Health System Management Monitoring & Evaluation(HSME)

Permanent URI for this communityhttp://192.168.30.20:4000/handle/123456789/184

Browse

Filters

2015 - 20192

Settings

Subject: search.filters.subject.Health care

Search Results

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Evaluation of longterm methods family planning training to skilled health care provider to reach the national target: A case of Mufindi District.
    (Mzumbe University, 2019) Balama, Elizabeth
    Introduction; The government through its councils wants to put an emphasis on training health care providers on family planning in the implementation of family planning program. The main objective of this study is to assess the training on long term methods of family planning to skilled health care provider to reach the family planning National target. Methodology; The study included 10 health facilities (1 private hospital, 3 public Health Centers and 6 public Dispensaries). In-depth Interviews (IDIs) were conducted to all 10 RCH in charges from 10 facilities and 1 Focus Group Discussion were conducted to 6 members from Council Health Management Team (CHMT) who were DRCHCo, DHS, DHIS2 Coordinator, BRN coordinator DNO and CBHCo. A cross sectional design was used in evaluating this program using purposive sampling methods. Data was collected through Focus Group Discussions where by 6 members of CHMT were involved in FGD and in-depth interviews for Council Health Management Teams and RCH in charges. Phenomenological and narrative analysis was used to explore individual and group experience with the help of Atlas.ti software. Findings; The findings show that family planning is conducted as it planned and the family planning health care providers are trained on the provision of long term methods of family planning methods. But there are inadequate documentations for the training conducted on who have been trained, what methods were used, where the training was conducted and who funded it. Also training on long acting methods of family planning is offered through the MoHCDGEC and Boresha Afya with full package according to the family planning teaching module. Conclusion; The provision of long term methods of family planning training to skilled health care providers is of great impact on the process of reaching the National target. Follow up should be done to those who are trained and proper documentation should be made. Key words: Evaluation; long term; family planning; skilled health care providers
  • Thumbnail Image
    Item
    Assessment of quality of PMTCT service provided to HIV positive women and their HIV exposed infants in the Iringa District Council
    (Mzumbe University, 2015) Kisika Firma Ambrose
    This study was conducted to assess the quality of PMTCT services provided to HIV positive woman and their HIV exposed infants following the challenges of increasing dropouts. Specific objectives of the study were: to assess the input factors and their effects on the perceived quality to the satisfaction of the clients; and to assess the process factors and their effects on the perceived quality to the satisfaction of the clients. The study employed cross-sectional and descriptive designs in which data collection methods were questionnaire, in-depth interview, observation and documentary analysis. Data was analysed using Atlas it and SPSS version 16. The study findings revealed presence of some supplies and facilities requited for the provision of PMTCT services. However, it has been found that there are gaps/deficiencies in the structure, process and outcome that requited for providing PMTCT services. The study indicated that about half of the respondents had different views, both negative and positive, on the quality of PMTCT they received due to deficiencies in structural and process attributes that resulted in dissatisfaction. The study further showed deficiencies in structural attributes, in which majority of health care providers are not trained in PMTCT services, whereas it has been found that there is stock out of basic drugs for prevention of opportunistic infection. The study had opinions from CHMT concerning the problem of poor implementation at PMTCT services. The most and commonest problem is inadequate supervision. Further analysis indicated gaps in the process, where the majority of midwives demonstrated poor skills in counselling, whereas about half did not gather information. With regard to client provider interaction as they were not involved in the discussion. The study also revealed that none of the midwives used guidelines during provision of PMTCT services. In relation to history taking, it was observed that the majority of midwives did not obtain history and those few who attempted it came out with incomplete history. Almost all women and their HIV exposed infants were not examined. It is concluded that PMTCT services providers in Iringa District are poor quality.