Qualitative study on maternal referrals in rural Tanzania: Decision making and acceptance of referral advice
2008 (English)In: African Journal of Reproductive Health, ISSN 1118-4841, Vol. 12, no 2, 120-131 p.Article in journal (Refereed) Published
The aim of this study was to describe perceptions of maternal referrals in a rural district in Tanzania. Focus groupdiscussions (FGDs) with health workers and community members, stratified by age and gender, were conducted.The FGDs revealed that husbands and relatives are the decision makers in maternal referrals, whereas the womenhad limited influence, especially on emergency referrals. The process in deciding to seek referral care is envisagedwithin community perception of seriousness of the condition, difficulty to access and cost involved in transport,living expenses at the hospital, and perceived quality of care at facility level. The hospitals were seen as providingacceptable quality of care, whereas, the health centres had lower quality than expected.
To improve maternal referral compliance and reduce perinatal and maternal morbidity and mortality,communityviews of existing referral guidelines, poverty reduction, women’s empowerment and male involvement inmaternal care are necessary.
Place, publisher, year, edition, pages
2008. Vol. 12, no 2, 120-131 p.
maternal referrals, decision making, rural, Tanzania, FGD
IdentifiersURN: urn:nbn:se:uu:diva-87188OAI: oai:DiVA.org:uu-87188DiVA: diva2:24320