HOME delivery cases are still high in Chivi district while institutional deliveries are currently below 80 percent, owing to a plethora of factors chief among them being the deteriorating health standards and lack of functional Health Center Committees (HCCs), Chivi Acting District Medical Officer (DMO), Dr Emmanuel Chagondah has said.
By Michael Gwarisa
Speaking at the just ended leadership symposium for public health practitioners, Dr Chagondah said the district was still struggling with high cases of home deliveries.
“Institutional deliveries are below 80% for the district. Chivi District Hospital’s (CDH) institutional deliveries are 40% of the district‘s expected deliveries. 16 /18 Rural Health Centres (RHCs) are delivering below 80% of the expected deliveries. 12/18 RHCs have waiting mother’s shelters.3/14 RHC waiting mothers shelters are non-functional.
“There is underutilisation of waiting mothers ‘shelters at rural health centres and in some cases there is Non availability of waiting mothers’ shelters at some RHCs. Six out of 18 structures not renovated at the RHC that is three out of 18. There is Non availability of Electricity at waiting mothers shelters ( 11out of 12).
“We have also witnessed unavailability of reliable and or easy water access at six RHC. There is also preferential waiting by mothers at certain centres due to better shelters as well as self-referral to the district hospital of patients. There is incompetent non midwifes assisting in the delivering of pregnant mothers and nurses attitude towards complications is very bad resulting in Early referrals without complications,” said Dr Chagondah.
He also bemoaned the existence of Non-functional Health Centre Committees with 14 out 18 having indicated that they lack knowledge in community ownership.
“The district experiences shortage of drugs at RHCs (eg oxytocin) at all RHCs as well as shortage of lab commodities ie fbc tubes and unavailability of heamo machines.
“Fuel shortages also trail the district with nurses fearing failure to transfer in case of complications due to unavailability of fuel.”
According to the 2014 Multiple Indicator Cluster Survey (MICS), Zimbabwe’s maternal mortality rate stands at 614 deaths per every 100 000 live births and haemorrhaging has been identified as the leading cause of maternal death.
The Zimbabwe Demographic Health Survey (ZDHS) found that institutional deliveries stood at an average of 77 percent while 20 percent were delivered at home.