Sociocultural, political, and health system-related determinants of perinatal deaths in Jordan from the perspectives of health care providers: a qualitative study.

Autor:	Khader YS; Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan., Bawadi H; Maternal and Child Health Nursing Department, The University of Jordan, Amman, Jordan., Khasawneh W; Department of Pediatrics and Neonatology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan., Alyahya MS; Department of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan., Shattnawi K; Department of Maternal and Child Health Nursing, Jordan University of Science and Technology, Irbid, Jordan., Al-Sheyab NA; Child and Maternal Health Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan., Al Obeisat S; Maternal-Child Health Nursing Department, Faculty of Nursing/WHO Collaborating Center, Jordan University of Science and Technology, Irbid, Jordan., Asad M; Non-Communicable Diseases, MOH, Amman, Jordan., Khatatneh K; Department of Computer Science, Al-Balqa Applied University, Salt, Jordan., Alkhdour MM; Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan., Al-Hamdan Z; Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan., Batieha A; Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Jazyk:	angličtina
Zdroj:	The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2022 Jul; Vol. 35 (14), pp. 2765-2774. Date of Electronic Publication: 2020 Jul 29.
DOI:	10.1080/14767058.2020.1800632
Abstrakt:	Background: Perinatal mortality is a fundamental indicator of the quality of the healthcare provided to women during pregnancy and childbirth, as well as the healthcare provided to neonates in the first week of life. At the national level, determining the direct and indirect causes of these deaths is vital, as it will assist in tracking the quality of antenatal, natal and postnatal care and help to detect the areas for avoidance. This study aimed to identify the main determinants of perinatal deaths in Jordan from the perspectives of health care providers (HCPs). Methods: A descriptive qualitative approach using focus group discussion was used. Four focus groups were conducted in each of the four hospitals where the approached HCPs are employed. An average of 5 HCPs were interviewed in each focus group with a total of 80 HCPs participating in the 16 focus groups. Thematic analysis was carried out to analyze the data. Results: The HCPs provided a detailed description of the determinants of perinatal and neonatal death from their points of view. Four main themes with multiple subthemes emerged, namely maternal factors (ignorance, concealment of medical condition, and husbands' negligence), sociocultural factors (socioeconomic status, tribal and consanguineous marriage, and harmful cultural practices), political factors (early marriage driven by displacement and war consequences on maternal health), and health system-related factors (services management including capabilities and logistics, overcrowding of emergency rooms, discharge against medical advice, and unskilled general practitioners in private maternity clinics). Conclusions: As perceived by HCPs, maternal factors, sociocultural factors, political factors, and health system-related factors are the main determinants of perinatal deaths in Jordan. Improvement in the quality of maternal and neonatal health care services, maternal health education, and maternity staff training are strongly recommended.
Databáze:	MEDLINE
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