The Health Management Information System (HMIS) is crucial for evidence-based policy-making, informed decision-making during planning, implementation and evaluation of health programs; appropriate use resources at all levels the system. This study explored gaps factors influencing HMIS in context a changing sector Tanzania.A cross sectional descriptive was conducted 11 heath facilities Kilombero district between January February 2008. A semi-structured questionnaire used to interview 43...

Antenatal care (ANC) provides an important opportunity for pregnant women with a wide range of interventions and is considered as basic component reproductive health care. In 2008, severe maternal morbidity audit was established at Saint Francis Designated District Hospital (SFDDH), in Kilombero district Tanzania, to ascertain substandard implement interventions. addition, cross-sectional descriptive study carried out 11 facilities within the assess quality ANC underlying factors broader...

Background In Tanzania, maternal mortality ratio (MMR), unmet need for emergency obstetric care and health inequities across the country are in a critical state, particularly rural areas. This study was established to determine feasibility impact of decentralizing comprehensive neonatal (CEmONC) services underserved areas using associate clinicians. Methods Ten centres (HCs) were upgraded by constructing equipping maternity blocks, operating rooms, laboratories, staff houses installing solar...

With 15-30% met need for comprehensive emergency obstetrical care (CEmOC) and a 3% caesarean section rate, Tanzania needs to expand the number of facilities providing these services in more remote areas. Considering severe shortage human resources health country, currently operating at 32% required skilled workforce, an intensive three-month course was developed train non-physician clinicians centres.Competency-based curricula assistant medical officers' (AMOs) training CEmOC, nurses,...

Although clinical audit is an important instrument for quality care improvement, the concept has not yet been adequately taken on board in rural settings most resource limited countries where problem of maternal mortality immense. Maternal and morbidity was established at Saint Francis Designated District Hospital (SFDDH) Tanzania order to generate information upon which base interventions. Methods are informed by principles operations research. An system established, all patients fulfilling...

Effective maternal and perinatal audits are associated with improved quality of care reduction severe adverse outcome. Although at the level were formally introduced in Tanzania around 25 years ago, little information is available about their existence, performance, practical barriers to implementation. This study assessed structure, process impacts death audit systems clinical practice presents a detailed account on how they could be improved. A cross sectional descriptive was conducted...

To assess perceptions of the quality obstetric care women who delivered in a rural Tanzanian referral hospital.A descriptive-exploratory qualitative study, using semistructured in-depth interviews and participatory observation. Nineteen recently 3 health workers were interviewed.Although most held positive views about they received hospital, several participants expressed major concerns negative attitudes healthcare workers. Lack medical communication given by providers constituted...

Objective To describe the results of increasing availability and quality caesarean deliveries anaesthesia in rural Tanzania. Design Before‐after intervention study design. Settings Rural Methods Ten health centres located areas were upgraded to provide comprehensive emergency obstetric care ( CE m OC ) four related district hospitals supported. Upgrading entailed constructing equipping maternity blocks, operation rooms laboratories; installing solar systems, backup generators water supply...

To explore barriers to and solutions for effective implementation of obstetric audit at Saint Francis Designated District Hospital in Ifakara, Tanzania, where results have been disappointing 2 years after its introduction.Qualitative study involving participative observation sessions, followed by 23 in-depth interviews with health workers managers. Knowledge perceptions were assessed suggestions improvement the process explored.During observational period, sessions held irregularly only when...

Caesarean section (CS) is often a life-saving procedure, but can also lead to serious complications, even more so in low-resource settings. Therefore unnecessary CS should be avoided and optimal circumstances for vaginal delivery created. In this study, we aim audit indications sections improve decision-making obstetric management. Audit of all cases performed from January August 2013 was rural referral hospital Tanzania. The study period divided three blocks; retrospective (before...

During late 2010, 36 trainees including 19 assistant medical officers (AMOs) 1 senior clinical officer (CO) and 16 nurse midwives/nurses were recruited from districts across rural Tanzania invited to join the Enhancing Human Resources Use of Appropriate Technologies for Maternal Perinatal Survival in sub-Saharan Africa (ETATMBA) training programme. The ETATMBA project was associate clinicians (ACs) as advanced leaders emergency obstetric care. returned health facilities country with hope...

Globally, eHealth has attracted considerable attention as a means of supporting maternal and perinatal health care. This article describes best practices, gains challenges implementing for care in extremely remote rural Tanzania. Teleconsultation obstetric emergency care, audio teleconferences online eLearning systems were installed ten upgraded centres, four district hospitals one regional hospital Uptake teleconsultation teleconference platforms evaluated retrospectively. A cross sectional...

Strategies to improve HIV diagnosis and linkage into care, antiretroviral treatment coverage, outcomes of mothers children are urgently needed in sub-Saharan Africa.From December 2012, we implemented an intervention package prevention mother-to-child transmission (PMTCT) pediatric care our rural Tanzanian clinic, consisting of: (1) creation a PMTCT unit integrated within the reproductive child health clinic; (2) implementation electronic medical records; (3) provider-initiated testing...

Strengthening leadership and management is important for building an effective efficient health system. This paper presents the findings from a L&M capacity initiative which was implemented as part of larger study aimed at improving maternal newborn outcomes within primary facilities in Morogoro, Tanzania.The initiative, involving 30 stakeholders 20 facilities, 4 council teams regional team Morogoro region, provided managerial training through two 5-day in-person workshops, onsite mentoring,...

In Tanzania, inadequate access to comprehensive emergency obstetric and newborn care (CEmONC) services is the major bottleneck for perinatal results in high maternal mortality. From 2015 2019, Accessing Safe Deliveries Tanzania project was implemented study how improve CEmONC underserved rural areas.A five-year longitudinal cohort seven health centres (HCs) 21 satellite dispensaries Morogoro region. Five of received interventions two served as controls. Forty-two associate clinicians from...

Abstract Background In 2008, the government of Tanzania adopted a competency-based education and training (CBET) system to improve medical training. Yet there are still frequent observations competency deficits among graduates, suggesting that goal has not sufficiently been met. This study was designed assess underlying context in health workforce provide recommendations for improvement. Methods A cross-sectional using document analysis focus groups carried out 13 institutions provided...

The Enhancing Human Resources and Use of Appropriate Training for Maternal Perinatal Survival in sub-Saharan Africa (ETATMBA) project is training non-physician clinicians as advanced clinical leaders emergency maternal newborn care Tanzania Malawi. main aims this process evaluation were to explore the implementation programme Tanzania, how it was received, or if has been implemented into practice challenges faced along way.Qualitative interviews with trainees, trainers, district officers...

While the effectiveness of Helping Babies Breathe (HBB) training in Tanzania has been reported, no published studies Essential Care for Every Baby (ECEB) and Small (ECSB) this setting have found. This study compared knowledge before after HBB, ECEB ECSB Tanzania.Training was provided to future facilitators (n=16) learners (n=24) Tanzania. Using standardized multiple-choice questions, assessed pre- post-HBB courses both facilitators, while assessment conducted with only. A >80% score...

One of the key strategies to reducing maternal mortality is provision emergency obstetric care services. This paper describes results improving availability of, and access services in underserved rural Tanzania using associate clinicians.A prospective cohort study was implemented seven health centres Morogoro region, from July 2016 June 2019. In early 2016, forty-two clinicians five were trained teams for three months care, newborn anaesthesia. Two unexposed intervention served as controls....