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Challenges and Successes of Distributing Birth Kits with Misoprostol to Reduce Maternal Mortality in Rural Tanzania.
- Source :
-
African journal of reproductive health [Afr J Reprod Health] 2019 Sep; Vol. 23 (3), pp. 68-78. - Publication Year :
- 2019
-
Abstract
- The Saving Mothers Project was conducted from September 2015 to March 2017 in Bunda and Tarime Districts, Mara Region, Tanzania. The purpose of this project was to train community health workers (CHWs) to use mobile phones applications to register and educate pregnant women about safe deliveries and encourage them to access skilled health care providers for antenatal care and delivery, and to provide nurses and CHWs with clean birth kits with misoprostol to distribute to women. The birth kits were for use in case women could not access the health facility, or if the health facility was lacking supplies at the time of delivery. The overall goal of the study was to reduce the maternal mortality rate by increasing women's access to health services where possible, and to clean supplies when a non-facility birth was unavoidable. This paper reports on a mixed methods evaluation of the project including a survey of over two thousand four hundred women, and focus groups with women, community health workers, and nurses participating in the project. The results of the survey and focus groups demonstrate a high degree of satisfaction with the birth kits and misoprostol and an increase in facility birth rates where the project was implemented. Differences between the two districts illustrate that policy maker support is key to successful implementation.
- Subjects :
- Adult
Cell Phone
Female
Humans
Misoprostol administration & dosage
Mobile Applications
Oxytocics administration & dosage
Practice Guidelines as Topic
Pregnancy
Pregnancy Outcome
Pregnant Women
Prenatal Care
Rural Population
Tanzania
Young Adult
Community Health Workers education
Health Services Accessibility
Maternal Health Services organization & administration
Maternal Mortality
Midwifery education
Misoprostol supply & distribution
Oxytocics supply & distribution
Postpartum Hemorrhage prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1118-4841
- Volume :
- 23
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- African journal of reproductive health
- Publication Type :
- Academic Journal
- Accession number :
- 31782633
- Full Text :
- https://doi.org/10.29063/ajrh2019/v23i3.7