Möjligheter och hinder för att kunna ge mödra- och nyföddhetsvård av god kvalitet i Ibanda hälsozon i Demokratiska Republiken Kongo.

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Sammanfattning: Background: The Democratic Republic of Congo (DRC) has one of the highest maternal andnewborn mortality in the world. Although the availability of care has increased, the quality ofcare is still low. Since poor quality of care is now considered to be the main obstacle inreducing global maternal and newborn mortality, it is of the utmost importance that thequality of care is improved. DRC failed the Millennium Goals and is far from achieving thenew global sustainability goals in Agenda 2030, therefore it is important to highlight theobstacles that exist in DRC's healthcare facilities in order to provide high quality care andopportunities for improvements.Aim: The aim of this study is to describe the opportunities and obstacles to provide highquality maternal and newborn healthcare in Ibanda Health Zone in the Democratic Republicof Congo, from the experiences of healthcare providers.Method: Seven focus group discussions were conducted with 35 healthcare providersworking at labour and maternity units, representing seven healthcare facilities. The WHO’stheoretical framework for Quality of Care was used in a directed content analysis approachinspired by Elo and Kyngäs.Result: The result is presented under the eight categories of WHO´s theoretical framework.The result shows that there were many obstacles and few opportunities to provide high qualitycare at the healthcare facilities. The main opportunities that emerged were good collaborationbetween the professions and that the staff was motivated and passionate. The main obstacleswere dangerous transport routes, incomplete information systems and a lack of personnelskills and the necessary equipment to care for the woman and the newborn child.Conclusion: All the included healthcare facilities are far away from reaching WHO’s qualitystatements for high quality care. These results can be used to improve care routines, increasestaff competence and thereby increase the opportunities for good and safe healthcare at thehealthcare facilities, which can reduce maternal and newborn mortality in the DRC.Key words: Quality of care, Maternal Health, Newborn Health, Maternal mortality, Newbornmortality, Democratic Republic of Congo, Ibanda Health Zone.

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