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pubmed:otherAbstract |
PIP: Family planning staff in a Bulawayo hospital were interviewed during June 1994 in order to identify bottlenecks in providing good contraceptive service. A file was produced by the family planning nurses [corrected] with 284 used tubal ligation (TL) forms covering the period September 1989-June 1994. Although each form was signed ante natally before labour [corrected] by the woman, [corrected] her partner or guardian, two witnesses, a junior doctor, a consultant in obstetric and gynecology, and the superintendent or his deputy, the TLs never took place. One woman had filled out a form twice with 3 years in between. The women were on average 35.5 years and had on average 6.6 children at the time the TO was supposed to happen. [sentence added] Case notes on these women were analyzed. Additionally, 34 of the women who had [corrected] sought postpartum sterilization or during caesarean section [corrected] were contacted and interviewed. The case notes and the [corrected] women gave a wide range of reasons why [corrected] they were not sterilized: delivered vaginally on a Friday, given preoperative breakfast by accident, doctors on strike, consent forms lost, doctors forgot, other operations having priority [corrected]. The main reason, however, why these women did not receive a[[corrected] TL is because the attending health personnel were poorly motivated. There is clearly much which can be done to improve the delivery of family planning services at the hospital.
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