NURSES’ PERCEPTIONS ABOUT THE IMPLEMENTATION OF FOCUSED ANTE- NATAL CARE SERVICES IN DAR ES SALAAM, TANZANIA

Authors

  • M L Yengo
  • Lydia Monareng University of South Africa Department of Health Studies
  • E N Monama

DOI:

https://doi.org/10.25159/2520-5293/36

Abstract

A number of countries in Africa, including Tanzania, introduced focused antenatal care (FANC) as an approach to improve the maternal and child health care services and decrease the high rate of maternal deaths. The purpose of this study was to determine the perceptions of nurses with regard to the implementation of FANC in practice.  A quantitative descriptive design was used to determine how the implementation of FANC guidelines was perceived by nurses who provided midwifery services in Tanzania.  A questionnaire was used to collect data.  Stratified random sampling was used to recruit 143 nurses, comprising nursing officers (n=50), midwives (n=53), and public health nurses (n=40).  The SAS/Basic and SAS/STAT version 11.1 statistical analysis programs were used to analyse data and compile descriptive statistics. Cronbach’s co-efficient reliability was 0.86.  The results revealed that the greatest area of concern (73.8%; n=104) was the shortage of human and material resources for the successful implementation of FANC. However, there was a positive perception about the implementation and the outcome of FANC services by 98.6% (n=141) of the respondents.  Authorities and management of these services should attend to and review the human and non-human resource allocation budgets.

Metrics

Metrics Loading ...

References

Anya, S.E., Hydara, A. & Jaiteh, L. 2008. Ante natal care in the Gambia: missed opportunity information, education and communication. Biomedical Central Pregnancy and Childbirth, 8(9):1-7. DOI: https://doi.org/10.1186/1471-2393-8-9

Birungi, H. & Onyango-Ouma, W. 2006. Acceptability and sustainability of the WHO focused antenatal care package in Kenya. Frontiers in Reproductive Health Program, Population Council Institute of Africa Studies. Nairobi: University of Nairobi. DOI: https://doi.org/10.31899/rh4.1177

Burns, N. & Grove, S.K. 2007: Understanding nursing research – building an evidence-based practice. 4th Edition. St Louise: Saunders Elsevier.

Ekabua, J., Ekabua, K. & Njoku, C. 2011. Proposed framework for making focused ante natal care services accessible: a review of the Nigerian setting. From: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255312/ (accessed on 15 November 2013). DOI: https://doi.org/10.5402/2011/253964

Homer, S.E., Passat, L., Brodie, P.M., Kildea, S., Leap, N., Pincombe, J. & Thorogood, C. 2009. The role of the midwife in Australia: views of women and midwives. Midwifery, 25 (6): 673-681. DOI: https://doi.org/10.1016/j.midw.2007.11.003

Innovating to save lives. 2000-2013. Jhpiego - an affiliate of Johns Hopkins University. From: http://www.jhpiego.org/en/content/tanzania (accessed on 12 December 2013).

Manji, K. 2009. Situation analysis of newborn health in Tanzania: current situation, existing plans and strategic next steps for newborn health. Dar es Salaam: Ministry of Health and Social Welfare.

Mrisho, M., Obrist, B., Armstrong-Schellenberg, J., Haws, R. A., Mushi, A. K., Mshinda, H., Tanner, M. & Schellenberg, D. 2009. The use of antenatal and postnatal care: perspective and experiences of women and health care providers in rural southern Tanzania. Biomedical Central Pregnancy and Childbirth, 9(10):1-12.0 DOI: https://doi.org/10.1186/1471-2393-9-10

Musa, O.I., Salaudeen, G.A. & Jimoh, R.O. 2009. Awareness and use of insecticide treated nets among women attending ante natal clinic in northern state of Nigeria. Journal of Pakistan Medical Association, 59(6):354-358.

Mushi, D., Mpembeni, R. & Jahn, A. 2010. Effectiveness of community based safe motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania. Biomedical Central Pregnancy and Childbirth, 10 (14): 14:1-9. DOI: https://doi.org/10.1186/1471-2393-10-14

Nkowane, A.M., Boualam, L., Haithami, S., Sayed, E.T.A. & Mutambo, H. 2009. The role of nurses and midwives in polio eradication and measles control activities: A survey in Sudan and Zambia. Human Resources for Health Journal, 7(78):1-8. DOI: https://doi.org/10.1186/1478-4491-7-78

Nyamtema, A.S., Bartsch-de Jong,S., Urassa, D.P., Hagen, J.P. & Roosmalen, J. 2012. The quality of ante natal care in rural Tanzania: what is the number of visits? Biomedical Central Pregnancy Childbirth, 12 (9): 1-5. DOI: https://doi.org/10.1186/1471-2393-12-70

Nyarko, P., Birungi, H., Armar-Klemesu, M., Arhinful, D., Deganus, S., Odoi-Agyarko, H. & Brew, G. 2006. Acceptability and feasibility of introducing the WHO focused antenatal care package in Ghana. Kampala: Reproductive and Child Health Service. DOI: https://doi.org/10.31899/rh4.1147

Oladapo, O.T., Iyaniwura, C.A. & Sule-Odu, A.O. 2008. Quality of services at the primary care level in Southwest Nigeria. African Journal of Reproductive Health, 12 (3): 71-92.

Potter, P.A., Griffin,A., Ross-Kerr, J.C. & Wood, M.J. 2006. Canadian fundamentals of nursing. 3rd Edition. Toronto: Elsevier.

Republic of Tanzania. Ministry of Health and Social Welfare of Tanzania. 2008. The national road map strategic plan to accelerate reduction of maternal, newborn and child deaths in Tanzania 2008-2015. Reproductive and Child Health Section. Dar es Salaam: Government Printer.

Smith, M. K. & Henderson-Andrade, N. 2006. Facing the health worker crisis in developing countries: a call for global solidarity. Bulletin of the World Health Organization, 84(6):426. DOI: https://doi.org/10.2471/BLT.06.031757

Stephenson, P. 2005. Focused ante natal care: a better, cheaper, faster, evidence-based approach. Global health technical briefs. From: http://www.maqweb.org/techbriefs/+612antenatal.shtml (accessed on 15 May 2007).

Tann, C.J., Kizza, M., Morison, L., Mabey, D., Muwanga, M., Grosskurth, H. & Elliot, A.M. 2007. Use of ante natal services and delivery care in Entebbe, Uganda: a community survey. Biomedical Central Pregnancy and Childbirth Journal, 7(23):1-11. DOI: https://doi.org/10.1186/1471-2393-7-23

Tanzania. 1997. Nursing Act, no. 12 of 1997. Dar es Salaam: Government Printer.

Von Both, C., Flepa, S., Makuwani, A., Mpembeni, R. S. & Jahn, A., 2006. How much time do health services spend on ante natal care? Implications for the introduction of the Focused ante natal care model in Tanzania. Biomed Central Pregnancy and Childbirth, 6: 1-2. DOI: https://doi.org/10.1186/1471-2393-6-22

World Health Organization. 2009. Making pregnancy safer. Geneva; World Health Organization.

World Health Organization. 2012. WHO Evidence Review Group: intermittent preventive treatment of malaria in pregnancy with Sulfadoxine-Pyrimethamine. Geneva: World Health Organization.

Downloads

Published

2015-01-21

How to Cite

Yengo, M L, Lydia Monareng, and E N Monama. 2014. “NURSES’ PERCEPTIONS ABOUT THE IMPLEMENTATION OF FOCUSED ANTE- NATAL CARE SERVICES IN DAR ES SALAAM, TANZANIA”. Africa Journal of Nursing and Midwifery 16 (2):57-70. https://doi.org/10.25159/2520-5293/36.

Issue

Section

Articles
Received 2014-12-18
Accepted 2014-12-22
Published 2015-01-21