Title:
Factors Influencing Health Facility Readiness to Provide Emergency Obstetric and Neonatal Care in Dodoma Region, Tanzania
Authors:
Tillya, Robert Philemon
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
xi, 49
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Maternal health, Obstetric Emergency, facility readiness
Abstract:
The pace towards reduction of maternal death in Tanzania has been very slow. This brought up the need to know: 1. the ability of health facilities to provide Emergency Obstetric and Neonatal Care (EmONC). 2. The health system factors influencing health facility response to obstetric emergencies. A mixed method approach was conducted. Analysis of secondary quantitative data of Dodoma health facilities was done. Review of literature was done to explore the health system factors influencing health facility response to EmONC. The health facilities in Dodoma had problems which affects the readiness to provide EmONC. Out of 143 dispensaries, 36% had no Clinical Officers nor did Clinical Assistants, 8% had no midwives. Only one out of 152 health facilities was using Magnesium sulphate while more than 97 of all dispensaries and Health Centres (HC) had stock of uterotonic. Less than half of dispensaries had neonatal ambu bag and suction apparatus. Only 1 out of 6 HCs, and 19% of dispensaries recorded the partogram correctly. None of the HFs had blood transfusion service. Only 1 HC performed Caesarean Section (CS). Only 4 out of 9 HCs had ambulance. Poor governance, shortage of staff and lack of continuing education were health system factors influencing provision of EmONC. Inadequate skilled health workers, lack of EmONC training, weak health committees with low government expenditure on health, also were system factors. Majority of health facilities in Dodoma were not capable enough to provide EmONC. Governance, health workforce and finance problems influence the provision of EmONC.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Tanzania
Region:
East Africa
Training:
Master of Public Health
Category:
Research
Right:
@ 2017 Tillya
Document type:
Thesis/dissertation
File:
hbL6XW48jZ_2018041512492460.pdf