32 research outputs found
Perceived Health System Causes of Obstetric Fistula from Accounts of Affected Women in Rural Tanzania: A qualitative study
Obstetric fistula is still a major problem in low income countries. While its main cause is untreated obstructed labour, misconceptions about it still persist. This study aimed at exploring and describing perceived health system causes of obstetric fistula from women affected by it in rural Tanzania. This exploratory qualitative study included twenty-eight women affected by obstetric fistula. Semi structured interviews and focus group discussions were held and thematic analysis used to analyse perceived health system causes of obstetric fistula from women’s account. Perceived health system causes of obstetric fistula fundamentally reflected the poor quality of obstetric care women received at health care facilities relating to staff unaccountability, late referral, and torture by nurses. The women's perception emphasizes the importance of improving the quality of obstetric care provided by health care providers in health care facilities. Keywords: Obstetric fistula, perceived causes, health system, birth experiences, Tanzani
Predictors of nurses’ and midwives’ intentions to provide maternal and child healthcare services to adolescents in South Africa
BACKGROUND: Adolescent mothers are at a much higher risk for maternal mortality compared to mothers aged
20 years and above. Newborns born to adolescent mothers are also more likely to have low birth weight, with the
risk of long-term effects such as early onset of adult diabetes than newborns of older mothers. Few studies have
investigated the determinants of adequate quality maternal and child healthcare services to pregnant adolescents.
This study was conducted to gain an understanding of nurses’ and midwives’ intentions to provide maternal and
child healthcare and family planning services to adolescents in South Africa.
METHODS: A total of 190 nurses and midwives completed a cross-sectional survey. The survey included components
on demographics, knowledge of maternal and child healthcare (MCH) and family planning (FP) services, attitude
towards family planning services, subjective norms regarding maternal and child healthcare and family planning
services, self-efficacy with maternal and child healthcare and family planning services, and intentions to provide
maternal and child healthcare and family planning services to adolescents. Pearson’s correlation analysis was
conducted to determine the association between knowledge, attitude, subjective norms, self-efficacy, and intention
variables for FP and MCH services. A 2-step linear regression analysis was then conducted for both FP and MCH
services to predict the intentions to provide FP and MCH services to adolescents.
RESULTS: Self-efficacy to conduct MCH services (β = 0.55, p < 0.01) and years of experience as a nurse- midwife
(β = 0.14, p < 0.05) were associated with stronger intentions to provide the services. Self-efficacy to provide FP
services (β = 0.30, p < 0.01) was associated with stronger intentions to provide FP services.
CONCLUSIONS: Self-efficacy has a strong and positive association with the intentions to provide both MCH and FP
services, while there is a moderate association with attitude and norms. There is a need to improve and strengthen
nurses’ and midwives’ self-efficacy in conducting both MCH and FP services in order to improve the quality and
utilization of the services by adolescents in South Africa.IS