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Health facility service availability and readiness to provide basic emergency obstetric and newborn care in a low-resource setting: evidence from a Tanzania National survey

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dc.creator Bintabara, Deogratius
dc.creator Ernest, Alex
dc.creator Mpondo, Bonaventura
dc.date 2020-11-24T08:00:18Z
dc.date 2020-11-24T08:00:18Z
dc.date 2019
dc.date.accessioned 2022-10-20T14:01:37Z
dc.date.available 2022-10-20T14:01:37Z
dc.identifier Bintabara, D., Ernest, A., & Mpondo, B. (2019). Health facility service availability and readiness to provide basic emergency obstetric and newborn care in a low-resource setting: evidence from a Tanzania National survey. BMJ open, 9(2), e020608.
dc.identifier DOI:10.1136/bmjopen-2017-020608
dc.identifier http://hdl.handle.net/20.500.12661/2505
dc.identifier.uri http://hdl.handle.net/20.500.12661/2505
dc.description Full text article. Also available at https://doi.org/10.1136/bmjopen-2017-020608
dc.description This study used a nationally representative sample from Tanzania as an example of low-resource setting with a high burden of maternal and newborn deaths, to assess the availability and readiness of health facilities to provide basic emergency obstetric and newborn care (BEmONC) and its associated factors. Design Health facility-based cross-sectional survey. Setting: We analyzed data for obstetric and newborn care services obtained from the 2014–2015 Tanzania Service Provision Assessment survey, using WHO-Service Availability and Readiness Assessment tool. Primary and secondary outcome measures Availability of seven signal functions was measured based on the provision of ‘parental administration of antibiotic’, ‘parental administration of oxytocic’, ‘parental administration of anticonvulsants’, ‘assisted vaginal delivery’, ‘manual removal of placenta’, ‘manual removal of retained products of conception’ and ‘neonatal resuscitation’. Readiness was a composite variable measured based on the availability of supportive items categorised into three domains: staff training, diagnostic equipment and basic medicines. Results: Out of 1188 facilities, 905 (76.2%) were reported to provide obstetric and newborn care services and therefore were included in the analysis of the current study. Overall availability of seven signal functions and average readiness score were consistently higher among hospitals than health centres and dispensaries (p<0.001). Furthermore, the type of facility, performing quality assurance, regular reviewing of maternal and newborn deaths, reviewing clients’ opinion and number of delivery beds per facility were significantly associated with readiness to provide BEmONC. Conclusion: The study findings show disparities in the availability and readiness to provide BEmONC among health facilities in Tanzania. The Tanzanian Ministry of Health should emphasise quality assurance efforts and systematic maternal and newborn death audits. Health leadership should fairly distribute clinical guidelines, essential medicines, equipment and refresher trainings to improve availability and quality BEmONC
dc.language en
dc.publisher BMJ Publishing Group Ltd
dc.subject Health facility
dc.subject Newborn care
dc.subject Obstetric
dc.subject Neonatal mortality
dc.subject Emergency obstetric
dc.subject Parental administration
dc.subject Maternal death
dc.subject Newborn death
dc.subject Placenta removal
dc.subject Tanzania
dc.title Health facility service availability and readiness to provide basic emergency obstetric and newborn care in a low-resource setting: evidence from a Tanzania National survey
dc.type Article


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