SciELO - Scientific Electronic Library Online

 
vol.100 issue2FAST scanning in the developing world emergency department author indexsubject indexarticles search
Home Pagealphabetic serial listing  

SAMJ: South African Medical Journal

Print version ISSN 0256-9574

Abstract

GAUNT, C Benjamin. Are we winning? Improving perinatal outcomes at a deeply rural district hospital in South Africa. SAMJ, S. Afr. med. j. [online]. 2010, vol.100, n.2, pp. 101-104. ISSN 0256-9574.

Zithulele Hospital is a deeply rural district hospital in the Eastern Cape province. Beset by staffing, procurement and infrastructure problems, the maternity service in 2005 was poorly organised and offered an inadequate standard of care. By our estimates, nearly 50% of women were still delivering at home. Three years of effort focused on regular auditing to identify problems and improve our service started to bear fruit in 2008, reflected in significantly increased deliveries and a sharp drop in the perinatal mortality rate. We consider some of the successes, which factors have contributed to them, and some remaining challenges.

        · text in English     · pdf in English