Conference abstract

The influence of the IMPACT approach on antenatal care clinic health commodity availability and healthcare workers´ knowledge, practice, and perceptions: a case of Itilima District Council, North-western Tanzania

Pan African Medical Journal - Conference Proceedings. 2024:21(21).29 Apr 2024.
doi: 10.11604/pamj-cp.2024.21.21.2352
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Antenatal care, commodity availability
Oral presentation

The influence of the IMPACT approach on antenatal care clinic health commodity availability and healthcare workers´ knowledge, practice, and perceptions: a case of Itilima District Council, North-western Tanzania

Anold Musiba1,&, Stanley Mwita2, Domenica Morona3, Boniphace Marwa4

1Catholic University of Health and Allied Sciences (CUHAS), Mwanza, Tanzania, 2Department of Pharmaceutical and Pharmacy Practice, School of Pharmacy Catholic University of Health and Allied Sciences (CUHAS), Mwanza, Tanzania, 3Derpartment of Parasitology, Catholic University of Health and Allied Sciences (CUHAS), Mwanza, Tanzania, 4Regional Health Management Team (RHMT), Regional Commissioners Office, Simiyu, Tanzania

&Corresponding author

Introduction: antenatal care services have been a means for reducing maternal and unborn child morbidity and mortality. However, health commodities availability at antenatal care clinics has been below the 80% standard set by the WHO and Tanzania Ministry of Health guidelines. This study aims at examining the influence of IMPACT approach on health commodities and providing insights from the implementers so as to refine its modalities for use at district level facilities.

Methods: mixed methods were employed in a Quasi-experimental and Case study design. The data were collected by a self-administered questionnaire, complemented by in-depth interviews for the qualitative component, documents’ review and observation. Data were analysed using SPSS version 25, and Nvivo version 12 for qualitative data. Ethical clearance was sought from the BMC/CUHAS Joint Ethics & Review Committee and permission from respective local authorities was acquired. Informed consent from each participant was sought.

Results: the study revealed that 59 participants (64.8%) had adequate knowledge, 76 participants (84.6%) had good practice and 83 participants (91.2) had a positive perception on IMPACT approach. The mean performance for ANC health commodities indicators showed significant improvement from year 1 (45.3%) to year 4 (90.4%) (p<0.0001). Most of the health care workers were aware of the IMPACT approach, commending on its influence to enhance availability of health care commodities.

Conclusion: healthcare workers generally view the IMPACT approach positively, need for refresher training, IMPACT guideline dissemination, promote data use culture, facility revenues generation and adoption of Simiyu Performance score card are crucial strategies.