Conference abstract
Intermittent spot-check approach for improving maternal and child health services: Misungwi District
Pan African Medical Journal - Conference Proceedings. 2024:21(56).29
Apr 2024.
doi: 10.11604/pamj-cp.2024.21.56.2386
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Maternal and child health, spot-check
Oral presentation
Intermittent spot-check approach for improving maternal and child health services: Misungwi District
Joseph Massenga1,&, Caleb Joel1, Flora Deusidedith Kuzenza1, Clement Sobe Morabu2
1Council Management Team Misungwi District, Misungwi, Tanzania, 2Marie Stopes, Dar es Salaam, Tanzania
&Corresponding author
Introduction: in Misungwi District, it is observed that HCWs attitude and accountability contribute to Maternal and child health services. In 2017–2021, a study supported by USAID Afya yangu, was done to explore attitude, responsibility and accountability of HCWs on providing maternal and child health services.
Methods: an informal observation and qualitative follow-up in 27 Primary Health Care facilities, randomly selected according to volume of deliveries and ANC attendance taking note of HCWs attendance, observing service quality provided, reviewing registers, IPC, 5s and documents developed by CHMT and RHMT Mwanza Region. This quality improvement analysis was done by thematic content analysis grouped according to level of health facilities.
Results: inadequate number of health care providers, at night compared to the day staff when number of patients is same. Incomplete emergency trays for eclampsia and PPH at most dispensaries. IPC and 5S not followed. Attendance books not signed by staff. Attitude and Lack of accountability for HCWs, led to inadequate management during labor, delivery and postnatal care.
Conclusion: for increased responsibility and accountability, managers need to review job allocation and design a leadership and management approach. Managers, motivate HCWs and come up with leadership and management skills approach to support staff.
Intermittent spot-check approach for improving maternal and child health services: Misungwi District
Joseph Massenga1,&, Caleb Joel1, Flora Deusidedith Kuzenza1, Clement Sobe Morabu2
1Council Management Team Misungwi District, Misungwi, Tanzania, 2Marie Stopes, Dar es Salaam, Tanzania
&Corresponding author
Introduction: in Misungwi District, it is observed that HCWs attitude and accountability contribute to Maternal and child health services. In 2017–2021, a study supported by USAID Afya yangu, was done to explore attitude, responsibility and accountability of HCWs on providing maternal and child health services.
Methods: an informal observation and qualitative follow-up in 27 Primary Health Care facilities, randomly selected according to volume of deliveries and ANC attendance taking note of HCWs attendance, observing service quality provided, reviewing registers, IPC, 5s and documents developed by CHMT and RHMT Mwanza Region. This quality improvement analysis was done by thematic content analysis grouped according to level of health facilities.
Results: inadequate number of health care providers, at night compared to the day staff when number of patients is same. Incomplete emergency trays for eclampsia and PPH at most dispensaries. IPC and 5S not followed. Attendance books not signed by staff. Attitude and Lack of accountability for HCWs, led to inadequate management during labor, delivery and postnatal care.
Conclusion: for increased responsibility and accountability, managers need to review job allocation and design a leadership and management approach. Managers, motivate HCWs and come up with leadership and management skills approach to support staff.
