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Table 5 Prioritised problems in the PeriKIP groups

From: A facilitated social innovation: stakeholder groups using Plan-Do-Study-Act cycles for perinatal health across levels of the health system in Cao Bang province, Vietnam

Top-prioritised problems at the commune level (number of times prioritised across the 48 groups)

Top-prioritised problems at the hospital level (number of times prioritised across the four groups)

▪ High rate of home delivery (34)

▪ Low awareness among pregnant women about self-care and newborn care (32)

▪ Pregnant women work hard during pregnancy (30)

▪ Women do not come for antenatal care according to national recommendations (29)

▪ Women avoid certain food after delivery (28)

▪ Poor nutrition among women during pregnancy (23)

▪ Smoking in the house where pregnant women and newly delivered mothers live (23)

▪ Poor preparedness for delivery (22)

▪ Difficult to detect pregnant women in the first 3 months (22)

▪ Lack of equipment (16)

▪ Lack of guidelines (7)

▪ Rooms for newborn care do not meet the hygiene standard (6)

▪ Midwives and nurses are not skillful in newborn resuscitation and essential newborn care (3)

▪ Poor counselling and support for immediate and exclusive breastfeeding (3)

▪ Lack of training or re-training on haemorrhage after delivery, mouth care and kangaroo mother care (3)

▪ Routine skin-to-skin contact after delivery is not practised (2)

▪ No screening for hepatitis B for pregnant women (2)

▪ Poor knowledge and improper use of drugs for preterm babies and newborns (2)

▪ Low coverage of hepatitis B vaccination for newborns within 24 h after delivery (2)

▪ Poor hand washing practices before delivery (2)

▪ Poor counselling on nutrition for women after caesarean Sect. (2)