UNDERSTANDING THE DETERMINANTS OF STILLBIRTH IN RURAL SOUTH AFRICA: PERSPECTIVES FROM FRONTLINE MATERNAL HEALTHCARE PROVIDERS

Background. Stillbirth remains a significant public health concern in South Africa, particularly in rural
districts where maternal healthcare systems face critical challenges. Understanding the determinants of
stillbirth from the perspectives of frontline healthcare providers is essential for improving pregnancy
outcomes.
Materials and methods. This qualitative exploratory study was conducted in the Lejweleputswa District.
In-depth interviews were carried out with midwives, professional nurses, and medical officers working in
antenatal and obstetric care units. Thematic analysis was applied to the interview transcripts to identify
key factors influencing stillbirth.
Results. Findings revealed a multifaceted interplay of socio-economic disparities, inadequate healthcare
infrastructure, staff shortages, late antenatal booking, and systemic delays in emergency responses.
Participants also noted the influence of traditional beliefs and patient non-compliance as indirect
contributors to stillbirth risk.
Conclusion. The study highlights the need for a multidimensional framework that addresses both health
system deficiencies and community-level barriers to reduce stillbirth rates and improve maternal health
outcomes. These findings have important implications for policy development, targeted healthcare
provider training, and the redesign of maternal health interventions in underserved rural regions.