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Int. J. Environ. Res. Public Health 2019, 16(3), 481; https://doi.org/10.3390/ijerph16030481

Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania

1
Jhpiego Tanzania, Dar es Salaam, Tanzania
2
Department of Health Sciences, Global Health, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands
3
Jhpiego, Baltimore, MD 21231, USA
4
USAID’s Maternal and Child Survival Program/Jhpiego Tanzania, Dar es Salaam, Tanzania
5
President’s Office—Regional Administration and Local Government, Dodoma, Tanzania
6
USAID’s Maternal and Child Survival Program/Jhpiego, Baltimore, MD 21231, USA
7
Department of Obstetrics and Gynecology, Division of Woman and Baby, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
8
Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
9
Department of Obstetrics and Gynecology, Leeuwarden Medical Centre, 8934 AD Leeuwarden, The Netherlands
*
Author to whom correspondence should be addressed.
Received: 1 January 2019 / Revised: 30 January 2019 / Accepted: 31 January 2019 / Published: 7 February 2019
(This article belongs to the Special Issue Women's Reproductive and Maternal Health)
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Abstract

Negative experiences of care may act as a deterrent to current and/or future utilization of facility-based health services. To examine the situation in Tanzania, we conducted a sub-analysis of a cross-sectional household survey conducted in April 2016 in the Mara and Kagera regions of Tanzania. The sample included 732 women aged 15–49 years who had given birth in a health facility during the previous two years. Log binomial regression models were used to investigate the association between women’s experiences of care during childbirth and the receipt of early postnatal checks before discharge. Overall, 73.1% of women reported disrespect and abuse, 60.1% were offered a birth companion, 29.1% had a choice of birth position, and 85.5% rated facility cleanliness as good. About half of mothers (46.3%) and newborns (51.4%) received early postnatal checks before discharge. Early postnatal checks for both mothers and newborns were associated with no disrespect and abuse (RR: 1.23 and 1.14, respectively) and facility cleanliness (RR: 1.29 and 1.54, respectively). Early postnatal checks for mothers were also associated with choice of birth position (RR: 1.18). The results suggest that a missed opportunity in providing an early postnatal check is an indication of poor quality of the continuum of care for mothers and newborns. Improved quality of care at one stage can predict better care in subsequent stages. View Full-Text
Keywords: women’s experience of care; respectful care; facility-based childbirth; early postnatal check; disrespect and abuse; Tanzania women’s experience of care; respectful care; facility-based childbirth; early postnatal check; disrespect and abuse; Tanzania
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Bishanga, D.R.; Massenga, J.; Mwanamsangu, A.H.; Kim, Y.-M.; George, J.; Kapologwe, N.A.; Zoungrana, J.; Rwegasira, M.; Kols, A.; Hill, K.; Rijken, M.J.; Stekelenburg, J. Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania. Int. J. Environ. Res. Public Health 2019, 16, 481.

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