Assessment of quality of abortion and post abortal care services among women admitted in gynecological wards at Amana and Mwananyamala municipal hospital, Dar es salaam, Tanzania; from January 2013 - September 2013.
| dc.contributor.author | Kashagama, Ahmada M. | |
| dc.date.accessioned | 2024-05-06T12:44:46Z | |
| dc.date.available | 2024-05-06T12:44:46Z | |
| dc.date.issued | 2013-09 | |
| dc.description | The dissertation to be submitted as partial fulfillment of the requirement for the award of degree of Master of Medicine in Obstetrics and Gynaecology at HKMU | en_US |
| dc.description.abstract | Background: The International Conference for Population Development [ICPD] in 1994 stated post abortion care being the element of safe motherhood initiative to reduce maternal morbidity and mortality. It is of great importance where access to safe abortion is restricted by law and services are inaccessible. Objective The objective of the study was to assess quality of post abortal care and prevalence of abortion among women admitted in gynecological wards at Mwananyamala and Amana municipal hospitals. Methodology The study was hospital based cross sectional study which was conducted within nine months from January 2013 to September 2013. Patient interview, health care provider interview and direct service delivery observation, data from register books were used to compute different aspects of care. Two government health facilities were involved in the study, where 350 post abortion patients were interviewed 21 health care providers were observed and 21 direct health care providers were interviewed. Results A total of 3283 patients were admitted, 1438 of them were abortion cases and only 350 post abortion patients met criteria and were interviewed. Twenty one health care providers were interviewed and were observed while providing services. From this study the prevalence of abortion found to be 43.8%. There was a delay to some patients before getting services because about 67.4% of the patients reported that they had to pay before the procedure. Moreover, drugs and other supplies were to be collected from other sources out of the facilities. Majority of the patients felt that there was no privacy during evacuation procedure, people could get in and out from procedure room, this was stated by 74.3% of respondents. About 65.7% of respondent left the facilities with no family planning information. Among interviewed post abortion women 72.3% were multigravida indicating that there is a need for family planning in order to prevent unplanned pregnancies. Most of the attended post abortion patients left without checking their BP and Hemoglobin level but majority reported to have been given analgesics and few of them were given antibiotics | en_US |
| dc.description.sponsorship | Hubert Kairuki Memorial University | en_US |
| dc.identifier.citation | Kashagama, A. M., 2013. Assessment of quality of abortion and post abortal care services among women admitted in gynecological wards at Amana and Mwananyamala municipal hospital, Dar es salaam, Tanzania; from January 2013 - September 2013. HKMU | en_US |
| dc.identifier.uri | http://hdl.handle.net/123456789/1347 | |
| dc.language.iso | en | en_US |
| dc.publisher | Hubert Kairuki Memorial University | en_US |
| dc.subject | Abortion | en_US |
| dc.subject | Post abortal care services | en_US |
| dc.subject | Dar es salaam | en_US |
| dc.title | Assessment of quality of abortion and post abortal care services among women admitted in gynecological wards at Amana and Mwananyamala municipal hospital, Dar es salaam, Tanzania; from January 2013 - September 2013. | en_US |
| dc.type | Thesis | en_US |