Browsing by Author "Gibore, Nyasiro Sophia"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Men in maternal health: an analysis of men’s views and knowledge on, and challenges to, involvement in antenatal care services in a Tanzanian community in Dodoma region
    (Cambridge University Press, 2020) Gibore, Nyasiro Sophia; Gesase, Ainory Peter
    Promoting men’s involvement in antenatal care (ANC) requires an understanding of their views on how they ought to be involved. Their involvement in ANC services can help in reducing delay in deciding to seek care and facilitate women’s access to skilled antenatal services. This study sought to determine men’s views and knowledge on, and challenges to, involvement in ANC services in Tanzania. The cross-sectional study was carried out in four districts of Dodoma Region in November 2014 and June 2016. A multi-stage sampling strategy was used to select the study respondents. Data were collected by interviewing 966 men using a structured questionnaire. Univariate, bivariate and multivariate logistic regression analyses were used to examine the association between men’s involvement in ANC services and their background characteristics. About 63.4% of respondents accompanied their partners to ANC services. Men’s view was that they can be involved through accompanying their partner to ANC clinics and providing money for health services. Men who had poor knowledge on ANC services were two times less likely to be involved in ANC services. Similarly, long waiting times at the antenatal clinics decreased the likelihood of service utilization by their partners. Men from a two-income household were more likely to be involved in ANC services than men from households where the men’s earnings were the only source of income. Challenges encountered by men during attendance at ANC services included: perception of antenatal clinics as places only for women, financial difficulties, influence of peer pressure and lack of time due to occupational demands. There is a need to establish community outreach ANC services that offer couple-friendly services in Tanzania. Also, it is crucial to have a policy for men’s involvement in maternal health care that addresses cultural practices that hinder men’s involvement in ANC services.
  • Thumbnail Image
    Item
    Mothers’ willingness to deliver at health facilities in Dodoma region, Tanzania
    (Kenya Medical Research Institute, 2022) Ngowi, Agatha Fabian; Bali, Theodora; Kamazima, Switbert Rwechungura; Gibore, Nyasiro Sophia
    Introduction: Maternal morbidity and mortality are a public health concern in most developing countries. It has been shown that skilled attendance at birth can be the single most effective intervention in preventing maternal death. However, limited studies have updated current knowledge on why some women prefer to deliver at health facilities and others do not. The study was aimed to explore mother’s willingness to deliver at the health facilities and attitudes toward service providers in Dodoma Region, Tanzania Methods and Materials: This was a qualitative cross-sectional study design conducted in four districts of the Dodoma region. The study population was women of reproductive age with their (spouses) who had children aged less than two years, health care providers, TBAs, and community leaders. We conducted eight focused group discussions (FGDs) and fourteen In-depth interviews (IDIs) using interview guides and an IDI checklist respectively. Data were transcribed and translated from Kiswahili to English. The transcribed documents were then exported into NVivo 10 software to facilitate the coding process and analyzed through a thematic approach. Results: The study participants reported that the majority of women were willing to deliver at health facilities but some still preferred home delivery due to different reasons including positive or negative attitudes toward service provided by nurses and traditional birth attendants. Conclusions: Our findings suggest for health care providers customize respectful maternity care to all women. This may encourage all women to deliver at the health facilities; hence, decreasing the risk of maternal morbidity and mortality.