Skip to main content

Table 2 Summary of reported barriers and enabling factors

From: Maternal death and obstetric care audits in Nigeria: a systematic review of barriers and enabling factors in the provision of emergency care

Barriers

Article reference

Enabling factors

Article reference

Transport and referral

 Mismanagement by referring provider

[23, 25, 26, 3238, 4446, 48, 57, 61]

  

 Inefficient ambulance services

[26, 62]

  

 Lack of transport at night

[30, 55]

  

Health workers

 Lack of manpower

[26, 28, 32, 49, 53]

Frequent training for clinical procedures

[27, 47]

 Unskilled health professionals

[23, 26, 27, 29, 31, 35, 37, 47, 49, 50, 52, 53, 56, 58, 60]

  

 Low staff morale

[25, 29]

  

Availability of supporting services and facilities

 Lack of operation theatres and intensive care units

[26, 53]

Round the clock services

[26, 53]

 Lack of specialist medical equipment and services

[25, 26, 42, 65]

Blood banking

[26, 35, 47, 51, 53, 59]

 Unavailability of essential drugs and supplies including blood and magnesium sulphate

[2529, 3943, 53, 54, 63]

  

 Unreliable telephone communications and power supply

[26, 28, 53]

  

Organisation of care

 Poor record keeping

[24, 38, 45, 64, 65]

Conducting maternal death reviews

[2729]

 Teamwork

[26, 53]

Emergency treatment before requiring payment

[47]

 Lack of planning for organisational change

[32, 53]