Abstract:
BACKGROUND:In Tanzania, the provision of humanized care is increasingly being emphasized in midwifery practice, yet studies regarding perceptions and practices of skilled health personnel towards the humanization of birth care are scare. Previous reviews have identified that abuse and disrespect is not limited to individuals but reflects systematic failures and deeply embedded provider attitudes and beliefs. Therefore, the current study aims to explore the perceptions and practices of skilled health personnel on humanizing birth care in Tanzania by identifying current barriers and facilitators. METHODS:Semi-structured interviews were held with skilled health personnel including midwives (n = 6) and obstetricians (n = 2) working in the two district hospitals of Tanzania. Data were analyzed using thematic coding. RESULTS:Skilled health personnel identified systematic barriers to providing humanizing birth care. Systematic barriers included lack of space and limited facilities. Institutional norms and practices prohibited family involvement during the birth process,including beliefs that limited choice of birth position as well as disrespected beliefs, traditions, and culture. Participants also acknowledged four facilitators that improve the likelihood of humanized care during childbirth in Tanzania: ongoing education of skilled health personnel on respectful maternal care, institutional norms designed for continuous clinic support during childbirth, belief in the benefit of having family become active participants, and respecting maternal wishes when appropriate. CONCLUSION:To move forward with humanizing the birth process in Tanzania, it will be essential that systematic barriers are addressed as well as changing the mindset of personnel towards respectful maternal care. It will be essential for the government and private hospitals to revalue their labour wards to increase the space and staff allocated to each mother to enhance family-integrated care. Additionally, in-service training as well as incorporation of respectful maternal care during pre-service training is key to changing the culture in the labour ward.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Mselle LT,Kohi TW,Dol Jdoi
10.1186/s12978-018-0583-7subject
Has Abstractpub_date
2018-08-14 00:00:00pages
137issue
1issn
1742-4755pii
10.1186/s12978-018-0583-7journal_volume
15pub_type
杂志文章abstract::As most pregnancy-related deaths and morbidities are clustered around the time of childbirth, quality of care during this period is critical to the survival of pregnant women and their babies. Despite the wide acceptance of partograph as the central tool to optimize labour outcomes for over 40 years, its use has not s...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0027-6
更新日期:2015-05-26 00:00:00
abstract:BACKGROUND:Improving the reproductive health of young women in developing countries requires access to safe and effective methods of fertility control, but most rely on traditional rather than modern contraceptives such as condoms or oral/injectable hormonal methods. We conducted a systematic review of qualitative rese...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-6-3
更新日期:2009-02-19 00:00:00
abstract:BACKGROUND:To evaluate the feasibility of conducting a prospective study to measure self-managed medication abortion outcomes, and to collect preliminary data on safety and effectiveness of self-managed medication abortion, we recruited callers to accompaniment groups (volunteer networks that provide counselling throug...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01016-4
更新日期:2020-10-27 00:00:00
abstract:BACKGROUND:Reducing the maternal mortality ratio to less than 70 per 100,000 live births globally is one of the Sustainable Development Goals. Approximately 830 women die from pregnancy- or childbirth-related complications every day. Almost 99% of these deaths occur in developing countries. Increasing antenatal care qu...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0820-8
更新日期:2019-10-22 00:00:00
abstract:BACKGROUND:Residential accommodation for expectant mothers adjacent to health facilities, known as maternity waiting homes (MWH), is an intervention designed to improve access to skilled deliveries in low-income countries like Zambia where the maternal mortality ratio is estimated at 398 deaths per 100,000 live births....
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0328-z
更新日期:2017-05-30 00:00:00
abstract:BACKGROUND:Despite global improvements in maternal and newborn health (MNH), maternal, fetal and newborn mortality rates in Pakistan remain stagnant. Using data from the Global Network's Maternal Newborn Health Registry (MNHR) the objective of this study is to compare the rates of maternal mortality, stillbirth and new...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-12-S2-S15
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Ultrasound during antenatal care (ANC) is proposed as a strategy for increasing hospital deliveries for complicated pregnancies and improving maternal, fetal, and neonatal outcomes. The First Look study was a cluster-randomized trial conducted in the Democratic Republic of Congo, Guatemala, Kenya, Pakistan a...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0647-8
更新日期:2018-12-12 00:00:00
abstract:BACKGROUND:Pregnancy as one of the critical stages of life carries a high risk to the health of pregnant women. The amount of weight gained during pregnancy can affect the woman and her infant health immediately or in the future. The present study is conducted to design and explore the effectiveness of an educational i...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0696-7
更新日期:2019-03-12 00:00:00
abstract:BACKGROUND:Menstruation is a natural physiological process that requires proper management. Unlike other normal bodily processes, menstruation is linked with religious and cultural meanings that can affect the perceptions of young girls as well as the ways in which the adults in the communities around them respond to t...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-017-0293-6
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Maternal mortality in South Africa is high and a cause for concern especially because the bulk of deaths from maternal causes are preventable. One of the proposed reasons for persistently high maternal mortality is HIV which causes death both indirectly and directly. While there is some evidence for the impa...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-12-S1-S5
更新日期:2015-05-06 00:00:00
abstract:BACKGROUND:Many women in Russia rely on abortion as a primary birth control method. Although refusal to use contraceptives, including condoms, may undermine public health efforts to decrease HIV sexual risk behaviors, few studies have investigated the risk factors associated with abortion among women at high risk for H...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-8-28
更新日期:2011-10-12 00:00:00
abstract:BACKGROUND:Approximately 2.7 million neonatal deaths occur annually, with highest rates of neonatal mortality in countries that have recently experienced conflict. Constant instability in South Sudan further strains a weakened health system and poses public health challenges during the neonatal period. We aimed to desc...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0417-z
更新日期:2017-11-29 00:00:00
abstract:BACKGROUND:Most women report negative experience about the symptoms of uterine leiomyoma (UL) in their lives, such as abnormal uterine bleeding and pelvic pain. Many studies have been conducted about efficacy of UL treatment, but little research has been performed about womens health related quality of life (HRQL). ME...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-10
更新日期:2014-01-30 00:00:00
abstract:BACKGROUND:Pakistan has high maternal mortality, particularly in the rural areas. The delay in decision making to seek medical care during obstetric emergencies remains a significant factor in maternal mortality. METHODS:We present results from an experimental study in rural Pakistan. Village clusters were randomly as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-30
更新日期:2010-11-05 00:00:00
abstract:BACKGROUND:Phthalates, a class of endocrine disruptors, have been demonstrated to accelerate loss of ovarian follicle pool via disrupting folliculogenesis, and lead to diminished ovarian reserve. However, human data are limited. Here, we aimed to examine whether urinary phthalate metabolites are correlated with markers...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0469-8
更新日期:2018-02-23 00:00:00
abstract:BACKGROUND:Having a health worker with midwifery skills present at delivery is one of the key interventions to reduce maternal and newborn mortality. We sought to estimate the frequencies of (a) skilled birth attendant coverage, (b) institutional delivery, and (c) the combination of place of delivery and type of attend...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0192-2
更新日期:2016-06-17 00:00:00
abstract:BACKGROUND:As per the World Health Organization, the nutritional status of women of reproductive age is important, as effects of undernutrition are propagated to future generations. More than one-third of Indian women in the reproductive age group are in a state of chronic nutritional deficiency during the preconceptio...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0535-2
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:The aim of this study was to elucidate recurrent pregnancy loss (RPL)-associated psychosocial effects and sexual functions of Chinese men whose partners experience a history of RPL. METHODS:Questionnaire data from a total of 236 men whose partners experience RPL(RPL group) and another 236 non-RPL male volun...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0188-y
更新日期:2016-06-13 00:00:00
abstract:BACKGROUND:South Sudan has one of the worst health and maternal health situations in the world. Across South Sudan, while maternal health services at the primary care level are not well developed, even where they exist, many women do not use them. Developing location specific understanding of what hinders women from us...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0487-6
更新日期:2018-03-20 00:00:00
abstract:BACKGROUND:In 2001, the WHO Antenatal Care Trial (WHOACT) concluded that an antenatal care package of evidence-based screening, therapeutic interventions and education across four antenatal visits for low-risk women was not inferior to standard antenatal care and may reduce cost. However, an updated Cochrane review in ...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1742-4755-10-19
更新日期:2013-04-12 00:00:00
abstract:BACKGROUND:Accruing epidemiological evidence suggests that prenatal exposure to emissions from cooking fuel is associated with increased risks of adverse maternal and perinatal outcomes including hypertensive disorders of pregnancy, low birth weight, stillbirth and infant mortality. We aimed to investigate the relation...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-0878-3
更新日期:2020-02-22 00:00:00
abstract:BACKGROUND:Although abortion is legally available in South Africa, barriers to access exist. Early medical abortion is available to women with a gestational age up to 63 days and timely access is essential. This study aimed to determine women's acceptability and ability to self-assess eligibility for early medical abor...
journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/s12978-016-0160-x
更新日期:2016-04-16 00:00:00
abstract:BACKGROUND:Infertility is one of the most important issues that negatively influences women's quality of life, especially when the cause is associated with females. Given that no instruments have been designed to assess quality of life among infertile women with focus on female factors, this study was conducted to deve...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00988-7
更新日期:2020-09-10 00:00:00
abstract:BACKGROUND:Malaria infection in pregnancy is a major risk factor for maternal and child death, and substantially increases the risk of miscarriage, stillbirth and low birthweight. The aim of this study therefore is to assess the prevalence and determinants of Intermittent preventive treatment of Malaria [IPTp] utilizat...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-12
更新日期:2012-08-13 00:00:00
abstract:BACKGROUND:Human papillomavirus (HPV) infection plays key role in the development of cervical cancer. The purpose of this study was to investigate socioeconomic and lifestyle factors associated with HPV infection in pregnant women in Beijing, China. METHODS:An age matched case-control study designed with 66 women as t...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0645-x
更新日期:2018-12-06 00:00:00
abstract:BACKGROUND:In Ethiopia besides the very low health seeking behavior of young people, they do not have access to sexual and reproductive health information and even the existing health services are adult-centered. Furthermore, health providers are not well equipped in addressing young people sexual and reproductive heal...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0143-y
更新日期:2016-03-08 00:00:00
abstract:BACKGROUND:Sub-Saharan Africa accounts for approximately 66% of global maternal deaths. Poor person-centered maternity care, which emphasizes the quality of patient experience, contributes both directly and indirectly to these poor outcomes. Yet, few studies in low resource settings have examined what is important to w...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0446-7
更新日期:2017-12-29 00:00:00
abstract:BACKGROUND:While Female Genital Cutting (FGM/C) is a deeply entrenched cultural practice, there is now mounting evidence for a gradual decline in prevalence in a number of geographical areas in Africa and following migration to non-practicing countries. Consequently, there is now a growing number of women with FGM/C wh...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0309-2
更新日期:2017-04-05 00:00:00
abstract:BACKGROUND:It is well-established that couples' fecundities vary widely. Each couple has a relatively constant monthly probability of conceiving, which can vary from zero to quite high. This underlying probability is usually expressed as the time (number of menstrual cycles) the couple requires to conceive. Couples wit...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0754-1
更新日期:2019-06-24 00:00:00
abstract:BACKGROUND:Infertility is detrimental to the health of married couples, especially women. Despite the consequences associated with the condition, little is done to reduce the repercussions. This study throws more light on the lived experiences of infertile women and on how they can be helped to improve their own condit...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-020-00920-z
更新日期:2020-05-20 00:00:00