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Tytuł pozycji:

Birth companionship in a government health system: a pilot study in Kigoma, Tanzania

Tytuł:
Birth companionship in a government health system: a pilot study in Kigoma, Tanzania
Autorzy:
Paul Chaote
Nguke Mwakatundu
Sunday Dominico
Alex Mputa
Agnes Mbanza
Magdalena Metta
Samantha Lobis
Michelle Dynes
Selemani Mbuyita
Shanon McNab
Karen Schmidt
Florina Serbanescu
Temat:
Birth companionship
Maternal and newborn health
Quality of care
Respectful care
Gynecology and obstetrics
RG1-991
Źródło:
BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-17 (2021)
Wydawca:
BMC, 2021.
Rok publikacji:
2021
Kolekcja:
LCC:Gynecology and obstetrics
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
1471-2393
Relacje:
https://doaj.org/toc/1471-2393
DOI:
10.1186/s12884-021-03746-0
Dostęp URL:
https://doaj.org/article/60f805d627ac4955a12f799d86d95df2  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.60f805d627ac4955a12f799d86d95df2
Czasopismo naukowe
Abstract Background Having a companion of choice throughout childbirth is an important component of good quality and respectful maternity care for women and has become standard in many countries. However, there are only a few examples of birth companionship being implemented in government health systems in low-income countries. To learn if birth companionship was feasible, acceptable and led to improved quality of care in these settings, we implemented a pilot project using 9 intervention and 6 comparison sites (all government health facilities) in a rural region of Tanzania. Methods The pilot was developed and implemented in Kigoma, Tanzania between July 2016 and December 2018. Women delivering at intervention sites were given the choice of having a birth companion with them during childbirth. We evaluated the pilot with: (a) project data; (b) focus group discussions; (c) structured and semi-structured interviews; and (d) service statistics. Results More than 80% of women delivering at intervention sites had a birth companion who provided support during childbirth, including comforting women and staying by their side. Most women interviewed at intervention sites were very satisfied with having a companion during childbirth (96–99%). Most women at the intervention sites also reported that the presence of a companion improved their labor, delivery and postpartum experience (82–97%). Health providers also found companions very helpful because they assisted with their workload, alerted the provider about changes in the woman’s status, and provided emotional support to the woman. When comparing intervention and comparison sites, providers at intervention sites were significantly more likely to: respond to women who called for help (p = 0.003), interact in a friendly way (p
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