Browsing by Author "Moshi, Fabiola Vincent"

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    The Effectiveness of Community Based Continuous Training on improving birth preparedness, male involvement and maternal services utilization in Rukwa Tanzania
    (The University of Dodoma, 2019) Moshi, Fabiola Vincent
    Background: It is widely accepted that community-based interventions are vital strategies towards reduction of maternal and neonatal mortalities in developing countries. This study has aimed at finding the effectiveness of a Community-Based Continuous Training (CBCT) project, on improving birth preparedness, male involvement and maternal services utilization in rural Tanzania. Method: The quasi-experimental study design with control was adopted to determine the effectiveness of CBCT project. The study was conducted from June 2017 until March 2018. A multi-stage sampling technique was employed to obtain 561 couples. Pre-test and end-line information were collected using semi-structured questionnaires. The effectiveness of the intervention was determined by using independent t-test and paired t-test. The effect size was calculated using Cohen’s d. Linear and logistic regression models were used to test the predictors of change. Results: At the end-line, knowledge mean scores were significantly higher in the intervention group among both pregnant women and their male partners as compared to control group. The predictors of change in knowledge scores among pregnant women were the CBCT project (β=0.346, p<0.000) and the ethnic group [Mambwe (β=-0.524, p=0.001)] while male partners were the CBCT project (β=1.058, p<0.001) and the walking distance [more than five kilometers (β=-0.55, p< 0.05)]. The predictor of change in attitudes and subjective norms towards birth preparedness scores, was the CBCT project (β=0.065, p<0.05) and (β=0.112, p=0.001) respectively while in perceived behavior control towards male involvement were the vi intention to accompany (β=-0.099, p=0.001), ethnic group (others, β=-0.063, p<0.05) and the CBCT project (β=0.067, p<0.05). There was a significant increase in mean scores in birth preparedness and maternal services utilization among couples in the intervention group as compared to control group. The CBCT project significantly predicted birth preparedness ((AOR=2.138; p<0.001), male involvement (AOR=1.638; p<0.05) and maternal services utilization (AOR= 3.368; p<0.001). Conclusion: This project which focused on knowledge empowerment and behavior change among the couples was both feasible and effective on improving knowledge, attitudes and subjective norms towards birth preparedness, perceived behavior control towards male involvements, birth preparedness and maternal services utilization. The project has potential to make a positive impact on maternal and newborn health.
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    Identifying factors associated with neonatal resuscitation skills among nurses and midwives in Tanzania, sub-Saharan Africa
    (SAGE, 2022) Mbinda, Mathias Anthony; Moshi, Fabiola Vincent
    The objective of this study was to identify factors associated with nurses’ and midwives’ skills in performing neonatal resuscitation. Health facility-based analytical cross-sectional study design was employed from January 2021 to April 2021 among 340 nurses and midwives selected by multistage random sampling technique. An observation checklist was used to collect data. Data were coded and entered into SPSS version 20 for analysis. Bivariate and multivariate logistic regression was used to assess factors associated with nurse/midwives’ skills in neonatal resuscitation. Among 340 nurses and midwives, 141 (41%) had adequate skills in neonatal resuscitation. After adjusting for confounders, factors associated with adequate skills were; age of the midwives (20–34 (adjusted odds ratio=0.082, p<0.008) and 35–49 (adjusted odds ratio=0.087, p<0.010)); work experience (worked 4–6 (adjusted odds ratio=2.905, p<0.003) and>10years and above (adjusted odds ratio=12.825, p<0.000)); district hospitals (adjusted odds ratio=1.544, p=0.032); distance from place of residence (6–10 km (adjusted odds ratio=0.090, p<0.001) and>16 km (adjusted odds ratio=0.049, p<0.001)); number of midwives per shift,⩾4 (adjusted odds ratio=2.396, p=0.012) and number of deliveries per day (6–10 (adjusted odds ratio=1.385, p<0.031), 11–20 (adjusted odds ratio=2.693, p<0.016) and>20 delivery per day (adjusted odds ratio=6.007, p<0.001). Less than half of the observed nurses and midwives had adequate skills in neonatal resuscitation. Nurses and midwives who were younger, less experienced (<4 years of work experience), and work in small, lower volume settings with fewer colleagues and limited births (dispensaries, fewer than four nurses and midwives per shift, less than six deliveries per day) were less likely to have adequate skills in neonatal resuscitation. Knowledge gained from this study may provide future research related to a cost-effective strategy to empower nurses and midwives in neonatal resuscitation.
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    Prevalence and factors associated with home childbirth with unskilled birth assistance in Dodoma-Tanzania: A cross sectional study
    (East African Health Research Commission, 2020) Moshi, Fabiola Vincent; Lymo, Glorialoveness; Gibore, Nyasiro S.; Kibusi, Stephen M.
    Background: Improving maternal health is one of the goals to be achieved under the Sustainable Development Goal (SDG) number 3. Worldwide, half a million of women die each year from pregnancy and childbirth related complications which can be prevented by skilled birth assistance. One of the determinants of maternal health is place of childbirth. Giving birth at home leads to a high risk of maternal and child mortality. The aim of the study was to determine the prevalence and factors associated with choice of home childbirth in Dodoma Municipality. Methods: A community based cross section study using multistage sampling was used to obtain the sample in which 2,523 women who gave birth within 3 years prior to the date of the study from different wards of Dodoma municipal were interviewed. The data obtained were entered and analysed using SPSS version 20. Binary logistic regression analysis was used to establish predictors of home childbirth with unskilled birth assistance. Results: A total of 1,174 (46.5%) women had home childbirth with unskilled birth assistance. After adjusted for the confounders, predictors of home childbirth with unskilled birth assistance among study respondents were level of education [primary education, AOR=0.69 at 95% CI=0.557-0.854,p<.001; secondary education, AOR=0.492 at 95% CI=0.358-0.676,p<.001 and above secondary education, AOR=0.35 at 95% CI=0.16-0.765;p<.01]; marital status [married women, AOR=0.686 at 95% CI=0.547-0.86, p<.001]; occupation of a mother [peasant, AOR=1.508 at 95% CI=1.214-1.874, p<.05]; parity [2 to 4 children, AOR=1.316 at 95% CI=1.028-1.684,p<.05; More than 4 children, AOR=2.006 at 95% CI=1.427-2.82,p<.001]; number of antenatal visits [4 or more antenatal visits, AOR=0.451 at 95% CI=0.204-0.997,p<.05] and walking distance [less than 5kilometres, AOR= 0.797 at 95% CI=0.674-0.943,p<.001] Conclusion: The findings of this study suggest a need for health education in the community on the importance of skilled birth delivery. There is also a need for the government to roll out the implementation of Primary Health Services Development Program (PHSDP-MMAM) which addresses the delivery of health services within 5 kilometres to ensure fair, equitable and quality health services to the community.