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“If really we are committed things can change, starting from us” : Healthcare providers’ perceptions of postpartum care and its potential for improvement in low-income suburbs in Dar es Salaam, Tanzania

Pallangyo, Eunice N.; Mbekenga, Columba; Källestål, Carina; Rubertsson, Christine LU and Olsson, Pia (2017) In Sexual and Reproductive Healthcare 11. p.7-12
Abstract

Objective To explore healthcare providers’ perceptions of the current postpartum care (PPC) practice and its potential for improvement at governmental health institutions in low-resource suburbs in Dar es Salaam, Tanzania. Design Qualitative design, using focus group discussions (8) and qualitative content analysis. Setting Healthcare institutions (8) at three levels of governmental healthcare in Ilala and Temeke suburbs, Dar es Salaam. Participants Registered, enrolled and trained nurse-midwives (42); and medical and clinical officers (13). Results The healthcare providers perceived that PPC was suboptimal and that they could have prevented maternal deaths. PPC was fragmented at understaffed institutions, lacked guidelines and was... (More)

Objective To explore healthcare providers’ perceptions of the current postpartum care (PPC) practice and its potential for improvement at governmental health institutions in low-resource suburbs in Dar es Salaam, Tanzania. Design Qualitative design, using focus group discussions (8) and qualitative content analysis. Setting Healthcare institutions (8) at three levels of governmental healthcare in Ilala and Temeke suburbs, Dar es Salaam. Participants Registered, enrolled and trained nurse-midwives (42); and medical and clinical officers (13). Results The healthcare providers perceived that PPC was suboptimal and that they could have prevented maternal deaths. PPC was fragmented at understaffed institutions, lacked guidelines and was organized in a top-down structure of leadership. The participants called for improvement of: organization of space, time, resources, communication and referral system; providers’ knowledge; and supervision and feedback. Their motivation to enhance PPC quality was high. Key conclusions The HCP awareness of the suboptimal quality of PPC, its potential for promoting health and their willingness to engage in improving care are promising for the implementation of interventions to improve quality of care. Provision of guidelines, sensitization of providers to innovate and maximize utilization of existing resources, and supportive supervision and feedback are likely to contribute to the sustainability of any improvement.

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author
publishing date
type
Contribution to journal
publication status
published
keywords
Focus group, HCP, Postpartum care, Quality of care, Tanzania
in
Sexual and Reproductive Healthcare
volume
11
pages
6 pages
publisher
Elsevier
external identifiers
  • scopus:84988422051
ISSN
1877-5756
DOI
10.1016/j.srhc.2016.09.001
language
English
LU publication?
no
id
e408cd74-bfa4-45f9-813a-a42714e74fcc
date added to LUP
2017-10-27 13:35:11
date last changed
2018-01-07 12:23:52
@article{e408cd74-bfa4-45f9-813a-a42714e74fcc,
  abstract     = {<p>Objective To explore healthcare providers’ perceptions of the current postpartum care (PPC) practice and its potential for improvement at governmental health institutions in low-resource suburbs in Dar es Salaam, Tanzania. Design Qualitative design, using focus group discussions (8) and qualitative content analysis. Setting Healthcare institutions (8) at three levels of governmental healthcare in Ilala and Temeke suburbs, Dar es Salaam. Participants Registered, enrolled and trained nurse-midwives (42); and medical and clinical officers (13). Results The healthcare providers perceived that PPC was suboptimal and that they could have prevented maternal deaths. PPC was fragmented at understaffed institutions, lacked guidelines and was organized in a top-down structure of leadership. The participants called for improvement of: organization of space, time, resources, communication and referral system; providers’ knowledge; and supervision and feedback. Their motivation to enhance PPC quality was high. Key conclusions The HCP awareness of the suboptimal quality of PPC, its potential for promoting health and their willingness to engage in improving care are promising for the implementation of interventions to improve quality of care. Provision of guidelines, sensitization of providers to innovate and maximize utilization of existing resources, and supportive supervision and feedback are likely to contribute to the sustainability of any improvement.</p>},
  author       = {Pallangyo, Eunice N. and Mbekenga, Columba and Källestål, Carina and Rubertsson, Christine and Olsson, Pia},
  issn         = {1877-5756},
  keyword      = {Focus group,HCP,Postpartum care,Quality of care,Tanzania},
  language     = {eng},
  month        = {03},
  pages        = {7--12},
  publisher    = {Elsevier},
  series       = {Sexual and Reproductive Healthcare},
  title        = {“If really we are committed things can change, starting from us” : Healthcare providers’ perceptions of postpartum care and its potential for improvement in low-income suburbs in Dar es Salaam, Tanzania},
  url          = {http://dx.doi.org/10.1016/j.srhc.2016.09.001},
  volume       = {11},
  year         = {2017},
}