Is it home delivery or health facility? Community perceptions on place of childbirth in rural Northwest Tanzania using a qualitative approach (Record no. 19712)

MARC details
000 -LEADER
fixed length control field 03392nam a22003257a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193737.0
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022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1471-2393
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
040 ## - CATALOGING SOURCE
Language of cataloging English
Transcribing agency DLC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Eveline T Konje
9 (RLIN) 23135
222 ## - KEY TITLE
Key title Maternal health Childbirth Place of delivery Community perception
245 ## - TITLE STATEMENT
Title Is it home delivery or health facility? Community perceptions on place of childbirth in rural Northwest Tanzania using a qualitative approach
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. BioMed Central &
-- Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc. 06 May 2020
300 ## - PHYSICAL DESCRIPTION
Extent Pages 1-11
490 ## - SERIES STATEMENT
Volume/sequential designation BMC pregnancy and childbirth Volume 20 Issue 1
520 ## - SUMMARY, ETC.
Summary, etc. Abstract<br/><br/>Background: In low and middle-income countries, pregnancy and delivery complications may deprive women and their newborns of life or the realization of their full potential. Provision of quality obstetric emergency and childbirth care can reduce maternal and newborn deaths. Underutilization of maternal and childbirth services remains a public health concern in Tanzania. The aim of this study was to explore elements of the local social, cultural, economic, and health systems that influenced the use of health facilities for delivery in a rural setting in Northwest Tanzania.<br/><br/>Methods: A qualitative approach was used to explore community perceptions of issues related to low utilization of health facilities for childbirth. Between September and December 2017, 11 focus group discussions were conducted with women (n = 33), men (n = 5) and community health workers (CHWs; n = 28); key informant interviews were conducted with traditional birth attendants (TBAs; n = 2). Coding, identification, indexing, charting, and mapping of these interviews was done using NVIVO 12 after manual familiarization of the data. Data saturation was used to determine when no further interviews or discussions were required.<br/><br/>Results: Four themes emerge; self-perceived obstetric risk, socio-cultural issues, economic concerns and health facility related factors. Health facility delivery was perceived to be crucial for complicated labor. However, the idea that childbirth was a “normal” process and lack of social and cultural acceptability of facility services, made home delivery appealing to many women and their families. In addition, out of pocket payments for suboptimal quality of health care was reported to hinder facility delivery.<br/><br/>Conclusion: Home delivery persists in rural settings due to economic and social issues, and the cultural meanings attached to childbirth. Accessibility to and affordability of respectful and culturally acceptable childbirth services remain challenging in this setting. Addressing barriers on both the demand and supply side could result in improved maternal and child outcomes during labor and delivery.
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 23044
9 (RLIN) 23004
9 (RLIN) 23136
9 (RLIN) 23137
9 (RLIN) 22805
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1186/s12884-020-02967-z">https://doi.org/10.1186/s12884-020-02967-z</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type RESEARCH ARTICLES
Source of classification or shelving scheme ddc
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection Home library Current library Shelving location Date acquired Total checkouts Barcode Date last seen Copy number Price effective from Koha item type
            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   11/25/2022   RA0920 11/25/2022 RA0920 11/25/2022 RESEARCH ARTICLES
Catholic University of  Health and Allied Sciences - CUHAS
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