(PHCII) - MMH/MMS

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Safe Mother hood: GROSSARY OF TERMS A woman's ability to have safe and health pregnancy and delivery. Safe Mother hood Initiatives: Is a global effort (programme) that aims to reduce deaths and illness among women and infants, especially in developing countries. Maternal risk: Is defined as the probability of dying or experiencing a serious complication as a result of pregnancy or childbirth. High risk category: Is defined as pregnant woman who has been identified to have any of the danger signs during antenatal services. Low risk category: Are pregnant women who do not have any danger signs identified during antenatal care. Focused Ante-natal Care: Is providing goal oriented care that is timely, friendly, simple, beneficial and safe to pregnant women. Essential Obstetric Care: A set of minimal health care elements, which should be made available to all pregnant women which include both preventive and curative health measures. It includes caesarian sections, manual removal of the placenta as well as non emergency measures. ix
ABSTRACT Health unit delivery is a problem in Kigoma district as it is for other districts in the region. The study was conducted in Kigoma district between November 2001 to April 2002 Kigoma district. It was a descriptive cross sectional with the aim of determining the magnitude and factors influencing to low health unit deliveries. The mult-stage sampling procedures were employed to select eight (8) villages to be involved in the study. The overall 52% of deliveries took place outside health units while 48% took place in health facilities. More than a half 54.5% of mothers were not knowledgeable on maternal risks during pregnancy labour/delivery. While health unit utilization by women living far more than 6km was low compared by those living close within 5km to the health facility (P < 0.001). Another contributing factor for low health unit delivery was poor knowledge in the community including low level of education for women attending ANC clinics. However the role-played by relatives should be taken into account as 58.94% of mothers who had home delivery were assisted by their relatives. Furthermore the more the mother attends ANC visit the more she is likely to deliver in health facility being 31% of mothers who had more than four (4) visits while pregnant. Age influences place of delivery that is the more the women become older the higher the chances of delivering at home. Home delivery was proclaimed to be due to sudden onset of labour , self preference, poor quality of obstetric care, long distance to health units and high cost of hospital deliveries. This study recommends that health education to the community on advantages of conducting their deliveries in health units, where skilled personnel will attend them should be intensified and made more effective. x
Page 1 and 2: PRIMARY HEALTH CARE INSTITUTE - IRI
Page 3 and 4: DEDICATION I dedicate this work to
Page 5 and 6: TABLE OF CONTENTS SUBJECT PAGE Decl
Page 7 and 8: LIST OF TABLES Table 1: Distributio
Page 9: ABREVIATIONS ANC - Ante-Natal Care
Page 13 and 14: Globally Safe Mother Hood Initiativ
Page 15 and 16: and delivery in Health units for pr
Page 17 and 18: 2.0. LITRATURE REVIEW CHAPTER TWO S
Page 19 and 20: Several other studies have been don
Page 21 and 22: 3.0. RESEARCH METHODOLOGY 3.1. STUD
Page 23 and 24: 3.4. STUDY POPULATION The populatio
Page 25 and 26: The processed data was analyzed man
Page 27 and 28: 4.0. RESEARCH FINDINGS CHAPTER FOUR
Page 29 and 30: Table 5: Distribution of respondent
Page 31 and 32: Table 8: Distribution of Respondent
Page 33 and 34: The table above shows that women wh
Page 35 and 36: Table 14: Reasons given by mothers
Page 37 and 38: Introduction FOCUS GROUP DISCUSSION
Page 39 and 40: Focus group discussion with health
Page 41 and 42: Social Economic/Cultural factors ar
Page 43 and 44: HEALTH EDUCATION MODEL 5.3.THEORETI
Page 45 and 46: To reduce the complications that ap
Page 47 and 48: People will only perform a given be
Page 49 and 50: BIBLIOGRAPHY Ahmad Z. et al (1998).
Page 51 and 52: Ladfors L. et al (2001). A populati
Page 53 and 54: Walraven et al (2000) Maternal mort
Page 55 and 56: 8. How long does it take you to rea
Page 57 and 58: ANNEX 2 FOCUS GROUP DISCUSSION FOR
Page 59 and 60: ANNEX 2: QUESTIONS FOR FOCUS GROUP
Page 61:
ANNEX 5: PERMISSION LETTER 47
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(PHCII) - MMH/MMS

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