Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania

Bishanga, Dunstan R.; Massenga, Joseph; Mwanamsangu, Amasha; Kim, Youngmi; George, John; Kapologwe, Ntuli; Zoungrana, Jérémie; Rwegasira, Mary; Kols, Adrienne; Hill, Kathleen; Rijken, Marcus J.; Stekelenburg, Jelle

doi:10.3390/ijerph16030481

Cited by 31 publications

(42 citation statements)

References 44 publications

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“…As it can be noted from the findings, Shinyanga and coast regions outperformed all other regions in all domains with exception of access to care domain in which two regions performed relatively lower than Dodoma and Katavi. Furthermore, overall performances also depicted higher performance of the two regions on the total responsiveness this could probably be due to effect of the RBF program which currently is implemented in 7 regions including Shinyanga and Pwani, among other things under the RBF program arrangement it supports certain indicators like improvement of amenities and incentive and motivation for the health service providers [30].…”

Section: Discussionmentioning

confidence: 92%

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Assessing health system responsiveness in primary health care facilities in Tanzania

Kapologwe

Kibusi

Borghi

et al. 2020

BMC Health Serv Res

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Background: Health system performance is one of the important components of the health care delivery; its achievement depends on the quality of services rendered and the health system responsiveness of its beneficiaries. Health system responsiveness is a multi-dimensional concept and is usually measured through several domains. Health system responsiveness (HSR) remains to be a key indicator for evaluation of health system performance in any settings. This study aimed at assessing the situation of health system responsiveness in primary health facilities in Tanzania prior to introduction of the Direct Health Facility Financing (DHFF) program. Methods: This was a cross sectional study conducted between January and February in 2018. We collected data from 42 primary health facilities (14 health centers and 28 dispensaries) where a questionnaire was administered to a total of 422 participants. The questionnaire collected information on attention, respect to dignity, clear communication, autonomy, access to care, respect to confidentiality and basic amenities. Descriptive analysis was done to determine the distribution of the variables whereas ANOVA and linear regression analysis was employed to discern the association between variables. Results: More than 67% of participants had visited the same health facility more than 5 times. Sixty seven percent of the patients were residing within 5kms from the public primary health care facilities. The geographical access to health care scored the lowest (43.5% for Dispensaries and 36% for Health center) mean as compared to other domains of health system responsiveness. The highest score was in respect to confidentiality (86.7%) followed by respect to dignity (81.4%). Linear regression analysis revealed no statistical association between any of the social demographic features with the overall HSR performances. However, in post hoc analysis, Pwani and Shinyanga regions didn't differ significantly in terms of their performances whereas those two regions differ from all other regions. Conclusion: Based on the study findings health system responsiveness domains has performed relatively poor in many regions except for respect of dignity and confidentiality scored high of all the domains. Shinyanga and Pwani regions scored relatively well in all domains this could have been due to the effect of Results Based financing (RBF) in the respective regions. All in all the Government and other stakeholders in the health sector they should deliberately invest on the access to care domain as seem to be a challenge as compared to others.

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Section: Discussionmentioning

confidence: 92%

“…Therefore, understanding the health system responsiveness which when they are improved have had an effect on others indicators of the health care system. This can also help to address the challenges around respective maternity care that has reported in some studies in Tanzania [30].…”

Section: Discussionmentioning

confidence: 99%

Assessing health system responsiveness in primary health care facilities in Tanzania

Kapologwe

Kibusi

Borghi

et al. 2020

BMC Health Serv Res

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“…MCSP was a global project implemented in Kagera and Mara regions of Tanzania focusing on maternal and newborn health, family planning, malaria in pregnancy and immunization. More details are reported in previous papers (30,31). This household survey was conducted in April 2016 in Mara and Kagera regions in Tanzania.…”

Section: Study Design and Settingmentioning

confidence: 95%

“…A total of 1,263 women of reproductive age were interviewed. Further details on the methods can be found in previous studies that used the same dataset (30,32).…”

Section: Sampling and Populationmentioning

confidence: 99%

Family planning uptake in Kagera and Mara regions in Tanzania: a cross-sectional community survey

Massenga¹,

Norohna²,

Awadhi³

et al. 2020

Preprint

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BackgroundIn Tanzania, 27.1% of all women of reproductive age are currently using modern contraception, and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania.MethodsSub-analysis of a cross-sectional household survey conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15-49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. Univariate analysis was used to present crude effects of covariates, followed by stepwise forward selection to build a multiple logistic regression model. A p-value ≥ 0.20 was applied as the criterion to retain a variable into the model.ResultsAmong 1184 women within two years after giving birth, 393 (33.2%) used family planning methods. After adjusting for (1) age, (2) level of education, (3) living in union, (4) being accompanied to ANC by a partner and (5) being able to mention at least one method, factors independently associated with family planning uptake included: (1) having discussed family planning with the partner (aOR 2.90; 95% CI 1.88-4.49), (2) having been counselled on family planning during ANC (aOR 2.15; 95% CI 1.48-3.13), (3) having discussed family planning with a community health worker (aOR 3.32; 95% CI 1.91-5.77), (4) having discussed family planning with a facility health care worker (aOR 1.79; 95% CI 1.22-2.62), (5) having primary or higher educational level (aOR 1.66; 95% CI 1.01-2.273) and (6) being in union (aOR 1.86; 95% CI 1.02-3.42).ConclusionSupportive constitutes including educational interaction with facility and community health workers, as well as having a supportive partner are facilitators to increased uptake of family planning among women in Tanzania

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“…Respectful maternity care (RMC) during childbirth is an interaction between the client and the healthcare providers (HCPs) or facility conditions. It has a significant role in MMR reduction by enhancing clients' inclination to deliver in health facilities [8][9][10][11][12][13]. Furthermore, RMC is the standard of care for all women [14] that encompasses women's basic human rights [9,15].…”

Section: Introductionmentioning

confidence: 99%

Respectful maternity care and associated factors among women who delivered at Harar hospitals, eastern Ethiopia: a cross-sectional study

Bante

Teji

Seyoum

et al. 2020

BMC Pregnancy Childbirth

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Background: In Ethiopia, approximately three-fourths of mothers do not deliver in health facilities. Disrespect and abuse during childbirth fallouts in underutilization of institutional delivery that upshots maternal morbidity and mortality. Thus, the ambition of this study was to assess respectful maternity care and associated factors in Harar hospitals, Eastern Ethiopia. Methods: A facility-based cross-sectional study was conducted from April 01 to July 01, 2017. A total of 425 women, delivered at Harar town hospitals, were nominated using a systematic random sampling technique. A pretested and organized questionnaire was used to collect the data. After checking for completeness, the data were entered into EpiData version 3.1 and exported to SPSS version 22.0 for cleaning and analyses. Both bivariate and multivariable logistic regression was computed to identify factors associated with respectful maternity care. Statistical significance was declared at a P-value of < 0.05. Results: Data were collected on 425 women. Overall, only 38.4% (95% CI: 33.7, 42.0%) of women received respectful maternity care. Delivering at private hospitals [AOR: 2.3, 95% CI: 1.25, 4.07], having ANC follow-up [AOR: 1.8, 95% CI: 1.10, 3.20], planned pregnancy [AOR: 3.0, 95% CI: 1.24, 7.34], labor attended by male provider [AOR: 1.8, 95% CI: 1.14, 2.77] and normal maternal outcome [AOR: 2.3, 95% CI: 1.13, 4.83] were significantly associated with respectful maternity care. Conclusions: Only four out of ten women received respectful care during labor and delivery. Providing womenfriendly, abusive free, timely and discriminative free care are the bases to improve the uptake of institutional delivery. Execution of respectful care advancement must be the business of all healthcare providers. Furthermore, to come up with a substantial reduction in maternal mortality, great emphasis should be given to make the service woman-centered.

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Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania

Cited by 31 publications

References 44 publications

Assessing health system responsiveness in primary health care facilities in Tanzania

Assessing health system responsiveness in primary health care facilities in Tanzania

Family planning uptake in Kagera and Mara regions in Tanzania: a cross-sectional community survey

Respectful maternity care and associated factors among women who delivered at Harar hospitals, eastern Ethiopia: a cross-sectional study

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