompt and adequate feedback to nurse/midwives on MPDSR meetings and activities cannot be over-emphasized. Team work is very important for quick intervention and realization of MPDSR objectives in the State.
Audience Take Away Notes:
1. MPDSR policy is a strategy adopted for reduction of maternal mortality in Lagos State
2. Nurses/Midwives are closely involved in the implementation of MPDSR in Lagos State
3. There are constraints/barriers encountered by the Nurses/Midwives in the implementation of findings from MPDSR