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Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania
BACKGROUND: Increasing births with skilled attendants and increasing health facilities with Emergency Obstetric Care (EmOC) can reduce maternal mortality and are considered critical interventions for ensuring safe motherhood. Despite Tanzania’s policy to support women to give birth with the assistan...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4957307/ https://www.ncbi.nlm.nih.gov/pubmed/27449061 http://dx.doi.org/10.1186/s12978-016-0189-x |
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author | Mselle, Lilian T. Kohi, Thecla W. |
author_facet | Mselle, Lilian T. Kohi, Thecla W. |
author_sort | Mselle, Lilian T. |
collection | PubMed |
description | BACKGROUND: Increasing births with skilled attendants and increasing health facilities with Emergency Obstetric Care (EmOC) can reduce maternal mortality and are considered critical interventions for ensuring safe motherhood. Despite Tanzania’s policy to support women to give birth with the assistance of skilled personnel, some women do not access this care. This article uses women’s stories to illustrate the challenges that caused them to fail to access adequate obstetric care in a timely manner, hence causing the development of fistulas. METHODS: This paper presents the narratives of 16 women who were conveniently selected based on their experiences of not being able to access adequate obstetric care in timely manner. The analysis was guided by recommendations for the identification and interpretation of narratives, and identified important components of women’s experiences, paying attention to commonalities, differences and areas of emphasis. Semi-structured interviews were carried out at CCBRT hospital in Dar es Salaam. RESULTS: Four (4) general story lines were identified from women description of their inability to access quality obstetric care in a timely manner. These were; failing to decide on a health care facility for delivery, lacking money to get to a health care facility, lacking transportation to a health care facility and lacking quality birth care at the health care facility. CONCLUSION: Women were unable to reach to the health care facilities providing comprehensive emergency obstetric care (CEmOC) in time because of their lack of decision-making power, money and transportation, and those who did reach the facilities received low quality birth care. Empowering women socially and financially, upgrading primary health care facilities to provide CEmOC and increased numbers of skilled personnel would promote health care facility deliveries. |
format | Online Article Text |
id | pubmed-4957307 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-49573072016-07-23 Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania Mselle, Lilian T. Kohi, Thecla W. Reprod Health Research BACKGROUND: Increasing births with skilled attendants and increasing health facilities with Emergency Obstetric Care (EmOC) can reduce maternal mortality and are considered critical interventions for ensuring safe motherhood. Despite Tanzania’s policy to support women to give birth with the assistance of skilled personnel, some women do not access this care. This article uses women’s stories to illustrate the challenges that caused them to fail to access adequate obstetric care in a timely manner, hence causing the development of fistulas. METHODS: This paper presents the narratives of 16 women who were conveniently selected based on their experiences of not being able to access adequate obstetric care in timely manner. The analysis was guided by recommendations for the identification and interpretation of narratives, and identified important components of women’s experiences, paying attention to commonalities, differences and areas of emphasis. Semi-structured interviews were carried out at CCBRT hospital in Dar es Salaam. RESULTS: Four (4) general story lines were identified from women description of their inability to access quality obstetric care in a timely manner. These were; failing to decide on a health care facility for delivery, lacking money to get to a health care facility, lacking transportation to a health care facility and lacking quality birth care at the health care facility. CONCLUSION: Women were unable to reach to the health care facilities providing comprehensive emergency obstetric care (CEmOC) in time because of their lack of decision-making power, money and transportation, and those who did reach the facilities received low quality birth care. Empowering women socially and financially, upgrading primary health care facilities to provide CEmOC and increased numbers of skilled personnel would promote health care facility deliveries. BioMed Central 2016-07-22 /pmc/articles/PMC4957307/ /pubmed/27449061 http://dx.doi.org/10.1186/s12978-016-0189-x Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Mselle, Lilian T. Kohi, Thecla W. Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania |
title | Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania |
title_full | Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania |
title_fullStr | Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania |
title_full_unstemmed | Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania |
title_short | Healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural Tanzania |
title_sort | healthcare access and quality of birth care: narratives of women living with obstetric fistula in rural tanzania |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4957307/ https://www.ncbi.nlm.nih.gov/pubmed/27449061 http://dx.doi.org/10.1186/s12978-016-0189-x |
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