ehealth digital library

Digital library of
the Tanzania
health
community

Public and Private Maternal Health Service Capacity and Patient Flows in Southern Tanzania: Using a Geographic Information System to Link Hospital and National Census data.

Tabatabai, P., Henke, S., Sušac, K., Kisanga, O. M. E., Baumgarten, I., Kynast-Wolf, G., Ramroth, H. and Marx, M. (2014) Public and Private Maternal Health Service Capacity and Patient Flows in Southern Tanzania: Using a Geographic Information System to Link Hospital and National Census data. Global health action, 7. p. 22883. ISSN 1654-9880

[img]
Preview
PDF
Patrik_Tabatabai.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (2MB)

Abstract

Background : Strategies to improve maternal health in low-income countries are increasingly embracing partnership approaches between public and private stakeholders in health. In Tanzania, such partnerships are a declared policy goal. However, implementation remains challenging as unfamiliarity between partners and insufficient recognition of private health providers prevail. This hinders cooperation and reflects the need to improve the evidence base of private sector contribution. Objective : To map and analyse the capacities of public and private hospitals to provide maternal health care in southern Tanzania and the population reached with these services. Design : A hospital questionnaire was applied in all 16 hospitals (public n=10; private faith-based n=6) in 12 districts of southern Tanzania. Areas of inquiry included selected maternal health service indicators (human resources, maternity/delivery beds), provider-fees for obstetric services and patient turnover (antenatal care, births). Spatial information was linked to the 2002 Population Census dataset and a geographic information system to map patient flows and socio-geographic characteristics of service recipients. Results : The contribution of faith-based organizations (FBOs) to hospital maternal health services is substantial. FBO hospitals are primarily located in rural areas and their patient composition places a higher emphasis on rural populations. Also, maternal health service capacity was more favourable in FBO hospitals. We approximated that 19.9% of deliveries in the study area were performed in hospitals and that the proportion of c-sections was 2.7%. Mapping of patient flows demonstrated that women often travelled far to seek hospital care and where catchment areas of public and FBO hospitals overlap. Conclusions : We conclude that the important contribution of FBOs to maternal health services and capacity as well as their emphasis on serving rural populations makes them promising partners in health programming. Inclusive partnerships could increase integration of FBOs into the public health care system and improve coordination and use of scarce resources.

Item Type: Article
Keywords: Public private, Maternal health, Tanzania, Faith-based, Service capacity, Health mapping
Subjects: Health Systems > Surveillance, monitoring & evaluation
Maternal & Neonatal Health > Maternal Mortality & Morbidity
Divisions: Other
Depositing User: Mr Joseph Madata
Date Deposited: 12 Feb 2014 06:48
Last Modified: 12 Feb 2014 06:48
URI: http://ihi.eprints.org/id/eprint/2392

Actions (login required)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics