Evaluation of the implementation process of health system strengthening program towards improving emergency obstetric and newborn care services: A case of selected health facilities in Kisarawe District
| dc.contributor.author | Mwandiki, Martin Felician | |
| dc.date.accessioned | 2026-07-15T07:24:04Z | |
| dc.date.issued | 2018 | |
| dc.description | A dissertation Submitted in Partial/Fulfillment of the Requirements for Award of the Degree of Master of Science in Health Monitoring and Evaluation of the Mzumbe University | |
| dc.description.abstract | Background: In this 21st century with well advanced technology on medical treatment we still lose a number of women and childrenn during childbirth in Tanzania. Emergency obstetric care is one of the strategies for reducing death during childbirth. Objectives: The aim of this study was to evaluate the implementation process of health system strengthening program towards improving emergency obstetric and newborn care services specifically, ability of the health facilities on providing EmONC services after health system strengthening. The goal of the project has been to improve EmONC services by ensuring availability of funds for training of health staff, procurement of medical equipment and supplies to the health facilities of Kisarawe district. Methodology: A cross-sectional descriptive study was conducted to 15 health facilities in the period of 2015-2017. The methods of data collection employed were mixed methods of data collection whereby the data was collected through face to face questionnaires to coordinators of the program, structured questionnaire administered to health staff, observation checklist and documentary review of the facilities` records. Descriptive analyses such as bar charts, histograms, line charts and percentages were employed. Results: The amount of support was not adequate since the program managed to support just four facilities out of 35. Merely 19%-20% of staff were trained for EmONC services, and almost all were from the district hospital. There was a shortage of medical equipment by 39.1-56.5% and medical supplies by 40-65% for EmONC services to all selected health facilities except the district hospital.The dispensaries and health centers could provide EmONC services at rate of 22.2-44.4% except the district hospital which had 100 percent. Conclusions: The implementation process of health system strengthening towards improving EmONC services at selected health facilities is not implemented successfully. Recommendations: There is a need of more funds, and the district should see to it that the program is implemented more effectively to realise set objectives and the Government of Tanzania should also increase its stewardship. | |
| dc.description.sponsorship | Private | |
| dc.identifier.citation | APA | |
| dc.identifier.uri | https://scholar.mzumbe.ac.tz/handle/123456789/2191 | |
| dc.language.iso | en | |
| dc.publisher | Mzumbe University | |
| dc.subject | Health facility | |
| dc.subject | Newborn services | |
| dc.subject | Obstetric care | |
| dc.subject | Obstetric care services | |
| dc.subject | Maternal health services — Tanzania — Kisarawe District — Evaluation | |
| dc.subject | Emergency medical services — Tanzania — Kisarawe District | |
| dc.subject | Newborn infants — Care — Tanzania — Kisarawe District | |
| dc.subject | Medical care — Evaluation | |
| dc.subject | Health planning — Tanzania | |
| dc.subject | Medical equipment — Procurement — Tanzania | |
| dc.subject | Medical personnel — Training of — Tanzania | |
| dc.title | Evaluation of the implementation process of health system strengthening program towards improving emergency obstetric and newborn care services: A case of selected health facilities in Kisarawe District | |
| dc.type | Dissertation |