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Birth Preparedness And Complication Readiness Analysis

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Birth Preparedness And Complication Readiness Analysis
Birth Preparedness and Complication Readiness (BP/CR) is a strategy that was identified to promote the timely use of skilled maternal and neonatal care during antenatal, labour and delivery and postnatal period. According to Johns Hopkins University, JHPIEGO (2004), birth preparedness and complication readiness at the provider level means that midwives and doctors must have the knowledge and skills necessary to treat or stabilize and refer women and new born with complications, and they must employ sound normal birth practices that reduce the likelihood of preventable complications.
This strategy was adopted based on the theory that preparing for childbirth and being ready for complications reduces delays in obtaining this obstetric care.
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Significance of the study
Midwives are the main providers of maternal and neonatal care in Malawi. The study will assist in identifying the gap which may exist in terms of knowledge and practice of midwives towards birth preparedness and complication readiness then appropriate action will be taken. The finding will be shared with relevant authorities who can assist to fill the identified gap. Policy makers will be informed also on the findings and will assist in addressing the challenges that will be identified through the study.
Justification of the study
It was observed that many maternal deaths were due to direct obstetric complications like hemorrhage and also delay in receiving appropriate care contributed to the deaths. Promoting BP and CR on the supply side can reduce delays in receiving (or providing) appropriate care to pregnant and postnatal mothers with obstetric complication at the health facility. It is necessary to conduct this study in order to establish the state of our midwives in terms of birth preparedness and complication readiness. The findings of this study will assist in identifying areas to be address in order to improve the status of our midwives based on the identified
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The skills and performance of the person providing assistance during delivery determine whether complications are managed according to protocol and hygienic practices are observed. Studies have shown that health care workers poor performance during birth and obstetric complication is also a contributing factor to maternal death in Malawi (Thorsen, Sundby, & Malata, 2012; Thorsen, Sundby, Malata, & Meguid, 2014). However, not much has been done in Malawi to look at how prepared our midwives are in terms of knowledge and skills on normal birth and complications which might occur in the process of birth or after birth. Hence the need to conduct the study on assessment of midwives knowledge and practices on birth preparedness and complication readiness in

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