Assessment of Facility Preparedness and Readiness to Manage Obstetrics Complications in Health Centers at Nyamagana District.
Material type:
TextPublisher number: Phone: +255 28 298 3384 Fax: +255 28 298 3386 Email: vc@bugando.ac.tz Website: www.bugando.ac.tz Language: English Language: Kiswahili Publication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2023Description: 34 Pages; Includes References and AppendiciesSubject(s): Summary: Abstract:
Introduction: Tanzania is among the developing countries having highest MMR which was estimated in 2010 to be 454 maternal deaths per 100,000 live births. Inadequacy or lack of birth and emergency readiness, which is a critical component of internationally acknowledged safe motherhood programs is one of the causes of this high prevalence we aim to evaluate the facility preparedness and readiness to manage obstetric complications in health centres at Nyamagana district.
Methodology: This was a hospital based cross section study that was conducted at Nyamagana District among selected health facilities. Data were collected through health facilities that were selected in Nyamagana district. it included health facility assessment and costing instrument, interviews with healthcare providers, inpatients and outpatients. Data were coded and entered into IBM SPSS software version 20 for windows 10 for management and analysis. Descriptive statistics including frequency and percentage were used to summarize background facility data.
Results: A total of 10 facility were included in this study. More than half of the facilities (60%) were private owned. All facilities had duty schedule for 24 hours. BRN rating was done in almost all facilities (90%). All facilities were doing maternal and newborn death review. Number of skilled staff were three in majority of the facilities. In staff and training, all facilities had guidelines and availability of trained staffs. In equipment and supplies, all facilities had examination light, delivery pack, suction apparatus, neonatal bag and mask, delivery bag, partograph and gloves. majority of the facilities had emergency transport (90%) and manual vacuum extractor (80%).
Conclusion: BEmOC services were satisfactory but CEmOC services were not. Government should focus in improving these facilities by ensuring the availability of equipment’s and commodities, but importantly increase their capacity to perform surgery, blood transfusion and emergency transport, so as to keep the maternal and their newborn safe
Abstract:
Introduction: Tanzania is among the developing countries having highest MMR which was estimated in 2010 to be 454 maternal deaths per 100,000 live births. Inadequacy or lack of birth and emergency readiness, which is a critical component of internationally acknowledged safe motherhood programs is one of the causes of this high prevalence we aim to evaluate the facility preparedness and readiness to manage obstetric complications in health centres at Nyamagana district.
Methodology: This was a hospital based cross section study that was conducted at Nyamagana District among selected health facilities. Data were collected through health facilities that were selected in Nyamagana district. it included health facility assessment and costing instrument, interviews with healthcare providers, inpatients and outpatients. Data were coded and entered into IBM SPSS software version 20 for windows 10 for management and analysis. Descriptive statistics including frequency and percentage were used to summarize background facility data.
Results: A total of 10 facility were included in this study. More than half of the facilities (60%) were private owned. All facilities had duty schedule for 24 hours. BRN rating was done in almost all facilities (90%). All facilities were doing maternal and newborn death review. Number of skilled staff were three in majority of the facilities. In staff and training, all facilities had guidelines and availability of trained staffs. In equipment and supplies, all facilities had examination light, delivery pack, suction apparatus, neonatal bag and mask, delivery bag, partograph and gloves. majority of the facilities had emergency transport (90%) and manual vacuum extractor (80%).
Conclusion: BEmOC services were satisfactory but CEmOC services were not. Government should focus in improving these facilities by ensuring the availability of equipment’s and commodities, but importantly increase their capacity to perform surgery, blood transfusion and emergency transport, so as to keep the maternal and their newborn safe
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