‘It needs a complete overhaul…’ district manager perspectives on the capacity of the health system to support the delivery of emergency obstetric care in an urban South African district

References

• World Health Organisation. Everybody’s business, strengthenning health systems to improve outcomes: WHO’s framework for action. Geneva: World Health Organisation; 2007.
   Google Scholar
• Rana TG, Chataut BD, Shakya G, et al. Strengthening emergency obstetric care in Nepal: the Women’s Right to Life and Health Project (WRLHP). Int J Gynaecol Obstet. 2007;98:271–9.
   Web of Science ®Google Scholar
• Paxton A, Maine D, Freedman L, et al. The evidence for emergency obstetric care. Int J Gynecol Obstet. 2005;88:181.
   PubMed Web of Science ®Google Scholar
• Bhutta Z, Das J, Bahl R, et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 2014;384:347–370.
   Web of Science ®Google Scholar
• United Nations. The millennium development goals report 2015. New York, US: Department of Economic and Social Affairs UN; 2015.
   Google Scholar
• Hunt P, de Mesquita J. Reducing maternal mortality: the contribution of the right to the highest attainable standard of health. Essex, UK: UNFPA; 2015.
   Google Scholar
• Pinzón-Flórez C, Fernández-Niño J, Ruiz-Rodríguez M, et al. Determinants of performance of health systems concerning maternal and child health: a global approach. Plos One. 2015;10:e0120747.
   Web of Science ®Google Scholar
• National Committee of Confidential Enquiries into Maternal Deaths. Saving mothers 2011–2013: sixth report on the confidential enquiries into maternal deaths in South Africa. 6th ed. Pretoria: Department of Health; 2014.
   Google Scholar
• Sayinzoga F, Bijmakers L. Drivers of improved health sector performance in Rwanda: a qualitative view from within. BMC Health Serv Res. 2016;16.
   Web of Science ®Google Scholar
• Keyes EB, Haile-Mariam A, Belayneh NT, et al. Ethiopia’s assessment of emergency obstetric and newborn care: setting the gold standard for national facility-based assessments. Int J Gynaecol Obstet. 2011;115:94–100.
   Web of Science ®Google Scholar
• National Committee of Confidential Enquiries into Maternal Deaths. Saving mothers 2008–2010: 5th report on the confidential enquiry into maternal deaths South Africa. Pretoria: National Department of Health; 2012.
   Google Scholar
• Samuels F, Amaya A, Balabanova D. Drivers of health system strengthening: learning from implementation of maternal and child health programmes in Mozambique, Nepal and Rwanda. Health Policy Plan. 2017;32:1015–1031.
   Google Scholar
• Hoffman S, Røttingen J, Bennett S, et al. Background paper on conceptual issues related to health systems research to inform a WHO global strategy on health systems research. Geneva: Alliance for Health Policy and Systems Research; 2012.
   Google Scholar
• Chee G, Pielemeier N, Lion A, et al. Why differentiating between health system support and health system strengthening is needed. Int J Health Plann Manage. 2013;28:85–94.
   PubMed Web of Science ®Google Scholar
• Muldoon K, Galway L, Nakajima M, et al. Health system determinants of infant, child and maternal mortality: a cross-sectional study of UN member countries. Globalisation Health. 2011;7:42.
   Web of Science ®Google Scholar
• Farmer PE, Nutt CT, Wagner CM, et al. Reduced premature mortality in Rwanda: lessons from success. BMJ. 2013;346:f65.
   Web of Science ®Google Scholar
• Binagwaho A, Farmer PE, Nsanzimana S, et al. Rwanda 20 years on: investing in life. Lancet. 2014;384:371–375.
   PubMed Web of Science ®Google Scholar
• Bucagu M, Kagubare J, Basinga P, et al. Impact of health systems strengthening on coverage of maternal health services in Rwanda, 2000–2010: a systematic review. Reprod Health Matters. 2012;30:50–61.
   Web of Science ®Google Scholar
• Greenhalgh T, Stones R. Theorising big IT programmes in healthcare: strong structuration theory meets actor-network theory. Soc Sci Med. 2010;70:1285–1294.
   PubMed Web of Science ®Google Scholar
• Veillarda J, Brown A, Barış E, et al. Health system stewardship of National Health Ministries in the WHO European region: concepts, functions and assessment framework. Health Policy. 2011;103:191–199.
   Web of Science ®Google Scholar
• Ergo A, Eichler R, Koblinsky M, et al. Strengthening shealth systems to improve maternal, neonatal and child health outcomes: a framework. 2011.
   Google Scholar
• Scott V, Schaay N, Olckers P, et al. Exploring the nature of governance at the level of implementation for health system strengthening: the DIALHS experience. Health Policy Plan. 2014;29.
   Web of Science ®Google Scholar
• World Health Organisation. Leadership and governance. Geneva: World Health Organisation; 2010.
   Google Scholar
• National Committee of Confidential Enquiries into Maternal Deaths. Saving mothers 2014–2016: seventh triennial report on confidential enquiries into maternal deaths in South Africa: short report. Saving mothers, 7th Edition. Pretoria: National Department of Health; 2017.
   Google Scholar
• Frank K, Lombaard H, Pattinson R. Does completion of the Essential Steps in Managing Obstetric Emergencies (ESMOE) training package result in improved knowledge and skills in managing obstetric emergencies? SAJOG. 2009;15:94.
   Google Scholar
• National Department of Health. Essential steps in the management of common conditions associated with maternal mortality. Health NDo, Editor. Pretoria: Government of South Africa; 2007.
   Google Scholar
• National Department of Health. Maternal care guidlines South Africa A manual for clinics, community health centers, and hospitals. 2015.
   Google Scholar
• Maswime S, Buchmann E. Inequities in resources and preparedness for surgical complications of caesarean section in southern Gauteng hospitals. SA J Obstr. 2016;22:21–24.
   Google Scholar
• Rispel L, Blaauw D. The health system consequences of agency nursing and moonlighting in South Africa. Glob Health Action. 2015;11:26683.
   Web of Science ®Google Scholar
• Munyewende P, Rispel L. Using diaries to explore the work experiences of primary health care nursing managers in two South African provinces. Glob Health Action. 2014;7:25323.
   Google Scholar
• Pattinson RC, Makin JD, Pillay Y, et al. Basic and comprehensive obstetric emergency and neonatal care in 12 South african districts. South Afr Med J. 2015;105:256–260.
   PubMed Web of Science ®Google Scholar
• Rispel L. Analysing the progress and fault lines of health sector transformation in South Africa. In: Padarath A, editor. South African health review 2016. Durban: Health Systems Trust; 2016. p. 17.
   Google Scholar
• Sayinzoga F, Biljmakers L, van Dillen J, et al. Maternal death audit in Rwanda 2009–2013: a nationwide facility-based retrospective cohort study. BMJ Open. 2016;6:320–323.
   Web of Science ®Google Scholar
• Sayinzoga F, Bijlmakers L, van der Velden K, et al. Severe maternal outcomes and quality of care at district hospitals in Rwanda- a multicentre prospective case-control study. BMC Pregnancy Childbirth. 2017;17:394.
   Web of Science ®Google Scholar
• Mathole T, Lembani M, Jackson D, et al. Leadership and the functioning of maternal health services in two rural district hospitals in South Africa. Health Pol Plann. 2018;33.
   Web of Science ®Google Scholar
• Thwala S, Blaauw D, Ssengooba F. Measuring the preparedness of health facilities to deliver emergency obstetric care in a South African district. PloS ONE. 2018;13:e0194576.
   Web of Science ®Google Scholar
• Statistics South Africa. Census 2011 municipal report – Gauteng. Africa SS, Editor. Statistics South Africa Pretoria; 2012. Available from: http://www.statssa.gov.za/census/census_2011/census_products/GP_Municipal_Report.pdf
   Google Scholar
• Massyn N, Peer N, Padarath A, et al. District health barometer 2014/15. Durban: Health Systems Trust; 2014.
   Google Scholar
• Ibrahim A. Thematic analysis: a critical review of its process and evaluation. West East J Social Sci. 2012;1:396.
   Google Scholar
• Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psych. 2006;3:77–101.
   Google Scholar
• Denzin N, Lincoln Y. Handbook of qualitative research. 2nd ed. Newbury Park, CA: Sage; 2000.
   Google Scholar
• Duffield C, Roche M, Blay N, et al. The consequences of executive turnover. J Res Nurs. 2011;16:503–514.
   Google Scholar
• Kruk M, Gage S, Joseph N, et al. Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. Lancet. 2018;392:2203–2212.
   Web of Science ®Google Scholar
• Larson E, Vail D, Mbaruku GM, et al. Beyond utilization: measuring effective coverage of obstetric care along the quality cascade. Int J Qual Health Care. 2017;29:104–110.
   Web of Science ®Google Scholar
• Nnebue C, Ebenebe U, Duru C, et al. Availability and continuity of care for maternal health services in the primary health centres in Nnewi, Nigeria (January–March 2010). Int J Prev Med. 2016;7:44.
   Web of Science ®Google Scholar
• Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund. 1966;1966:691–729.
   Google Scholar
• Banchani E, Tenkorang E. Implementation challenges of maternal health care in Ghana: the case of health care providers in the Tamale Metropolis. BMC Health Serv Res. 2014;14.
   Web of Science ®Google Scholar
• Chan M. Return to Alma-Ata. Lancet. 2008;372:865–866.
   PubMed Web of Science ®Google Scholar
• Bhutta Z, Ali S, Cousens S, et al. Interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make? Lancet. 2008;372:972–989.
   PubMed Web of Science ®Google Scholar
• Gabrysch S, Simushi V, Campbell OM. Availability and distribution of, and geographic access to emergency obstetric care in Zambia. Int J Gynaecol Obstet. 2011;114:174–179.
   PubMed Web of Science ®Google Scholar
• Paxton A, Bailey P, Lobis S, et al. Global patterns in availability of emergency obstetric care. Int J Gynecol Obstet. 2006;93:300–307.
   PubMed Web of Science ®Google Scholar
• World Health Organisation. Monitoring emergency obstetric care: a handbook. Emeregncy onstetric care, ed. Organisation WH. Geneva: World Health Orgnisation; 2009.
   Google Scholar
• Segatti A, Landau L. Contemporary migration to South Africa: a regional development Issue. Washington D.C: The International Bank for Reconstruction and Development/The World Bank; 2011.
   Google Scholar
• Chersich MF, Blaauw D, Dumbaugh M, et al. Local and foreign authorship of maternal health interventional research in low- and middle-income countries: systematic mapping of publications 2000–2012. Global Health. 2016;12:35.
   Web of Science ®Google Scholar
• Munyewende P, Rispel L, Chirwa T. Positive practice environments influence job satisfaction of primary health care clinic nursing managers in two South African provinces. Hum Resour Health. 2014;12.
   PubMed Web of Science ®Google Scholar
• Public Health and Social Development Sectoral Bargaining Council. Agreement on implementation of an occupational specific dispensation for nurses, Resolution 3 of 2007. 2007.
   Google Scholar
• Public Health and Social Development Sectoral Bargaining Council. Occupational specific dispensation for medical officers, medical specialists, dentists, dental specialists, pharmacologists, pharmacists, and emergency care practitioners, resolution 3 of 2009. 2009.
   Google Scholar