Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland

Projestine Muganyizi; Edward Maswanya; Stella Kilima; Grades Stanley; Ahmad Makuwani; Julius Massaga; Victor Bakengesa; Georgina Msemo

doi:doi:10.11648/j.jgo.20170501.11

Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Ahmad Makuwani, Julius Massaga, Victor Bakengesa, Georgina Msemo

Published in Journal of Gynecology and Obstetrics (Volume 5, Issue 1)

Received: 4 October 2016 Accepted: 19 January 2017 Published: 15 February 2017

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Abstract

In order to assess the availability of Emergency Obstetric and Neonatal Care (EmONC) services in Tanzania Mainland, a Cross-sectional survey of a National sample of obstetric care facilities was conducted in 2015. We adapted the Averting Maternal Deaths and Disabilities (AMDD) tool and did spatial mapping using a calibrated Global Positioning System (GPS) Essential Software for Android and Arc Geographical Information System (GIS) software. Data were analysed using STATA, SPSS and Excel computer programs. Ethical approval was granted by the National Institute for Medical Research and the Ministry of Health, Community Development, Gender, Elderly and Children. We identified 5207 obstetric care facilities which is equivalent to 59.7 facilities per 500,000 population. We surveyed 2405 (46.2%) facilities of which 251 (10.4%) had provided all the 7 Basic Emergency Obstetric and Neonatal Care (BEmONC) in past 3 months. Among these, 130 had provided Comprehensive Emergency Obstetric and Neonatal Care (CEmONC). The UN benchmarks for BEmONC and CEmONC facility densities were attained or exceeded by 40% and 76% in all 25 regions respectively. EmONC facilities were dominated by hospitals and were clustered in cities and townships. In conclusions, the distribution of EmONC facilities in Tanzania Mainland is suboptimal in more than half of regions with clustering around cities and townships.

Published in	Journal of Gynecology and Obstetrics (Volume 5, Issue 1)
DOI	10.11648/j.jgo.20170501.11
Page(s)	1-8
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Emergency Obstetric Care, Emergency Neonatal Care, Geographical Distribution, Health Services Availability, Tanzania

References

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APA Style

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Ahmad Makuwani, et al. (2017). Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland. Journal of Gynecology and Obstetrics, 5(1), 1-8. https://doi.org/10.11648/j.jgo.20170501.11

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ACS Style

Projestine Muganyizi; Edward Maswanya; Stella Kilima; Grades Stanley; Ahmad Makuwani, et al. Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland. J. Gynecol. Obstet. 2017, 5(1), 1-8. doi: 10.11648/j.jgo.20170501.11

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AMA Style

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Ahmad Makuwani, et al. Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland. J Gynecol Obstet. 2017;5(1):1-8. doi: 10.11648/j.jgo.20170501.11

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@article{10.11648/j.jgo.20170501.11,
  author = {Projestine Muganyizi and Edward Maswanya and Stella Kilima and Grades Stanley and Ahmad Makuwani and Julius Massaga and Victor Bakengesa and Georgina Msemo},
  title = {Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {5},
  number = {1},
  pages = {1-8},
  doi = {10.11648/j.jgo.20170501.11},
  url = {https://doi.org/10.11648/j.jgo.20170501.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20170501.11},
  abstract = {In order to assess the availability of Emergency Obstetric and Neonatal Care (EmONC) services in Tanzania Mainland, a Cross-sectional survey of a National sample of obstetric care facilities was conducted in 2015. We adapted the Averting Maternal Deaths and Disabilities (AMDD) tool and did spatial mapping using a calibrated Global Positioning System (GPS) Essential Software for Android and Arc Geographical Information System (GIS) software. Data were analysed using STATA, SPSS and Excel computer programs. Ethical approval was granted by the National Institute for Medical Research and the Ministry of Health, Community Development, Gender, Elderly and Children. We identified 5207 obstetric care facilities which is equivalent to 59.7 facilities per 500,000 population. We surveyed 2405 (46.2%) facilities of which 251 (10.4%) had provided all the 7 Basic Emergency Obstetric and Neonatal Care (BEmONC) in past 3 months. Among these, 130 had provided Comprehensive Emergency Obstetric and Neonatal Care (CEmONC). The UN benchmarks for BEmONC and CEmONC facility densities were attained or exceeded by 40% and 76% in all 25 regions respectively. EmONC facilities were dominated by hospitals and were clustered in cities and townships. In conclusions, the distribution of EmONC facilities in Tanzania Mainland is suboptimal in more than half of regions with clustering around cities and townships.},
 year = {2017}
}

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TY  - JOUR
T1  - Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland
AU  - Projestine Muganyizi
AU  - Edward Maswanya
AU  - Stella Kilima
AU  - Grades Stanley
AU  - Ahmad Makuwani
AU  - Julius Massaga
AU  - Victor Bakengesa
AU  - Georgina Msemo
Y1  - 2017/02/15
PY  - 2017
N1  - https://doi.org/10.11648/j.jgo.20170501.11
DO  - 10.11648/j.jgo.20170501.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 1
EP  - 8
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20170501.11
AB  - In order to assess the availability of Emergency Obstetric and Neonatal Care (EmONC) services in Tanzania Mainland, a Cross-sectional survey of a National sample of obstetric care facilities was conducted in 2015. We adapted the Averting Maternal Deaths and Disabilities (AMDD) tool and did spatial mapping using a calibrated Global Positioning System (GPS) Essential Software for Android and Arc Geographical Information System (GIS) software. Data were analysed using STATA, SPSS and Excel computer programs. Ethical approval was granted by the National Institute for Medical Research and the Ministry of Health, Community Development, Gender, Elderly and Children. We identified 5207 obstetric care facilities which is equivalent to 59.7 facilities per 500,000 population. We surveyed 2405 (46.2%) facilities of which 251 (10.4%) had provided all the 7 Basic Emergency Obstetric and Neonatal Care (BEmONC) in past 3 months. Among these, 130 had provided Comprehensive Emergency Obstetric and Neonatal Care (CEmONC). The UN benchmarks for BEmONC and CEmONC facility densities were attained or exceeded by 40% and 76% in all 25 regions respectively. EmONC facilities were dominated by hospitals and were clustered in cities and townships. In conclusions, the distribution of EmONC facilities in Tanzania Mainland is suboptimal in more than half of regions with clustering around cities and townships.
VL  - 5
IS  - 1
ER  -

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Author Information

Projestine Muganyizi

Department of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
Edward Maswanya

National Institute for Medical Research, Dar es Salaam, Tanzania
Stella Kilima

National Institute for Medical Research, Dar es Salaam, Tanzania
Grades Stanley

National Institute for Medical Research, Dar es Salaam, Tanzania
Ahmad Makuwani

Ministry of Health Community Development Gender Elderly and Children, Dar es Salaam, Tanzania
Julius Massaga

Ministry of Health Community Development Gender Elderly and Children, Dar es Salaam, Tanzania
Victor Bakengesa

Ministry of Health Community Development Gender Elderly and Children, Dar es Salaam, Tanzania
Georgina Msemo

Ministry of Health Community Development Gender Elderly and Children, Dar es Salaam, Tanzania

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Plain Text BibTeX RIS

APA Style

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Ahmad Makuwani, et al. (2017). Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland. Journal of Gynecology and Obstetrics, 5(1), 1-8. https://doi.org/10.11648/j.jgo.20170501.11

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ACS Style

Projestine Muganyizi; Edward Maswanya; Stella Kilima; Grades Stanley; Ahmad Makuwani, et al. Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland. J. Gynecol. Obstet. 2017, 5(1), 1-8. doi: 10.11648/j.jgo.20170501.11

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AMA Style

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Ahmad Makuwani, et al. Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland. J Gynecol Obstet. 2017;5(1):1-8. doi: 10.11648/j.jgo.20170501.11

Copy | Download

@article{10.11648/j.jgo.20170501.11,
  author = {Projestine Muganyizi and Edward Maswanya and Stella Kilima and Grades Stanley and Ahmad Makuwani and Julius Massaga and Victor Bakengesa and Georgina Msemo},
  title = {Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {5},
  number = {1},
  pages = {1-8},
  doi = {10.11648/j.jgo.20170501.11},
  url = {https://doi.org/10.11648/j.jgo.20170501.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20170501.11},
  abstract = {In order to assess the availability of Emergency Obstetric and Neonatal Care (EmONC) services in Tanzania Mainland, a Cross-sectional survey of a National sample of obstetric care facilities was conducted in 2015. We adapted the Averting Maternal Deaths and Disabilities (AMDD) tool and did spatial mapping using a calibrated Global Positioning System (GPS) Essential Software for Android and Arc Geographical Information System (GIS) software. Data were analysed using STATA, SPSS and Excel computer programs. Ethical approval was granted by the National Institute for Medical Research and the Ministry of Health, Community Development, Gender, Elderly and Children. We identified 5207 obstetric care facilities which is equivalent to 59.7 facilities per 500,000 population. We surveyed 2405 (46.2%) facilities of which 251 (10.4%) had provided all the 7 Basic Emergency Obstetric and Neonatal Care (BEmONC) in past 3 months. Among these, 130 had provided Comprehensive Emergency Obstetric and Neonatal Care (CEmONC). The UN benchmarks for BEmONC and CEmONC facility densities were attained or exceeded by 40% and 76% in all 25 regions respectively. EmONC facilities were dominated by hospitals and were clustered in cities and townships. In conclusions, the distribution of EmONC facilities in Tanzania Mainland is suboptimal in more than half of regions with clustering around cities and townships.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Availability, Coverage and Geographical Distribution of Emergency Obstetric and Neonatal Care Services in Tanzania Mainland
AU  - Projestine Muganyizi
AU  - Edward Maswanya
AU  - Stella Kilima
AU  - Grades Stanley
AU  - Ahmad Makuwani
AU  - Julius Massaga
AU  - Victor Bakengesa
AU  - Georgina Msemo
Y1  - 2017/02/15
PY  - 2017
N1  - https://doi.org/10.11648/j.jgo.20170501.11
DO  - 10.11648/j.jgo.20170501.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 1
EP  - 8
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20170501.11
AB  - In order to assess the availability of Emergency Obstetric and Neonatal Care (EmONC) services in Tanzania Mainland, a Cross-sectional survey of a National sample of obstetric care facilities was conducted in 2015. We adapted the Averting Maternal Deaths and Disabilities (AMDD) tool and did spatial mapping using a calibrated Global Positioning System (GPS) Essential Software for Android and Arc Geographical Information System (GIS) software. Data were analysed using STATA, SPSS and Excel computer programs. Ethical approval was granted by the National Institute for Medical Research and the Ministry of Health, Community Development, Gender, Elderly and Children. We identified 5207 obstetric care facilities which is equivalent to 59.7 facilities per 500,000 population. We surveyed 2405 (46.2%) facilities of which 251 (10.4%) had provided all the 7 Basic Emergency Obstetric and Neonatal Care (BEmONC) in past 3 months. Among these, 130 had provided Comprehensive Emergency Obstetric and Neonatal Care (CEmONC). The UN benchmarks for BEmONC and CEmONC facility densities were attained or exceeded by 40% and 76% in all 25 regions respectively. EmONC facilities were dominated by hospitals and were clustered in cities and townships. In conclusions, the distribution of EmONC facilities in Tanzania Mainland is suboptimal in more than half of regions with clustering around cities and townships.
VL  - 5
IS  - 1
ER  -

Copy | Download