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Staff Experiences of Providing Maternity Services in Rural Southern Tanzania - A Focus on Equipment, Drug and Supply Issues.

Penfold, S., Shamba, D., Hanson, C., Jaribu, J., Manzi, F., Marchant, T., Tanner, M., Ramsey, K., Schellenberg, D. and Schellenberg, J. A. (2013) Staff Experiences of Providing Maternity Services in Rural Southern Tanzania - A Focus on Equipment, Drug and Supply Issues. BMC health services research, 13. p. 61. ISSN 1472-6963

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Abstract

The poor maintenance of equipment and inadequate supplies of drugs and other items contribute to the low quality of maternity services often found in rural settings in low- and middle-income countries, and raise the risk of adverse patient outcomes through delaying care provision. We aim to describe staff experiences of providing maternal and neonatal care in rural health facilities in Southern Tanzania, focusing on issues related to equipment, drugs and supplies. Focus group discussions and in-depth interviews were conducted with different staff cadres from all facility levels in order to explore experiences and views of providing maternity care in the context of poorly maintained equipment, and insufficient drugs and other supplies. A facility survey quantified the availability of relevant items. The facility survey, which found many missing or broken items and frequent stock outs, corroborated staff reports of providing care in the context of missing or broken care items. Staff reported increased workloads, reduced morale, difficulties in providing optimal maternity care, and carrying out procedures with potential health risks to themselves as a result. Inadequately stocked and equipped facilities compromise the health system's ability to reduce maternal and neonatal mortality and morbidity by affecting staff personally and professionally, which hinders the provision of timely and appropriate interventions. Improving stock control and maintaining equipment could benefit mothers and babies, not only through removing restrictions to the availability of care, but also through improving staff working conditions.

Item Type: Article
Keywords: Maternal Health,Neonate,Equipment and Supplies, Healthcare Systems, Health Manpower,Rural health facilities, Drugs, Africa
Subjects: Health Systems > Community Health
Health Systems > Human Resources
Divisions: Ifakara Health Institute > Health Systems
Depositing User: Mr Joseph Madata
Date Deposited: 14 Aug 2013 08:03
Last Modified: 14 Aug 2013 08:03
URI: http://ihi.eprints.org/id/eprint/1416

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