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. RESULTS:Study 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.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Frumence G,Goodman M,Chebet JJ,Mosha I,Bishanga D,Chitama D,Winch PJ,Killewo J,Baqui AHdoi
10.1186/s12889-019-7179-1subject
Has Abstractpub_date
2019-07-08 00:00:00pages
895issue
1issn
1471-2458pii
10.1186/s12889-019-7179-1journal_volume
19pub_type
杂志文章abstract：BACKGROUND:People often search for information on influenza A(H1N1)v prevention on the web. The extent to which information found on the Internet is consistent with recommendations issued by the World Health Organization is unknown. METHODS:We conducted a search for "swine flu" accessing 3 of the most popular search e...
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更新日期：2010-09-20 00:00:00
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更新日期：2017-06-12 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2018-12-22 00:00:00
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更新日期：2017-01-06 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2002-03-25 00:00:00
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pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2009-03-31 00:00:00
abstract：:After publication of the article [1], it has been brought to our attention that there is a funding acknowledgement missing. The authors would also like to include "Dr. Michael Joseph Blaha is funded by the American Heart Association Tobacco Regulatory Center, funding number: 1P50HL120163". ...
journal_title：BMC public health
pub_type： 杂志文章,已发布勘误
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更新日期：2018-01-24 00:00:00
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更新日期：2020-02-04 00:00:00
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更新日期：2019-11-11 00:00:00
