Capacity and capability of Tanzania health facilities to diagnose and manage diabetes mellitus in pregnancy

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dc.contributor.authorMutabingwa, Theonest K.
dc.date.accessioned2020-10-08T07:28:01Z
dc.date.available2020-10-08T07:28:01Z
dc.date.issued2018
dc.description.abstractABSTRACT Aims Gestational Diabetes Mellitus (GDM) remains a neglected cause of maternal and foetal morbidity and mortality in developing countries exacerbated by limited screening and management strategies. This study aimed to understanding how the RCH health system works in Tanzania, so as to provide opportunity for improving GDM screening and management. Methods A questionnaire was administered to facility staff and physical performance observed in 30 randomly selected public RCH facilities. Results Deficiencies identified included limited understaffing, late booking at ANC, and limited screening for GDM due to lack of equipment and supplies. Most women (96%) attending ANCs and postnatal care (87%) were managed at respective facilities with only 12% and 22% respectively being referred to higher levels of care. Facility staff were less trained or received fewer refresher courses in diabetes (0–5%), hypertension (4–6%), and other NCDs (0–16%) compared to training in PMCTC (39%), management of postpartum bleeding (31%) and HIV/AIDs (31%). Conclusion Diabetes during pregnancy is rarely sought in public health facilities and its management is suboptimal. Training and refresher courses of staff in diabetes and hypertension should be uplifted and health systems should be strengthened to improve capacity and capability of facilities for better quality of care.en_US
dc.identifier.citationRamaiya, K.L., Swai, A.M., Mutabingwa, T.K., Mwanri, A.W. and Kagaruki, G.B., 2018. Capacity and capability of Tanzania health facilities to diagnose and manage diabetes mellitus in pregnancy. Diabetes research and clinical practice, 145, pp.119-129.en_US
dc.identifier.otherhttps://doi.org/10.1016/j.diabres.2018.05.003
dc.identifier.urihttp://hdl.handle.net/123456789/621
dc.language.isoenen_US
dc.publisherDiabetes research and clinical practiceen_US
dc.subjectDiabetes mellitusen_US
dc.subjectTanzaniaen_US
dc.subjectHealth facilitiesen_US
dc.titleCapacity and capability of Tanzania health facilities to diagnose and manage diabetes mellitus in pregnancyen_US
dc.typeArticleen_US

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