Browsing by Author "Joho, Angelina A."

Now showing 1 - 7 of 7
  • Thumbnail Image
    Item
    Influence of maternal lifestyle behaviors on birth weight and Apgar score
    (Elsevier, 2021) Abdallah, Amina Y.; Joho, Angelina A.; Yahaya, James J.
    Introduction: Unhealthy maternal lifestyles has been found to be associated with various adverse birth outcomes including low birth weight and low Apgar score. Purpose of the study: The aim was to determine the influence of maternal lifestyle behaviors on birth weight and Apgar score among post-delivery women in Zanzibar. Methodology: A cross-sectional analytical hospital-based study which included 301 post-delivery women was conducted in Zanzibar from May to July 2019. The predictors of adverse birth outcomes (low birth weight and low Apgar score) were determined using Binary Logistic regression under multivariate analysis using SPSS version 23.0. P < 0.05 was considered to be significant. Results: The mean age of the post-delivery women was 28.6 ± 6.709 years. Low birth weight and low Apgar score were found in 40.2% and 26.9% of all the newborn, respectively. Passive tobacco smoking during pregnancy had almost a 4-fold increased risk of low birth weight (AOR = 3.77, 95% CI = 2.16–6.58, p = 0.001). Alcoholism during pregnancy had an almost 2-fold increased risk of causing low birth weight (AOR = 1.86, 95% CI = 3.11–5.34, p = 0.023). Inadequate dietary intake during pregnancy had a 1.21-fold increased risk of low birth weight (AOR = 1.21, 95% CI = 0.42–1.21, p = 0.007). Conclusion: Being a passive smoker, alcoholism and inadequate dietary intake during pregnancy may predict low birth weight and low Apgar score. Therefore, education should be given to pregnant women attending antenatal clinics in order to prevent or reduce the number of women giving birth to babies with either low birth weight or low Apgar score.
  • Thumbnail Image
    Item
    Intimate partner violence influences modern family planning use among married women in Tanzania: cross-sectional study
    (Springer Science and Business Media LLC, 2024) Baritwa, Mrimi S.; Joho, Angelina A.
    Background Married women who experience intimate partner violence (IPV) are less likely to negotiate with their partners on modern family planning (FP) use. This study aimed to determine the influence of intimate partner violence and sociodemographics on modern family planning use. Methods A community-based cross-sectional study was conducted in the Mara region, Tanzania from April to July 2020. A total of 366 married women were interviewed. Data were collected using a structured interviewer-administered questionnaire. Analysis was done using SPSS version 25, and a binary logistic regression model was used to determine the predictors of modern FP use. The significance level was set at a p-value less than 0.05. Results The overall prevalence of IPV was 73% with 54.1% physical, 36.3% psychological, and 25.4%, sexual violence. The prevalence of modern FP use was 62%, and the most (49.1%) common method practiced by married women was injection (Depo Provera). Physical violence (AOR = 0.32, p = 0.0056), and psychological violence (AOR = 0.22, p = 0.0022) had significantly reduced odds of modern FP use. Religion (AOR = 4.6, p = 0.0085), and availability of preferred modern FP methods (AOR = 9.27, p < 0.0001) had significantly increased odds of modern FP use. Conclusion In this study, there is a positive association between the use of modern FP methods and IPV. To prevent IPV and its negative health consequences, it is crucial to involve community leaders and primary healthcare workers. They can help in identifying the best strategies to prevent IPV and promote the use of modern FP methods. It is equally important to involve male partners in reproductive health decisions, including the use of modern FP methods. This approach will help reduce reproductive coercion.
  • Thumbnail Image
    Item
    Knowledge and skills on active management of third stage of labor for prevention of post-partum haemorrhage among health care providers in Lake Zone, Tanzania: a cross sectional study
    (Springer Nature, 2022) Muyanga, Daniel Lugwesa; Joho, Angelina A.
    Background: Health care providers (HCPs) knowledge and skills are both crucial in saving the lives of mothers and their newborns during childbirth. This study aimed to assess the knowledge and skills of HCPs on active management of third stage of labor (AMTSL) for prevention of PPH in Lake Zone Tanzania. Methods: A cross-sectional analytical hospital-based study which included 340 HCPs who were randomly selected, the study was conducted from March to May 2019 in lake zone, Tanzania. Data were collected using standardized questionnaire and observational checklist. Predictors of knowledge and skills on AMTSL were determined using binary logistic regression under multivariable analysis using SPSS version 23.0. p-value less than 0.05 was considered signifcant. Results: Most 200 (58.8%) of the participants were aged between 25 and 34 years with mean age 31.4±6.26 years. Majority 240 (67.6%) were females. Of all HCPs, 171 (50.3%) had adequate knowledge whereas 153 (45.0%) had adequate skills on AMTSL. Males (AOR=1.96, 95% CI 1.18–3.26), HCPs with University education (AOR=3.29, 95% CI 1.19–9.13) and previous BEmONC training (AOR=2.20, 95% CI 1.24–3.91) were found to be the predictors of adequate knowledge on AMTSL. HCPs aged≥45 years (AOR=9.35, 95% CI 1.74–10.28) and HCPs working at a hospital (AOR=1.78, 95% CI 1.12–2.82) were associated with having adequate skills on AMTSL. Conclusion: HCPs included in this study demonstrated low skills on AMTSL as compared to knowledge which needs immediate attention. We recommend continuous in-service training and supportive supervision among HCPs working in labour wards for improving their knowledge and skills on AMTSL. This will help to reduce maternal morbidity and mortality related to PPH.
  • Thumbnail Image
    Item
    Predictors of helping babies breathe knowledge and skills among nurses in primary health settings in Dodoma region, Tanzania
    (BMC, 2020) Joho, Angelina A.; Kibusi, Stephen M.; Mwampagatwa, Ipyana
    Globally, birth asphyxia is one of the leading causes of neonatal death. In Tanzania, neonatal deaths are estimated to be 25 deaths per 1000 live births and birth asphyxia accounts for 31% of those deaths. A cross-sectional study was conducted in 40 health centers within 7 districts in Dodoma Region among nurses working in maternity units. Simple random sampling was used to select participants. A knowledge questionnaire and performance skills checklist were used to assess nurses’ knowledge and skills respectively. Chi-square and binary logistic regression were employed to test association and identify significant predictors of HBB knowledge and skills. A total of 172 participants completed the study out of 176 recruited. This represents a respondent rate of98%. Findings indicate that age, duration of professional training, and experience in maternity were significant predictors for knowledge and skills. However, after control of the confounders, experience in the maternity unit was found to be the only significant predictor of knowledge and skills in resuscitation of the neonates (AOR = 2.94; CI: 0.96–8.98; P= 0.05) and (AOR = 4.14; CI: 1.12–15.31; P= 0.03) respectively. Nurses with longer maternity nursing care experience of 5 years and above were better able to answer questions that demonstrated adequate knowledge(53.9%) and perform skills correctly (53.2%) related to HBB. Those with less than 5 years’ experience had limited knowledge (20%) and skills (10.5%). In this setting, direct work experience in the maternity unit was the main factor influencing knowledge and skills in neonatal resuscitation with HBB.
  • Thumbnail Image
    Item
    Puerperal sepsis-related knowledge and reported self-care practices among postpartum women in Dar es salaam, Tanzania
    (Sage, 2022) Nchimbi, Dorice B.; Joho, Angelina A.
    Knowledge and reported self-care practices of postpartum women are important for early detection, prevention and treatment of puerperal sepsis. This study analyzes the knowledge and self-care practices for prevention of puerperal sepsis and their determinants among postpartum women. A hospital-based analytical cross-sectional study which included 343 postpartum women was conducted from February to March 2021. Data were collected using interviewer-administered questionnaire. Predictors of knowledge and self-care reported practice were determined using binary logistic regression. p < 0.05 was considered significant. More than half (n = 213, 62.1%) of the postpartum women had adequate knowledge on prevention of puerperal sepsis. Only 39 (11.4%) of the women reported adequate self-care practices toward prevention of puerperal sepsis. Secondary education (adjusted odds ratio = 0.18, 95% confidence interval = 0.06–0.49, p = 0.001), tertiary education (adjusted odds ratio = 0.52, 95% confidence interval = 0.19–1.38, p = 0.021) and getting information from healthcare providers (adjusted odds ratio = 1.06, 95% confidence interval = 0.55–2.06, p = 0.049) were significant determinants of knowledge on prevention of puerperal sepsis. Also, secondary education (adjusted odds ratio = 0.11, 95% confidence interval = 0.04–0.30, p = 0.001), tertiary education (adjusted odds ratio = 0.16, 95% confidence interval = 0.06–0.39, p = 0.001), and having more than four antenatal care visits (adjusted odds ratio = 1.21, 95% confidence interval = 0.49–3.27, p = 0.041) were significant determinants of reported self-care practices for prevention of puerperal sepsis. A significant gap in reported self-care practices to prevent puerperal sepsis was evidence. Secondary and tertiary education were significant predictors for both knowledge and self-care reported practices. Special attention should be given to women with low education level.
  • Thumbnail Image
    Item
    “We always felt psychologically unstable”: A qualitative study of midwives' experiences in providing maternity care during the COVID‐19 pandemic in Tanzania
    (Wiley, 2024) Joho, Angelina A.; Abdallah, Subira
    Aim We explored midwives' experiences and challenges in providing maternity care during the period of the first surge of the COVID-19 pandemic in Dodoma. Design Phenomenological study design was used to explore midwives' experiences and challenges in providing maternity care during the COVID-19 pandemic in Tanzania. Methods We conducted interviews with a total of 23 midwives, using semi-structured interviews and an audio recorder. Five focus group discussions (FGDs) were conducted. To analyse the data, we used interpretive phenomenological thematic data analysis with NVivo software. To analyse templates, we followed a step-by-step process, starting with familiarizing ourselves with the data, followed by preliminary coding, organizing themes, developing an initial coding template, using the initial template, refining the template and finally applying it to the entire dataset. Results It was found that three themes and eight subthemes merged in the current study. The main themes were ① mental health distress, ② work environment challenges and ③ isolation of midwives by different groups. Public Contribution Reducing risk and protecting midwives from infectious diseases will improve the workforce, reduce the number of hospital stays, reduce the cost of hospital services, improve birth outcomes and indirectly improve family, community and national economies. Conclusion Due to the system's failure to provide psychological support, protective environment and isolation rooms for confirmed or suspected cases put midwives at a higher risk of contracting the virus and had to work in a stressful environment. In addition to having the right tools, midwives must also receive emotional and psychological support in order to be at their best. The system must ensure that midwives are ready for uncertain times, such as pandemic infectious disease outbreaks, by providing protective work place environment such as personal protective equipment, psychological support and isolation room for confirmed COVID-19 cases
  • Thumbnail Image
    Item
    “We always felt psychologically unstable”: A qualitative study of midwives' experiences in providing maternity care during the COVID-19 pandemic in Tanzania
    (Wiley & Sons, 2024-01) Joho, Angelina A.; Abdallah, Subira
    Aim We explored midwives' experiences and challenges in providing maternity care during the period of the first surge of the COVID-19 pandemic in Dodoma. Design Phenomenological study design was used to explore midwives' experiences and challenges in providing maternity care during the COVID-19 pandemic in Tanzania. Methods We conducted interviews with a total of 23 midwives, using semi-structured interviews and an audio recorder. Five focus group discussions (FGDs) were conducted. To analyse the data, we used interpretive phenomenological thematic data analysis with NVivo software. To analyse templates, we followed a step-by-step process, starting with familiarizing ourselves with the data, followed by preliminary coding, organizing themes, developing an initial coding template, using the initial template, refining the template and finally applying it to the entire dataset. Results It was found that three themes and eight subthemes merged in the current study. The main themes were ① mental health distress, ② work environment challenges and ③ isolation of midwives by different groups. Public Contribution Reducing risk and protecting midwives from infectious diseases will improve the workforce, reduce the number of hospital stays, reduce the cost of hospital services, improve birth outcomes and indirectly improve family, community and national economies. Conclusion Due to the system's failure to provide psychological support, protective environment and isolation rooms for confirmed or suspected cases put midwives at a higher risk of contracting the virus and had to work in a stressful environment. In addition to having the right tools, midwives must also receive emotional and psychological support in order to be at their best. The system must ensure that midwives are ready for uncertain times, such as pandemic infectious disease outbreaks, by providing protective work place environment such as personal protective equipment, psychological support and isolation room for confirmed COVID-19 cases.