IDEAS home Printed from https://ideas.repec.org/a/bcp/journl/v10y2026i2p39-47.html

Reducing Maternal Mortality: An Examination of the Role of Skilled Birth Attendants and Healthcare System Strengthening

Author

Listed:
  • Ndlovu Isaac

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

  • Matare Morningstar

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

  • Hananda Loreen

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

  • Chauke Valerie

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

  • Mutanda Casper

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

  • Nyahangari Cynthia

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

  • Chihwayi Alice

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

  • Sande Sheilla

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

  • Sengu James

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

  • Gomba Proud

    (Diploma in Public Relations, Department of Business Studies Police Staff College, An Affiliate of Bindura University)

Abstract

Maternal mortality remains a significant public health challenge in Zimbabwe despite policy reforms and international support, with preventable deaths persisting particularly in rural and peri-urban areas where access to skilled birth attendants and functional health systems is limited. This study examined the role of skilled birth attendants and healthcare system strengthening in reducing maternal mortality in selected districts of Zimbabwe using an exploratory sequential mixed-methods design. Qualitative data from focus groups, interviews, and observations informed a structured questionnaire administered to 120 respondents, with thematic analysis for qualitative data and SPSS (Version 26) used for quantitative analysis, including Pearson Chi-square tests at a 5% significance level. Findings revealed that availability of skilled birth attendants, distance to facilities, quality of care, health system resources, household income, and education level significantly influenced maternal health service utilisation (p

Suggested Citation

  • Ndlovu Isaac & Matare Morningstar & Hananda Loreen & Chauke Valerie & Mutanda Casper & Nyahangari Cynthia & Chihwayi Alice & Sande Sheilla & Sengu James & Gomba Proud, 2026. "Reducing Maternal Mortality: An Examination of the Role of Skilled Birth Attendants and Healthcare System Strengthening," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 10(2), pages 39-47, February.
  • Handle: RePEc:bcp:journl:v:10:y:2026:i:2:p:39-47
    as

    Download full text from publisher

    File URL: https://rsisinternational.org/journals/ijriss/uploads/vol10-iss2-pg39-47-202602_pdf.pdf
    Download Restriction: no

    File URL: https://rsisinternational.org/journals/ijriss/view/reducing-maternal-mortality-an-examination-of-the-role-of-skilled-birth-attendants-and-healthcare-system-strengthening/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Thaddeus, Sereen & Maine, Deborah, 1994. "Too far to walk: Maternal mortality in context," Social Science & Medicine, Elsevier, vol. 38(8), pages 1091-1110, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gayen, Kaberi & Raeside, Robert, 2007. "Social networks, normative influence and health delivery in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 65(5), pages 900-914, September.
    2. Changwoo Shon & Tae Ho Lee & Grace Ossak Ndombi & Eun Woo Nam, 2018. "A Cost-Benefit Analysis of the Official Development Assistance Project on Maternal and Child Health in Kwango, DR Congo," IJERPH, MDPI, vol. 15(7), pages 1-11, July.
    3. Okeke, Theodora A. & Okeibunor, Joseph C., 2010. "Rural-urban differences in health-seeking for the treatment of childhood malaria in south-east Nigeria," Health Policy, Elsevier, vol. 95(1), pages 62-68, April.
    4. repec:plo:pone00:0108130 is not listed on IDEAS
    5. Lídia Farré, 2013. "The Role of Men in the Economic and Social Development of Women: Implications for Gender Equality," The World Bank Research Observer, World Bank, vol. 28(1), pages 22-51, February.
    6. Patience A Afulani & Cheryl Moyer, 2016. "Explaining Disparities in Use of Skilled Birth Attendants in Developing Countries: A Conceptual Framework," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-16, April.
    7. Joseph H. Collins & Helen Allott & Wingston Ng’ambi & Ines Li Lin & Mosè Giordano & Matthew M. Graham & Eva Janoušková & Fannie Kachale & Kondwani Kawaza & Tara D. Mangal & Joseph Mfutso-Bengo & Emman, 2025. "An individual-based modelling study estimating the impact of maternity service delivery on health in Malawi," Nature Communications, Nature, vol. 16(1), pages 1-21, December.
    8. repec:plo:pone00:0155144 is not listed on IDEAS
    9. Anthopolos, Rebecca & Becker, Charles M., 2010. "Global Infant Mortality: Correcting for Undercounting," World Development, Elsevier, vol. 38(4), pages 467-481, April.
    10. Nicholas Apreh Siaw & Samuel Kwofie, 2016. "Assessment of the Effects of the Free Maternal Health Policy on Maternal Health: A Case Study of New Juaben Municipality, Koforidua, Ghana," International Journal of Business and Social Research, LAR Center Press, vol. 6(7), pages 52-62, July.
    11. Lillian Whiting-Collins & Florina Serbanescu & Ann-Beth Moller & Susanna Binzen & Jean-Pierre Monet & Jenny A Cresswell & Michel Brun & on behalf of the World Health Organization’s MDSR Reporting and , 2024. "Maternal death surveillance and response system reports from 32 low-middle income countries, 2011–2020: What can we learn from the reports?," PLOS Global Public Health, Public Library of Science, vol. 4(3), pages 1-17, March.
    12. repec:bjc:journl:v:12:y:2025:i:67:p:516-526 is not listed on IDEAS
    13. Anita Makins & Jochen Ehmer & Alexandra Piprek & Francisco Mbofana & Amanda Ross & Michael André Hobbins, 2019. "Demand-side financing in the form of baby packages in Northern Mozambique: Results from an observational study," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-12, May.
    14. Berry, Nicole S., 2006. "Kaqchikel midwives, home births, and emergency obstetric referrals in Guatemala: Contextualizing the choice to stay at home," Social Science & Medicine, Elsevier, vol. 62(8), pages 1958-1969, April.
    15. Kusuma, Dian & Cohen, Jessica & McConnell, Margaret & Berman, Peter, 2016. "Can cash transfers improve determinants of maternal mortality? Evidence from the household and community programs in Indonesia," Social Science & Medicine, Elsevier, vol. 163(C), pages 10-20.
    16. Rana Dahab & Dikaios Sakellariou, 2020. "Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review," IJERPH, MDPI, vol. 17(12), pages 1-17, June.
    17. David M Goodman & Rohit Ramaswamy & Marc Jeuland & Emmanuel K Srofenyoh & Cyril M Engmann & Adeyemi J Olufolabi & Medge D Owen, 2017. "The cost effectiveness of a quality improvement program to reduce maternal and fetal mortality in a regional referral hospital in Accra, Ghana," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-19, July.
    18. Finn McGuire & Noemi Kreif & Peter C. Smith, 2021. "The effect of distance on maternal institutional delivery choice: Evidence from Malawi," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2144-2167, September.
    19. Sushma Rajbanshi & Mohd Noor Norhayati & Nik Hussain Nik Hazlina, 2021. "Perceptions of Good-Quality Antenatal Care and Birthing Services among Postpartum Women in Nepal," IJERPH, MDPI, vol. 18(13), pages 1-13, June.
    20. Weitzman, Abigail, 2017. "The effects of women's education on maternal health: Evidence from Peru," Social Science & Medicine, Elsevier, vol. 180(C), pages 1-9.
    21. Binder, Pauline & Johnsdotter, Sara & Essén, Birgitta, 2012. "Conceptualising the prevention of adverse obstetric outcomes among immigrants using the ‘three delays’ framework in a high-income context," Social Science & Medicine, Elsevier, vol. 75(11), pages 2028-2036.
    22. Sara Rivenes Lafontan & Johanne Sundby & Hege L. Ersdal & Muzdalifat Abeid & Hussein L. Kidanto & Columba K. Mbekenga, 2018. "“I Was Relieved to Know That My Baby Was Safe” : Women’s Attitudes and Perceptions on Using a New Electronic Fetal Heart Rate Monitor during Labor in Tanzania," IJERPH, MDPI, vol. 15(2), pages 1-12, February.
    23. Aborigo, Raymond Akawire & Allotey, Pascale & Reidpath, Daniel D., 2015. "The traditional healer in obstetric care: A persistent wasted opportunity in maternal health," Social Science & Medicine, Elsevier, vol. 133(C), pages 59-66.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bcp:journl:v:10:y:2026:i:2:p:39-47. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Dr. Pawan Verma (email available below). General contact details of provider: https://rsisinternational.org/journals/ijriss/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.