Master Dissertations

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Browsing Master Dissertations by Subject "Abortion"

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    Awareness on abortion complications and the accessibility of comprehensive post abortion care services, among women with abortion complications in Manyara region
    (The University of Dodoma, 2018) Francis, Fortunata A.
    Back ground: Abortion is a termination of pregnancy at the gestational age of 20 weeks from whatever cause or before the fetus is capable of extrauterine life, it can be spontaneous or induced. Safe or unsafe abortion can lead to serious abortion complications. Individual awareness on abortion complications and the accessibility of comprehensive post abortion care services, are important predictors of the outcome treatment of abortion complications (Geleto & Markos, 2015). Objective: This study has aimed to assess the individual awareness on abortion complications and the accessibility of comprehensive post abortion services, among women seeking abortion care at health facilities in Manyara Region. Method: This was an observation Hospital based Cross-section study with a quantitative approach. Data were collected by using interviewer administered semi structured questionnaire as well as Patient records. Purposive sampling method, was used to select one region due to the high percentage of abortion complications as well as the six health facilities with CPAC services criteria and convenient sampling method, was used to select a study participants due rare cases. Data were analyzed by statistical package services solution (SPSS) version 20 and findings were presented in tables and figures, frequencies, percentages, Odds Ratio (OR), and Adjusted Odds Ratio (AOR). Results: Findings of the current study have revealed a total prevalence of abortion complication was 118(60.2%) and the most complication was severe bleeding 100(51.0%). Formal education were [AOR 0.408; 95% CI 0.186-0.895. P-Value 0.05] in occurrence of abortion complications when compared to nonformula education. Meanwhile the age group of respondents 20-30yrs were [AOR 0507; 95% CI 0.169-1.519, P-Value 0.225, when Compared to age group 30yrs and above [AOR 0.485 95% CI 0.260-0.905, P-Value 0.023. With regards to awareness on abortion complications among women seeking abortion care services in the selected hospitals, Out of 196 participants 50.2% were had good awareness on abortion complications and 177(90.3 %) were heard on abortion complication and few of them16 (8.2%) were not. Moreover most of participant were at age 20-30 yrs. Nerveless, the uptake of Comprehensive Post Abortion Care services, ware relatively high where 174 (88.7%) were counseled of family planning among whom 119 (60.7%) actually, received the contraceptives on discharge day as part of package of comprehensive post abortion care and others were linked to other health facilities. Conclusion. There is a relatively high prevalence of abortion complications among women seeking abortion care services at health facilities and only half of the participants were had good awareness on abortion complications, however, the levels of awareness differ in some components of the package. More efforts should therefore be directed towards increasing individual awareness on abortion complications, and timely provision of a full package of comprehensive post abortion care services.
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    The effect of structural quality of maternal health referral system on midwives competence on partograph compliance in Mwanza region.
    (The University of Dodoma, 2020) Nyanda, Lemi Richard
    Mwanza Region is one of the Regions in Tanzania with high maternal deaths with a burden of 305 MMR per 100,000 live births. Inadequate partograph compliance among nurse-midwives and poor structural quality for maternal referral system at the dispensary, health centers and hospital level can be among the contributing factors of the reported maternal deaths in the Region. This study aimed to assess the effect of structural quality of the maternal health referral system on midwives’ competence on partograph compliance. A hospital-based cross-sectional study involved 384 study respondents and 50 health facilities selected using simple random sampling technique. A structured questionnaire and a checklist were used to collect data for nurse-midwives competence, compliance on partograph and structural quality respectively. SPSS v20 was used for data analysis. Descriptive statistics was used to univariate data. Bivariate and multivariate data were analysed using Chi Square, Binary Logistic and multinomial regression models. The results were presented using tables and figures. Of all 384 respondents, 226(58.9%), 142(37.2%) and 265(69%) had adequate knowledge, positive attitude and adequate skills on partograph. Only 22% had inadequate partograph compliance. The study findings showed that 96.7% and 60.4% of dispensary and health centers/hospital had substandard structural quality, respectively, and the structural quality was not the predictor of partograph compliance (p>0.05). Age of 19-29 years was the predictor for partograph compliance at dispensary and health centre/hospital (AOR=0.350, 95%CI 0.157-0.780, p=0.010) and (AOR=3.502, 95%CI 1.326-9.247, P=0.011) respectively. While certificate qualification was the only predictor for partograph compliance at dispensary level (AOR=0.232, 95% CI: 0.070-0.775; p=0.018). Partograph should be used correctly and consistently used to all women attending labour for childbirth as it alerts the midwife for a quick action to be undertaken. There is a need for health facility management teams in Mwanza Region to establish consistent on-job training (OJT) particularly on how to use partograph.