AN ASSESSMENT OF THE STATE OF MATERNAL CONTINUUM OF CARE IN MOROGORO, TANZANIA

continuum;maternal health;postnatal care;postpartum family planning;Public Health Studies

Mohan, DiwakarMoss, William ;

Johns Hopkins University

关键词: continuum;    maternal health;    postnatal care;    postpartum family planning;    Public Health Studies;   

Others  :  https://jscholarship.library.jhu.edu/bitstream/handle/1774.2/60576/MOHAN-DISSERTATION-2015.pdf?sequence=1&isAllowed=n

瑞士|英语

来源: JOHNS HOPKINS DSpace Repository

【 摘 要 】

Background: Each year, an estimated 289,000 women and 3 million newborns in low and middle-income countries die of largely preventable causes. In response, a ;;continuum of care’ framework has been adopted to describe the provision of lifesaving interventions to mothers and newborns in an effective and efficient manner. This research aims to explore the dropout of women from the care continuum and the association between the continuum approach and the adoption of family planning in the postnatal period. Methods: This study used data from a household survey, of 1968 women, who had delivered in the preceding 2-14 months, that was part of a broader evaluation and collected information on health behaviors and care seeking practices during pregnancy, childbirth and postnatal period. The survey was of a multi stage sampling design conducted in 4 districts of Morogoro Region in Tanzania. The study (1) examines the dropout of women from the continuum of care in Morogoro region (Chapter 4) (2) seeks to understand the characteristics of the individuals who use postnatal care (PNC) and the content of PNC (Chapter 5) and (3) assesses receipt of receiving FP counseling at different points of contact in the care continuum (Chapter 6). Results: Only 10 % (198/1931) of women accessed the recommended set of services offered through the entire continuum (4 ANC visits, facility delivery and 1 postnatal visit) and 1% (18/1931) reported not having a care contact at any stage. The largest dropout occurred at the stage of postnatal care with less than one in four women receiving early or late PNC. The services received during PNC care varied by type of facility – health centers and hospitals performed better than dispensaries in the delivery of key counseling messages. Women receiving counseling at all 3 stages (OR 2.0, 95% CI 1.11-3.61) were more likely to use Long Acting Permanent methods (LAPM) than those counseled at fewer stages.Conclusion: There are clear utilization gaps in the maternal health continuum in Tanzania, in general, and postnatal care, in particular.