Abstract:

Postpartum haemorrhage (PPH) is one of the leading causes of death among women especially in developing nations, which can be managed through the use of non-pneumatic anti-shock garment (NASG) if available. This study was aimed to determine factors influencing the availability of NASG in the management of PPH among midwives in Ekiti State. The study adopted an embedded mixed-method design. Purposive sampling technique was used in selecting participants, a total of 164 midwives participated in the quantitative study and 11 in the key informant interview. Data were collected using self-structured questionnaire and interview guide, same were analyzed using chi-square version 25 and ATLAS ti version 9, level of a significant set at 5% (0.05). Results from the study show that Midwives' mean age was 37 ± 7.64, more than half 65.9% had (NASG) in their facilities while 34.1 claimed non availability in their facility, this corroborates with the result of the interview where majority showed availability of one to two garments, while few indicated non availability. Reasons for non-availability as stated by the participant include the following: lack of fund, cost of buying the garment, inadequate supply of the garment and availability of other methods of controlling PPH. There was a significant association between availability and utilization of NASG as the p-value gotten was 0.01 which is lesser than 0.05, the null hypothesis was therefore rejected. Conclusively, the availability of NASG for the management of PPH was on the average. It is recommended that government and hospital management of each facility should provide the garment for the management of PPH, regular seminar on the use of NASG and policies that will encourage continuous supply and utilization of NASG.