Factors affecting early identification of pregnant women by community health workers in Morogoro, Tanzania
Name:
Frumence_et_al-2019-BMC_Public ...
Size:
891.9Kb
Format:
PDF
Description:
Final Published Version
Affiliation
Univ Arizona, Dept Hlth Promot SciIssue Date
2019-07-08
Metadata
Show full item recordPublisher
BMCCitation
Frumence, Gasto & Goodman, Madelyn & Chebet, Joy & Mosha, Idda & Bishanga, Dunstan & Chitama, Dereck & J. Winch, P & Killewo, Japhet & Baqui, Abdullah. (2019). Factors affecting early identification of pregnant women by community health workers in Morogoro, Tanzania. BMC Public Health. 19. 10.1186/s12889-019-7179-1.Journal
BMC PUBLIC HEALTHRights
Copyright © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/). The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Background: It is recommended that Antenatal Care (ANC) be initiated within the first trimester of pregnancy for essential interventions, such folic acid supplementation, to be effective. In Tanzania, only 24% of mothers attend their first ANC appointment during their first trimester. Studies have shown that women who have had contact with a health worker are more likely to attend their first antenatal care appointment earlier in pregnancy. Community health workers (CHWs) are in an opportune position to be this contact. This study explored CHW experiences with identifying women early in gestation to refer them to facility-based antenatal care services in Morogoro, Tanzania. Methods: This qualitative study employed 10 semi-structured focus group discussions, 5 with 34 CHWs and 5 with 34 recently delivered women in three districts in Morogoro, Tanzania. A thematic analytical approach was used to identify emerging themes among the CHW and RDW responses.ResultsStudy findings show CHWs play a major role in identifying pregnant women in their communities and linking them with health facilities. Lack of trust and other factors, however, affect early pregnancy identification by the CHWs. They utilize several methods to identify pregnant women, including: asking direct questions to households when collecting information on the national census, conducting frequent household visits and getting information about pregnant women from health facilities. Conclusions: We present a framework for the interaction of factors that affect CHWs' ability to identify pregnant women early in gestation. Further studies need to be conducted investigating optimal workload for CHWs, as well as reasons pregnant women might conceal their pregnancies.Note
Open access journalISSN
1471-2458PubMed ID
31286930Version
Final published versionSponsors
USAID through the Health Research Challenge for Impact (HRC) [GHS-A-00-09-00004-00]ae974a485f413a2113503eed53cd6c53
10.1186/s12889-019-7179-1
Scopus Count
Collections
Except where otherwise noted, this item's license is described as Copyright © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/). The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Related articles
- Why do pregnant women in Iringa region in Tanzania start antenatal care late? A qualitative analysis.
- Authors: Maluka SO, Joseph C, Fitzgerald S, Salim R, Kamuzora P
- Issue date: 2020 Feb 24
- Factors for late initiation of antenatal care in Dar es Salaam, Tanzania: A qualitative study.
- Authors: Mgata S, Maluka SO
- Issue date: 2019 Nov 12
- Community health workers to improve uptake of maternal healthcare services: A cluster-randomized pragmatic trial in Dar es Salaam, Tanzania.
- Authors: Geldsetzer P, Mboggo E, Larson E, Lema IA, Magesa L, Machumi L, Ulenga N, Sando D, Mwanyika-Sando M, Spiegelman D, Mungure E, Li N, Siril H, Mujinja P, Naburi H, Chalamilla G, Kilewo C, Ekström AM, Foster D, Fawzi W, Bärnighausen T
- Issue date: 2019 Mar
- Understanding barriers preventing pregnant women from starting antenatal clinic in the first trimester of pregnancy in Ntcheu District-Malawi.
- Authors: Chimatiro CS, Hajison P, Chipeta E, Muula AS
- Issue date: 2018 Sep 21
- A qualitative exploration of health workers' and clients' perceptions of barriers to completing four antenatal care visits in Morogoro Region, Tanzania.
- Authors: Callaghan-Koru JA, McMahon SA, Chebet JJ, Kilewo C, Frumence G, Gupta S, Stevenson R, Lipingu C, Baqui AH, Winch PJ
- Issue date: 2016 Oct