Assessment of structural and process readiness for postpartum haemorrhage care in Uganda and Ghana: A mixed methods study

Tara Tancred; Andrew D. Weeks; Vincent Mubangizi; Emmanuel Nene Dei; Sylvia Natukunda; Chloe Cobb; Imelda Bates; Lucy Asamoah-Akuoko; Bernard Natukunda

doi:10.1111/1471-0528.17953

Assessment of structural and process readiness for postpartum haemorrhage care in Uganda and Ghana: A mixed methods study

Tara Tancred, Andrew D. Weeks, Vincent Mubangizi, Emmanuel Nene Dei, Sylvia Natukunda, Chloe Cobb, Imelda Bates, Lucy Asamoah-Akuoko, Bernard Natukunda

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Objective

To determine structural and process readiness for postpartum haemorrhage (PPH) care at referral-level facilities in Ghana and Uganda to identify opportunities for strengthening.

Design

Mixed-methods cross-sectional study.

Setting

Three districts in Ghana and two in Uganda.

Population or Sample

Nine hospitals in Ghana and seven in Uganda; all hospitals had theoretical capacity for caesarean section and blood transfusion.

Methods

We deployed a modular quantitative health facility assessment to explore structural readiness (drugs, equipment, staff) complemented by in-depth interviews with maternity health service providers to understand process readiness (knowledge, attitudes, and practices as related to World Health Organization [WHO] guidance on PPH care).

Main Outcome Measures

Availability of essential structural components needed to support key PPH processes of care.

Results

In both countries, there was generally good structural readiness for PPH care. However, key common gaps included inadeq

Original language	English
Pages (from-to)	433-443
Number of pages	11
Journal	BJOG: An International Journal of Obstetrics and Gynaecology
Volume	132
Issue number	4
Early online date	19 Sept 2024
DOIs	https://doi.org/10.1111/1471-0528.17953
Publication status	Published - 1 Mar 2025

Keywords

caesarean
facility readiness
Ghana
postpartum haemorrhage
transfusion
Uganda

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10.1111/1471-0528.17953Licence: CC BY

BJOG - 2024 - Tancred - Assessment of Structural and Process Readiness for Postpartum Haemorrhage Care in Uganda and Ghana Final published version, 279 KBLicence: CC BY

Cite this

Tancred, T., Weeks, A. D., Mubangizi, V., Nene Dei, E., Natukunda, S., Cobb, C., Bates, I., Asamoah-Akuoko, L., & Natukunda, B. (2025). Assessment of structural and process readiness for postpartum haemorrhage care in Uganda and Ghana: A mixed methods study. BJOG: An International Journal of Obstetrics and Gynaecology, 132(4), 433-443. https://doi.org/10.1111/1471-0528.17953

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abstract = "ObjectiveTo determine structural and process readiness for postpartum haemorrhage (PPH) care at referral-level facilities in Ghana and Uganda to identify opportunities for strengthening.DesignMixed-methods cross-sectional study.SettingThree districts in Ghana and two in Uganda.Population or SampleNine hospitals in Ghana and seven in Uganda; all hospitals had theoretical capacity for caesarean section and blood transfusion.MethodsWe deployed a modular quantitative health facility assessment to explore structural readiness (drugs, equipment, staff) complemented by in-depth interviews with maternity health service providers to understand process readiness (knowledge, attitudes, and practices as related to World Health Organization [WHO] guidance on PPH care).Main Outcome MeasuresAvailability of essential structural components needed to support key PPH processes of care.ResultsIn both countries, there was generally good structural readiness for PPH care. However, key common gaps included inadeq",

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author = "Tara Tancred and Weeks, \{Andrew D.\} and Vincent Mubangizi and \{Nene Dei\}, Emmanuel and Sylvia Natukunda and Chloe Cobb and Imelda Bates and Lucy Asamoah-Akuoko and Bernard Natukunda",

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Tancred, T, Weeks, AD, Mubangizi, V, Nene Dei, E, Natukunda, S, Cobb, C, Bates, I, Asamoah-Akuoko, L & Natukunda, B 2025, 'Assessment of structural and process readiness for postpartum haemorrhage care in Uganda and Ghana: A mixed methods study', BJOG: An International Journal of Obstetrics and Gynaecology, vol. 132, no. 4, pp. 433-443. https://doi.org/10.1111/1471-0528.17953

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T1 - Assessment of structural and process readiness for postpartum haemorrhage care in Uganda and Ghana: A mixed methods study

AU - Tancred, Tara

AU - Weeks, Andrew D.

AU - Mubangizi, Vincent

AU - Nene Dei, Emmanuel

AU - Natukunda, Sylvia

AU - Cobb, Chloe

AU - Bates, Imelda

AU - Asamoah-Akuoko, Lucy

AU - Natukunda, Bernard

PY - 2025/3/1

Y1 - 2025/3/1

N2 - ObjectiveTo determine structural and process readiness for postpartum haemorrhage (PPH) care at referral-level facilities in Ghana and Uganda to identify opportunities for strengthening.DesignMixed-methods cross-sectional study.SettingThree districts in Ghana and two in Uganda.Population or SampleNine hospitals in Ghana and seven in Uganda; all hospitals had theoretical capacity for caesarean section and blood transfusion.MethodsWe deployed a modular quantitative health facility assessment to explore structural readiness (drugs, equipment, staff) complemented by in-depth interviews with maternity health service providers to understand process readiness (knowledge, attitudes, and practices as related to World Health Organization [WHO] guidance on PPH care).Main Outcome MeasuresAvailability of essential structural components needed to support key PPH processes of care.ResultsIn both countries, there was generally good structural readiness for PPH care. However, key common gaps included inadeq

AB - ObjectiveTo determine structural and process readiness for postpartum haemorrhage (PPH) care at referral-level facilities in Ghana and Uganda to identify opportunities for strengthening.DesignMixed-methods cross-sectional study.SettingThree districts in Ghana and two in Uganda.Population or SampleNine hospitals in Ghana and seven in Uganda; all hospitals had theoretical capacity for caesarean section and blood transfusion.MethodsWe deployed a modular quantitative health facility assessment to explore structural readiness (drugs, equipment, staff) complemented by in-depth interviews with maternity health service providers to understand process readiness (knowledge, attitudes, and practices as related to World Health Organization [WHO] guidance on PPH care).Main Outcome MeasuresAvailability of essential structural components needed to support key PPH processes of care.ResultsIn both countries, there was generally good structural readiness for PPH care. However, key common gaps included inadeq

KW - caesarean

KW - facility readiness

KW - Ghana

KW - postpartum haemorrhage

KW - transfusion

KW - Uganda

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DO - 10.1111/1471-0528.17953

M3 - Article

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VL - 132

SP - 433

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JO - BJOG: An International Journal of Obstetrics and Gynaecology

JF - BJOG: An International Journal of Obstetrics and Gynaecology

IS - 4

ER -

Assessment of structural and process readiness for postpartum haemorrhage care in Uganda and Ghana: A mixed methods study

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Keywords

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