Health Facility Capacity to Provide Maternal and Newborn Healthcare Services in Unguja

Bakar, Rukia Rajab; Manongi, Rachel; Mmbaga, Blandina T

doi:10.5539/gjhs.v11n10p120

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…This was expected considering the high maternal mortality rates accompanied by a shortage of resources in this setting which may impair the quality of pregnancy-related services. 18 This study has found that only having fear during delivery is associated with having undesirable birth outcomes assessed in this study, which includes birth asphyxia, C/S, fetal distress, low birth weight, PPH, premature delivery, prolonged labour, ruptured uterus, and severe pre/ eclampsia. Evidence shows that fear results in increases incortisol and norepinephrine, which are known to be associated with abnormal uterine contractions and subsequent obstetric complications.…”

Section: Discussionmentioning

confidence: 72%

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The Influence of Fear During Pregnancy, Labour and Delivery on Birth Outcome Among Post-Delivery Women: A Case Control Study in Zanzibar

Ali

Seif

Kibusi

2022

EAHRJ

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Background: Assessing the influence of fear during pregnancy, labour, and delivery on birth outcomes among women is very important. Normally, women experience happiness during pregnancy, but some may develop fear which may cause maternal and neonatal complications. The aim of this study was to determine the influence of fear during pregnancy, labour and delivery on birth outcome among post-delivery women in Zanzibar. Methodology: This was a matched case-control study involving 204 post-delivery women who were randomly selected from 4 hospitals in Zanzibar. Cases (n=68) were those who experienced a negative birth outcome, whether maternal, fetal, or both. The control group (n=136) had normal birth outcomes. A self-administered questionnaire was used to collect data and was analyzed using SPSS whereby percentages, chi-square test, and odds ratio results were reported. Results: Among cases, 27(39.7%) had high level of fear during pregnancy compared to the control group, 75(40.4%). During labour, 29(42.6%) of cases had high level of fear, and in control, 55(42.4%). And during delivery 35(51.4%) of cases had highest level of fear, while only 47(34.5%) of control had high level of fear. The chi-square test showed only fear during delivery was significantly associated with undesirable birth outcomes. Women who experienced a high level of fear during delivery were 2 times more likely to have undesirable birth outcomes (AOR=1.941, p=.051) after adjusting for other variables. Conclusion: This study established that most women experience high level of fear during pregnancy, labour and delivery. A high level of fear during delivery is associated with having negative birth outcomes, but not during pregnancy and labour. The findings are of clinical importance as they highlight the need to integrate a universal screening intervention into antenatal care services for early management.

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Section: Discussionmentioning

confidence: 72%

“…This was expected considering the high maternal mortality rates accompanied by a shortage of resources in this setting which may impair the quality of pregnancy-related services. 18 …”

Section: Discussionmentioning

confidence: 99%

The Influence of Fear During Pregnancy, Labour and Delivery on Birth Outcome Among Post-Delivery Women: A Case Control Study in Zanzibar

Ali

Seif

Kibusi

2022

EAHRJ

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Service availability and readiness to provide maternal and newborn healthcare services in Kilimanjaro region, Tanzania: a cross sectional study

Kimario,

Mahmoud,

Thomas

et al. 2024

BMJ Open

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ObjectiveTo assess service availability and readiness of health facilities to provide maternal and newborn care in the Kilimanjaro region, northern Tanzania: a study conducted between August to October 2022.DesignThe study used a cross-sectional design by adopting WHO Service Availability and Readiness Assessment tool to assess basic maternal, newborn and child health services delivery in the health facilities of the Kilimanjaro region.SettingThe study was conducted in seven districts of Kilimanjaro region at health facilities with a labour ward and where delivery and maternal services for women and neonatal care were offered.ParticipantsThe study included all district hospitals, two selected health centres and two dispensaries within every district with high utilisation of delivery services as well as the regional hospital of Kilimanjaro region making a total of 37 health facilities that were assessed.Primary outcomeBasic emergency obstetric and newborn care (BEmONC) service availability, BEmONC service readiness, comprehensive emergency obstetric and newborn care (CEmONC) service availability and CEmONC service readiness.ResultsA total of 37 facilities were enrolled that included 14 dispensaries, 14 health centres, 8 district hospitals and 1 regional hospital. The study highlights that majority of the signal functions are available in all levels of health facilities with overall readiness scores in BEmONC and CEmONC being 83% and 98.87%, respectively. However, the study reports that 40.5% of health facilities do not conduct death reviews. Similarly, on-job trainings regarding maternal and newborn healthcare was low, with only 29.8% of all healthcare workers in the region received training for the past 2 years.ConclusionDespite progress, challenges persist in delivering tailored maternal and newborn healthcare services in Kilimanjaro region. The study revealed strong readiness in essential care functions, but shortcomings in maternal and neonatal death reviews and training, emphasise the need for improved practices to further enhance maternal and newborn health outcomes.

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Assessing the quality of antenatal care provision by midwives: a mixed-method study of three levels of healthcare in southwestern Nigeria

Ayamolowo,

Adesoji

2024

African Journal of Midwifery and Women's Health

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Background Antenatal care allows healthcare providers to assess the wellbeing of pregnant women and their fetuses, leading to positive maternal and fetal outcomes. This study assessed the available facilities for antenatal care provided by midwives, and factors that influenced the quality of care provided. Methods This study used a mixed-method descriptive design based on the Donabedian model to explore the quality of care at 27 health facilities across the three levels of healthcare in Osun State. Qualitative data were collected from 11 purposively selected midwives using an in-depth interview guide, and a hospital checklist was used to collect quantitative data. Data were gathered over 12 weeks, then transcribed and analysed using content and thematic analysis. Results Some facilities (9.1%) did not offer all components of antenatal care. When examining the process and structure of care, 98.6% of healthcare facilities were found to have inadequate human resources. Although the equipment at the facilities was functional, it was reportedly inadequate in 27 (84.3%) facilities. Midwives reported that a lack of education, poor working conditions, interprofessional barriers and burnout hindered the provision of quality antenatal care, while community support and regular continuing education were motivating factors. Conclusions The quality of antenatal care was rated adequate, but there was a lack of resources, standard guidelines and retraining opportunities for midwives. Adequate manpower and resources are needed to enhance the quality of antenatal care in health facilities in Osun State.

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Health Facility Capacity to Provide Maternal and Newborn Healthcare Services in Unguja

Cited by 3 publications

References 28 publications

The Influence of Fear During Pregnancy, Labour and Delivery on Birth Outcome Among Post-Delivery Women: A Case Control Study in Zanzibar

The Influence of Fear During Pregnancy, Labour and Delivery on Birth Outcome Among Post-Delivery Women: A Case Control Study in Zanzibar

Service availability and readiness to provide maternal and newborn healthcare services in Kilimanjaro region, Tanzania: a cross sectional study

Assessing the quality of antenatal care provision by midwives: a mixed-method study of three levels of healthcare in southwestern Nigeria

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