Barriers | Article reference | Enabling factors | Article reference |
---|---|---|---|
Transport and referral | |||
Mismanagement by referring provider | |||
Inefficient ambulance services | |||
Lack of transport at night | |||
Health workers | |||
Lack of manpower | Frequent training for clinical procedures | ||
Unskilled health professionals | [23, 26, 27, 29, 31, 35, 37, 47, 49, 50, 52, 53, 56, 58, 60] | ||
Low staff morale | |||
Availability of supporting services and facilities | |||
Lack of operation theatres and intensive care units | Round the clock services | ||
Lack of specialist medical equipment and services | Blood banking | ||
Unavailability of essential drugs and supplies including blood and magnesium sulphate | |||
Unreliable telephone communications and power supply | |||
Organisation of care | |||
Poor record keeping | Conducting maternal death reviews | ||
Teamwork | Emergency treatment before requiring payment | [47] | |
Lack of planning for organisational change |