H N Shilubane has completed her PhD from Maastricht University, Netherlands in 2013. She is a senior Lecturer at the University of Venda, South Africa and has published more than 20 papers in reputed journals.


Provision of quality patient care is a strategy to reduce maternal and child mortality rate in the maternity wards. The purpose of this study was to determine factors influencing sub-standard care in the maternity ward of the selected hospitals of Mopani District, Limpopo Province. A qualitative, descriptive design was used. 10 midwives and 24 delivery records in maternity wards were purposely selected. Data collection was through structured face-to-face individual interviews and evaluation of records. Data was analysed through open coding method by using Tech’s eight steps. Trustworthiness was ensured. Ethical considerations were adhered too. One theme and two sub-themes emerged, namely; human resource factors determinant for provision of quality care, existence of ward staff coverage versus increased workload and primary health care nurses’ competencies as viewed by hospital nurses. Recommendations included, ensuring staff coverage in maternity ward for provision of quality care and extension of community service for nurses. The attendance of perinatal review meetings should include managers of Primary Health Care (PHC) facilities and to be strengthened at the hospitals.