Providing postpartum care with limited resources: Experiences of nurse-midwives and obstetricians in urban Tanzania

Mbekenga, Columba K.

Providing postpartum care with limited resources: Experiences of nurse-midwives and obstetricians in urban Tanzania

dc.contributor.author	Mbekenga, Columba K.
dc.date.accessioned	2022-03-24T07:45:25Z
dc.date.available	2022-03-24T07:45:25Z
dc.date.issued	2019
dc.description.abstract	Background Tanzania has high maternal and neonatal mortality rates. Comprehensive guidelines for postpartum care have been developed by the government as a means to improve health outcomes during the perinatal period. Despite the creation of these guidelines and the government’s commitment to universal perinatal care for women and neonates, there is concern that the delivery of postpartum services may not be meeting the needs of mothers and neonates. Aim The purpose of this feminist poststructuralist study was to explore nurse-midwives’ and obstetricians’ experiences of providing postpartum care in Tanzania. Methods This qualitative study used feminist poststructuralism to explore the personal, social, and institutional discourses of postpartum care. We individually interviewed ten nurse-midwives and three obstetricians in Dar es Salaam, Tanzania. Feminist poststructuralist discourse analysis was used to analyze the transcribed interviews after their translation from Kiswahili to English. Findings Four main themes were identified. In this paper, we present the main theme of availability of resources, and its four corresponding subthemes; (1) space, (2) equipment, (3) staffing, and (4) government responsibility. Discussion The findings from our study illustrate the need for health workforce planning to be addressed in a comprehensive manner that accounts for context, required resources and systemic challenges. These findings are consistent with findings from other studies. Conclusion Understanding the resource challenges that nurse-midwives and obstetricians are facing in one low-and-middle-income-country will assist researchers, decision makers, and politicians as they address issues of mortality, morbidity, and disrespectful maternity care.	en_US
dc.identifier.citation	Macdonald, D., Aston, M., Murphy, G.T., Jefferies, K., Mselle, L.T., Price, S., O’Hearn, S., White, M., Mbekenga, C. and Kohi, T.W., 2019. Providing postpartum care with limited resources: Experiences of nurse-midwives and obstetricians in urban Tanzania. Women and Birth, 32(3), pp.e391-e398.	en_US
dc.identifier.other	https://doi.org/10.1016/j.wombi.2018.07.016
dc.identifier.uri	http://hdl.handle.net/123456789/920
dc.language.iso	en	en_US
dc.publisher	Women and Birth	en_US
dc.subject	Postpartum period	en_US
dc.subject	Nurse midwives	en_US
dc.subject	Obstetrics	en_US
dc.title	Providing postpartum care with limited resources: Experiences of nurse-midwives and obstetricians in urban Tanzania	en_US
dc.type	Article	en_US