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Dar es Salaam perinatal care study: needs assessment for quality of care

Angelo S Nyamtema1, David P Urassa, Siriel Massawe

  • 1Tanzanian Training Centre for International Health, Ifakara, Tanzania. nyamtema_angelo@yahoo.co.uk

East African Journal of Public Health
|August 2, 2008
PubMed

Insights

Dar es Salaam public health facilities face significant challenges in providing adequate perinatal care due to poor infrastructure and essential supplies. Investment is crucial to improve maternal and neonatal survival rates and meet the Millennium Development Goals.

Area of Science:

  • Public Health
  • Obstetrics and Gynecology
  • Neonatal Care

Background:

  • Poor obstetric care in low-income countries is a multifaceted issue.
  • Dar es Salaam's public health institutions face challenges impacting perinatal outcomes.

Purpose of the Study:

  • To conduct a perinatal care needs assessment in Dar es Salaam's health institutions.
  • To identify factors contributing to poor perinatal outcomes.

Main Methods:

  • Cross-sectional study conducted in 2005 across public hospitals, health centers, and dispensaries.
  • Utilized WHO Safe Motherhood needs assessment instruments.
  • Interviews conducted with healthcare providers, administrators, and clients.

Main Results:

  • Majority of deliveries (72%) occurred in public hospitals.
  • Emergency obstetric care (EmOC) coverage varied, with some facilities lacking 24-hour services or basic delivery functions.
  • Significant deficiencies in infrastructure, equipment, and supplies were identified, including a single public neonatal unit.

Conclusions:

  • Inadequate infrastructure, equipment, and supplies hinder perinatal care in Dar es Salaam.
  • Substantial investment is required for new and upgraded facilities for maternal and neonatal care.
  • Improving essential material resources is vital to achieve maternal and child survival goals by 2015.
Abstract

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