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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
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). Aga Khan Univ, Sch Nursing & Midwifery TIHE, POB 38129,Ufukoni Rd, Dar Es Salaam, Tanzania..
Muhimbili Univ Hlth & Allied Sci, Sch Nursing, Dept Community Hlth, Dar Es Salaam, Tanzania..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
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2017 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 11, 7-12 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD , 2017. Vol. 11, 7-12 p.
Keyword [en]
Focus group, HCP, Postpartum care, Quality of care, Tanzania
National Category
Public Health, Global Health, Social Medicine and Epidemiology Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-319552DOI: 10.1016/j.srhc.2016.09.001ISI: 000394066700002PubMedID: 28159132OAI: oai:DiVA.org:uu-319552DiVA: diva2:1087195
Available from: 2017-04-06 Created: 2017-04-06 Last updated: 2017-04-06Bibliographically approved

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Pallangyo, Eunice N.Källestål, CarinaRubertsson, ChristineOlsson, Pia
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