Strengthening District Hospitals and Health Centres


During his work with the Maternity Quality Improvement Project at Motebang Hospital, Dr Machai [an ex-second year registrar in the Family Medicine Specialty Training Program] became aware of the urgent need for improved care of high- risk prenatal patients in order to decrease pregnancy associated complications and the maternal mortality rate. He led the multidisciplinary QI committee in establishing criteria for high-risk women and gave a series of presentations to the hospital staff. As a result of these efforts the Maternal and Child Health nurses were trained in the identification of high-risk pregnancies and a mechanism was set up to refer these mothers to the appropriate Motebang physicians.

Dr. Malope [an ex-third year registrar in the Family Medicine Specialty Training Program] gave a series of trainings in managing a complication of delivery – shoulder dystocia. He trained nurses on the maternity ward and at the Maputsoe filter clinic. The day after he trained the nurses at the filter clinic they delivered a woman with shoulder dystocia and managed her successfully. The nurses were excited about their skills and competency.