| Autor: |
Bishanga DR; Jhpiego Tanzania, Dar es Salaam, Tanzania. dunstan.bishanga@jhpiego.org.; Department of Health Sciences, Global Health, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands. dunstan.bishanga@jhpiego.org., Massenga J; Jhpiego Tanzania, Dar es Salaam, Tanzania. joseph.massenga@jhpiego.org., Mwanamsangu AH; Jhpiego Tanzania, Dar es Salaam, Tanzania. amasha.mwanamsangu@jhpiego.org., Kim YM; Jhpiego, Baltimore, MD 21231, USA. young-mi.kim@jhpiego.org., George J; USAID's Maternal and Child Survival Program/Jhpiego Tanzania, Dar es Salaam, Tanzania. john.george@jhpiego.org., Kapologwe NA; President's Office-Regional Administration and Local Government, Dodoma, Tanzania. ntuli.kapologwe@tamisemi.go.tz., Zoungrana J; Jhpiego Tanzania, Dar es Salaam, Tanzania. jeremie.zoungrana@jhpiego.org., Rwegasira M; Jhpiego Tanzania, Dar es Salaam, Tanzania. mary.rwegasira@jhpiego.org., Kols A; Jhpiego, Baltimore, MD 21231, USA. adrienne.kols@jhpiego.org., Hill K; USAID's Maternal and Child Survival Program/Jhpiego, Baltimore, MD 21231, USA. Kathleen.Hill@jhpiego.org., Rijken MJ; Department of Obstetrics and Gynecology, Division of Woman and Baby, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands. mrijken2@umcutrecht.nl.; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands. mrijken2@umcutrecht.nl., Stekelenburg J; Department of Health Sciences, Global Health, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands. jelle.stekelenburg@online.nl.; Department of Obstetrics and Gynecology, Leeuwarden Medical Centre, 8934 AD Leeuwarden, The Netherlands. jelle.stekelenburg@online.nl. |
| Abstrakt: |
Negative experiences of care may act as a deterrent to current and/or future utilization of facility-based health services. To examine the situation in Tanzania, we conducted a sub-analysis of a cross-sectional household survey conducted in April 2016 in the Mara and Kagera regions of Tanzania. The sample included 732 women aged 15⁻49 years who had given birth in a health facility during the previous two years. Log binomial regression models were used to investigate the association between women's experiences of care during childbirth and the receipt of early postnatal checks before discharge. Overall, 73.1% of women reported disrespect and abuse, 60.1% were offered a birth companion, 29.1% had a choice of birth position, and 85.5% rated facility cleanliness as good. About half of mothers (46.3%) and newborns (51.4%) received early postnatal checks before discharge. Early postnatal checks for both mothers and newborns were associated with no disrespect and abuse (RR: 1.23 and 1.14, respectively) and facility cleanliness (RR: 1.29 and 1.54, respectively). Early postnatal checks for mothers were also associated with choice of birth position (RR: 1.18). The results suggest that a missed opportunity in providing an early postnatal check is an indication of poor quality of the continuum of care for mothers and newborns. Improved quality of care at one stage can predict better care in subsequent stages. |
