Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland

Projestine Muganyizi; Edward Maswanya; Stella Kilima; Grades Stanley; Julius Massaga; Victor Bakengesa

doi:doi:10.11648/j.jgo.20170505.12

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Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Julius Massaga, Victor Bakengesa

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

Received: 31 July 2017 Accepted: 15 August 2017 Published: 6 September 2017

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Abstract

Tanzania’s Primary Health Services Development Program (PHSDP) started in 2007 with the aim to establish and staff an additional 5162 dispensaries, 2074 health centres and 8 district hospitals by 2017 which would implicitly increase obstetric care facility density. However, currently obstetric care facility density is not a standard Emergency Obstetric and Neonatal Care (EmONC) indicator and data on its correlation with the standard EmONC indicators is scanty. In 2015 a cross-sectional survey of all hospitals, health centres and a random sample of dispensaries providing delivery services in all the 25 regions of Tanzania Mainland was conducted whereby the presence of EmONC functions in past 3 months was assessed using a standard tool. Where necessary, population data were based on the 2012 National housing and population Census and the 2010 Tanzania Demographic Health Survey (TDHS). Data were analyzed using IBM SPSS version 20 and STATA. Spatial Mapping was done using a calibrated Geographic Positioning System (GPS) Essential Software for Android and coordinates represented on digitalized map with Arc Geographic Information System (GIS). Ethical approval was granted by the Ethical Clearance Committee of Medical Research Council [MRCC], National Institute for Medical research. Of the confirmed 5207 obstetric care facilities 2405 (46.2%) were surveyed including 35.3% of all dispensaries. National Obstetric care facility density was 68/ 500,000 population, 7/500,000 of them provided all the 7 Basic Emergency Obstretic and Neonatal Care (BEmONC) functions in past 3 months. Among all the regions, 40% had attained or exceeded the international benchmark for EmONC facilities per 500,000 population. Institutional delivery rate was 79% and overall Caesarean Section rate was 5.6%. Improved obstetric care facility density was strongly correlated with improved institutional delivery; Caesarean section rate and met need for EmONC but not the quality of case management. In conclusion obstetric care facility density is well correlated with other standard EmONC indicators.

Published in	Journal of Gynecology and Obstetrics (Volume 5, Issue 5)
DOI	10.11648/j.jgo.20170505.12
Page(s)	60-68
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, Neonatal Care, Obstetric Care Facility Density, Indicator, Correlation, Tanzania

References

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APA Style

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Julius Massaga, et al. (2017). Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland. Journal of Gynecology and Obstetrics, 5(5), 60-68. https://doi.org/10.11648/j.jgo.20170505.12

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ACS Style

Projestine Muganyizi; Edward Maswanya; Stella Kilima; Grades Stanley; Julius Massaga, et al. Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland. J. Gynecol. Obstet. 2017, 5(5), 60-68. doi: 10.11648/j.jgo.20170505.12

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AMA Style

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Julius Massaga, et al. Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland. J Gynecol Obstet. 2017;5(5):60-68. doi: 10.11648/j.jgo.20170505.12

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@article{10.11648/j.jgo.20170505.12,
  author = {Projestine Muganyizi and Edward Maswanya and Stella Kilima and Grades Stanley and Julius Massaga and Victor Bakengesa},
  title = {Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {5},
  number = {5},
  pages = {60-68},
  doi = {10.11648/j.jgo.20170505.12},
  url = {https://doi.org/10.11648/j.jgo.20170505.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20170505.12},
  abstract = {Tanzania’s Primary Health Services Development Program (PHSDP) started in 2007 with the aim to establish and staff an additional 5162 dispensaries, 2074 health centres and 8 district hospitals by 2017 which would implicitly increase obstetric care facility density. However, currently obstetric care facility density is not a standard Emergency Obstetric and Neonatal Care (EmONC) indicator and data on its correlation with the standard EmONC indicators is scanty. In 2015 a cross-sectional survey of all hospitals, health centres and a random sample of dispensaries providing delivery services in all the 25 regions of Tanzania Mainland was conducted whereby the presence of EmONC functions in past 3 months was assessed using a standard tool. Where necessary, population data were based on the 2012 National housing and population Census and the 2010 Tanzania Demographic Health Survey (TDHS). Data were analyzed using IBM SPSS version 20 and STATA. Spatial Mapping was done using a calibrated Geographic Positioning System (GPS) Essential Software for Android and coordinates represented on digitalized map with Arc Geographic Information System (GIS). Ethical approval was granted by the Ethical Clearance Committee of Medical Research Council [MRCC], National Institute for Medical research. Of the confirmed 5207 obstetric care facilities 2405 (46.2%) were surveyed including 35.3% of all dispensaries. National Obstetric care facility density was 68/ 500,000 population, 7/500,000 of them provided all the 7 Basic Emergency Obstretic and Neonatal Care (BEmONC) functions in past 3 months. Among all the regions, 40% had attained or exceeded the international benchmark for EmONC facilities per 500,000 population. Institutional delivery rate was 79% and overall Caesarean Section rate was 5.6%. Improved obstetric care facility density was strongly correlated with improved institutional delivery; Caesarean section rate and met need for EmONC but not the quality of case management. In conclusion obstetric care facility density is well correlated with other standard EmONC indicators.},
 year = {2017}
}

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TY  - JOUR
T1  - Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland
AU  - Projestine Muganyizi
AU  - Edward Maswanya
AU  - Stella Kilima
AU  - Grades Stanley
AU  - Julius Massaga
AU  - Victor Bakengesa
Y1  - 2017/09/06
PY  - 2017
N1  - https://doi.org/10.11648/j.jgo.20170505.12
DO  - 10.11648/j.jgo.20170505.12
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 60
EP  - 68
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20170505.12
AB  - Tanzania’s Primary Health Services Development Program (PHSDP) started in 2007 with the aim to establish and staff an additional 5162 dispensaries, 2074 health centres and 8 district hospitals by 2017 which would implicitly increase obstetric care facility density. However, currently obstetric care facility density is not a standard Emergency Obstetric and Neonatal Care (EmONC) indicator and data on its correlation with the standard EmONC indicators is scanty. In 2015 a cross-sectional survey of all hospitals, health centres and a random sample of dispensaries providing delivery services in all the 25 regions of Tanzania Mainland was conducted whereby the presence of EmONC functions in past 3 months was assessed using a standard tool. Where necessary, population data were based on the 2012 National housing and population Census and the 2010 Tanzania Demographic Health Survey (TDHS). Data were analyzed using IBM SPSS version 20 and STATA. Spatial Mapping was done using a calibrated Geographic Positioning System (GPS) Essential Software for Android and coordinates represented on digitalized map with Arc Geographic Information System (GIS). Ethical approval was granted by the Ethical Clearance Committee of Medical Research Council [MRCC], National Institute for Medical research. Of the confirmed 5207 obstetric care facilities 2405 (46.2%) were surveyed including 35.3% of all dispensaries. National Obstetric care facility density was 68/ 500,000 population, 7/500,000 of them provided all the 7 Basic Emergency Obstretic and Neonatal Care (BEmONC) functions in past 3 months. Among all the regions, 40% had attained or exceeded the international benchmark for EmONC facilities per 500,000 population. Institutional delivery rate was 79% and overall Caesarean Section rate was 5.6%. Improved obstetric care facility density was strongly correlated with improved institutional delivery; Caesarean section rate and met need for EmONC but not the quality of case management. In conclusion obstetric care facility density is well correlated with other standard EmONC indicators.
VL  - 5
IS  - 5
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
Julius Massaga

National Institute for Medical Research, Dar es Salaam, Tanzania
Victor Bakengesa

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

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APA Style

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Julius Massaga, et al. (2017). Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland. Journal of Gynecology and Obstetrics, 5(5), 60-68. https://doi.org/10.11648/j.jgo.20170505.12

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ACS Style

Projestine Muganyizi; Edward Maswanya; Stella Kilima; Grades Stanley; Julius Massaga, et al. Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland. J. Gynecol. Obstet. 2017, 5(5), 60-68. doi: 10.11648/j.jgo.20170505.12

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AMA Style

Projestine Muganyizi, Edward Maswanya, Stella Kilima, Grades Stanley, Julius Massaga, et al. Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland. J Gynecol Obstet. 2017;5(5):60-68. doi: 10.11648/j.jgo.20170505.12

Copy | Download

@article{10.11648/j.jgo.20170505.12,
  author = {Projestine Muganyizi and Edward Maswanya and Stella Kilima and Grades Stanley and Julius Massaga and Victor Bakengesa},
  title = {Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {5},
  number = {5},
  pages = {60-68},
  doi = {10.11648/j.jgo.20170505.12},
  url = {https://doi.org/10.11648/j.jgo.20170505.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20170505.12},
  abstract = {Tanzania’s Primary Health Services Development Program (PHSDP) started in 2007 with the aim to establish and staff an additional 5162 dispensaries, 2074 health centres and 8 district hospitals by 2017 which would implicitly increase obstetric care facility density. However, currently obstetric care facility density is not a standard Emergency Obstetric and Neonatal Care (EmONC) indicator and data on its correlation with the standard EmONC indicators is scanty. In 2015 a cross-sectional survey of all hospitals, health centres and a random sample of dispensaries providing delivery services in all the 25 regions of Tanzania Mainland was conducted whereby the presence of EmONC functions in past 3 months was assessed using a standard tool. Where necessary, population data were based on the 2012 National housing and population Census and the 2010 Tanzania Demographic Health Survey (TDHS). Data were analyzed using IBM SPSS version 20 and STATA. Spatial Mapping was done using a calibrated Geographic Positioning System (GPS) Essential Software for Android and coordinates represented on digitalized map with Arc Geographic Information System (GIS). Ethical approval was granted by the Ethical Clearance Committee of Medical Research Council [MRCC], National Institute for Medical research. Of the confirmed 5207 obstetric care facilities 2405 (46.2%) were surveyed including 35.3% of all dispensaries. National Obstetric care facility density was 68/ 500,000 population, 7/500,000 of them provided all the 7 Basic Emergency Obstretic and Neonatal Care (BEmONC) functions in past 3 months. Among all the regions, 40% had attained or exceeded the international benchmark for EmONC facilities per 500,000 population. Institutional delivery rate was 79% and overall Caesarean Section rate was 5.6%. Improved obstetric care facility density was strongly correlated with improved institutional delivery; Caesarean section rate and met need for EmONC but not the quality of case management. In conclusion obstetric care facility density is well correlated with other standard EmONC indicators.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Correlation of Obstetric Care Facility Density with Standard Emergency Obstetric and Neonatal Care Indicators in Tanzania Mainland
AU  - Projestine Muganyizi
AU  - Edward Maswanya
AU  - Stella Kilima
AU  - Grades Stanley
AU  - Julius Massaga
AU  - Victor Bakengesa
Y1  - 2017/09/06
PY  - 2017
N1  - https://doi.org/10.11648/j.jgo.20170505.12
DO  - 10.11648/j.jgo.20170505.12
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 60
EP  - 68
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20170505.12
AB  - Tanzania’s Primary Health Services Development Program (PHSDP) started in 2007 with the aim to establish and staff an additional 5162 dispensaries, 2074 health centres and 8 district hospitals by 2017 which would implicitly increase obstetric care facility density. However, currently obstetric care facility density is not a standard Emergency Obstetric and Neonatal Care (EmONC) indicator and data on its correlation with the standard EmONC indicators is scanty. In 2015 a cross-sectional survey of all hospitals, health centres and a random sample of dispensaries providing delivery services in all the 25 regions of Tanzania Mainland was conducted whereby the presence of EmONC functions in past 3 months was assessed using a standard tool. Where necessary, population data were based on the 2012 National housing and population Census and the 2010 Tanzania Demographic Health Survey (TDHS). Data were analyzed using IBM SPSS version 20 and STATA. Spatial Mapping was done using a calibrated Geographic Positioning System (GPS) Essential Software for Android and coordinates represented on digitalized map with Arc Geographic Information System (GIS). Ethical approval was granted by the Ethical Clearance Committee of Medical Research Council [MRCC], National Institute for Medical research. Of the confirmed 5207 obstetric care facilities 2405 (46.2%) were surveyed including 35.3% of all dispensaries. National Obstetric care facility density was 68/ 500,000 population, 7/500,000 of them provided all the 7 Basic Emergency Obstretic and Neonatal Care (BEmONC) functions in past 3 months. Among all the regions, 40% had attained or exceeded the international benchmark for EmONC facilities per 500,000 population. Institutional delivery rate was 79% and overall Caesarean Section rate was 5.6%. Improved obstetric care facility density was strongly correlated with improved institutional delivery; Caesarean section rate and met need for EmONC but not the quality of case management. In conclusion obstetric care facility density is well correlated with other standard EmONC indicators.
VL  - 5
IS  - 5
ER  -

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