| Autor: |
Mdoe P; Haydom Lutheran Hospital, Haydom 9000, Tanzania., Mduma E; Haydom Lutheran Hospital, Haydom 9000, Tanzania., Rivenes Lafontan S; Faculty of Health Sciences, Oslo Metropolitan University, 0167 Oslo, Norway., Ersdal H; Department of Simulation, Stavanger University Hospital, 4068 Stavanger, Norway.; Faculty of Health Sciences, University of Stavanger, 4021 Stavanger, Norway., Massay C; Haydom Lutheran Hospital, Haydom 9000, Tanzania.; Kilimanjaro Christian Medical University College, Tumaini University Makumira, Moshi 25102, Tanzania., Daudi V; Haydom Lutheran Hospital, Haydom 9000, Tanzania.; Kilimanjaro Christian Medical University College, Tumaini University Makumira, Moshi 25102, Tanzania., Kayera D; Kilimanjaro Christian Medical University College, Tumaini University Makumira, Moshi 25102, Tanzania., Mwashemela S; UNICEF, Dar es Salaam 4076, Tanzania., Moshiro R; Haydom Lutheran Hospital, Haydom 9000, Tanzania.; Department of Pediatrics, Muhimbili National Hospital, Dar es Salaam 65000, Tanzania., Kamala B; Haydom Lutheran Hospital, Haydom 9000, Tanzania.; School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam 65001, Tanzania. |
| Abstrakt: |
Background : SaferBirths Bundle of Care (SBBC) is a package of innovative clinical and training tools coupled with low-dose high-frequency simulation-based on-job training guided by local data. This bundle of care is a new initiative being implemented in 30 health facilities from five regions of Tanzania aiming at improving birth outcomes. Objective : To assess the perception of healthcare workers and facility leaders on the "SaferBirths Bundle of Care" towards saving women's and newborns' lives at birth. Method : We used a qualitative approach using focused group discussion (FGD) and individual interviews. A total of 21 FGD and 43 individual interviews were conducted between August and November 2022. In total, 94 midwives and 12 doctors were involved, some of whom were in leadership roles. The framework method for the analysis of qualitative data was used for analysis. Results : Healthcare workers and facility leaders received the bundle well and regarded it as effective in saving lives and improving healthcare provision. Five themes emerged as facilitators to the acceptance of the bundle: (1) the bundle is appropriate to our needs, (2) the training modality and data use fit our context, (3) use of champions and periodic mentorship, (4) learning from our mistakes, and (5) clinical and training tools are of high quality but can be further improved. Conclusion : The relevance of SaferBirths Bundle of Care in addressing maternal and perinatal deaths, the quality and modality of training, and the culture that enhances learning from mistakes were among the facilitators of the acceptability of the SBBC. A well-accepted intervention has huge potential for bringing the intended impact in health provision. |
