Health care workers’ experiences of managing foetal distress and birth asphyxia at health facilities in Northern Uganda

Abstract Background Birth asphyxia is one of the leading causes intrapartum stillbirth and neonatal mortality worldwide. We sought to explore experiences health care workers in managing foetal distress birth gain an understanding challenges a low-income setting. Methods conducted in-depth interviews with 12 midwives 4 doctors working maternity units from different facilities Northern Uganda 2018. used semi-structured interview guide which included questions related to; workers’ care, for asphyxia, views on possible preventive actions perspectives community. Audio recorded were transcribed verbatim analysed using inductive content analysis. Results Four categories emerged: (i) Understanding including knowledge, misconception interventions; (ii) Challenges such as complexities referral system, refusal referral, lack equipment, human resource problems, (iii) Expectations blame community, finally (iv) Health worker’ insights into prevention asphyxia. Conclusion described management complex challenging. Thus, guidelines manage that are specifically tailored levels ensure high quality reduction need called for. Innovative ways operationalise transportation community dialogues could lead improved outcomes.