(PHCII) - MMH/MMS

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3.1.1 DISTRICT HEALTH SYSTEM The district Health system is lead by the Council Health Management Team headed by the District Medical Officer. There are four (4) Health centers namely Buhingu situated along Lake Tanganyika south of Kigoma town. Bitale which is in Mahembe and Nguruka. Matyazo health center is a mission health center,it is equipped with enough medical, professionals and manages most delivery complications including Caesarian sections. There are 52 dispensaries in the district. All these are under the supervision of the DMO. Table 1: Distribution of health facilities in Kigoma District OWNER TYPE GOVT V.A TOTAL Hospital 0 0 0 Health Centre 3 1 4 Dispensary 48 10 58 Total 51 11 62 3.2 STUDY TYPE This was a descriptive cross sectional study. 3.3. VARIABLES USED 3.3.1. Dependent Variable Place of Delivery. 3.3.2. Independent Variables - Level of knowledge on maternal risk factors during pregnancy/labour and delivery. - Parity. - Distance. - Community perception on Quality of Obstetric care. - Social economics/cultural beliefs and traditions. 11
3.4. STUDY POPULATION The population sample was drawn from: - Women in bearing age groups who had experienced pregnancy and delivery. - Health providers in respective villages - Village leaders and influential people. - Women's groups in Kigoma district. 3.4.1. SAMPLING TECHNIQUE A multistage sampling method was employed where by: Simple random sampling was used to select two divisions out of six divisions. Four (4) wards from the selected divisions were selected by simple random sampling. Two (2) villages from each ward were selected through simple random sampling to make a total of eight (8) villages for study. Systematic random sampling was applied to select fifty (50) households from each village, at a regular interval of six (6) until a sample size of 400 respondents was obtained for women of bearing age who had experienced pregnancy and delivery. For focus group discussions, this was conveniently selected after consultations with village leaders in the respective village. Eight (8) focus group discussions, one (1) from each village, which comprised of eight (8) participants, were involved. Thus making a total of sixty-four (64) respondents. Groups involved were village leaders and influential people, Community Own Resource Persons including TBAs, Health workers and women groups found in the village 12
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 and 10: ABREVIATIONS ANC - Ante-Natal Care
Page 11 and 12: ABSTRACT Health unit delivery is a
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: 3.0. RESEARCH METHODOLOGY 3.1. STUD
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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