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Analysis of factors that contribute to utilization of health facilities during labour, delivery and postpartum period in Zanzibar


Document type: mthesis
Download file(s): 455710 (630 KB)
Abstract: BACKGROUND: Zanzibar is part of United Republic of Tanzania continues to have an unacceptable high level of outside health facility delivery of 50.8% with only 52.1% of delivering assisted by skilled birth attendants and 63.8% not receiving postpartum care. Almost all maternal mortality occurs due to preventable causes related to labour, delivery and postpartum complications. OBJECTIVE: Explore the factors contributing to utilization of health facility during labour, delivery and postpartum period, in order to provide strategies that could help to improve the utilization of health facility that will help to reduce maternal and newborn morbidity and mortality in Zanzibar. METHODS: A literature review on maternal health was undertaken. The three delay model is used for both uncomplicated and complicated obstetric care. RESULTS: All three delays contributed underutilization of health facilities during labour, delivery and postpartum period in Zanzibar. Whereby the major factors were, social-cultural, socioeconomic, lack of knowledge on danger signs, women empowerment and quality of care. CONCLUSION: In Zanzibar situation the three delays in utilizing health facility and access the EmONC services are the contributing factors in underutilization of health facility which contributed to maternal and newborn mortality. RECOMMENDATIONS: Government through MOH has to review reproductive health policy for better implementation, conduct research to identify gaps, increase skilled birth attendants, improve working conditions and quality of care. Ensure availability of resources to the existing health facilities including EmONC services.
Authors: Khadija Abbas, M.
Country: Tanzania, United Republic of
Category: Research
Department: Development, Policy and Practice
Institute: KIT - Royal Tropical Institute
Keywords: disease prevention and control , health services , maternal and child health
Language: eng
Organization: KIT - Royal Tropical Institute
Organization: VU - Vrije Universiteit Amsterdam
PAGE: ix, 48
Place: Amsterdam
Publisher: KIT - Royal Tropical Institute [etc.]
Year: 2012
Region: East Africa
Right: © 2012 Khadija Abbas
Subject: Health and Nutrition
Title: Analysis of factors that contribute to utilization of health facilities during labour, delivery and postpartum period in Zanzibar
Training: Master of Public Health