Journals

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Browsing Journals by Subject "Challenges"

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    Challenges facing mothers who practice Kangaroo mother care in health facilities; a case of Dar es Salaam
    (International Journal of Nursing and Health Science, 2017) Mbao, Ezekiel H.
    Kangaroo mother care has been proved scientifically to reduce morbidity and mortality of preterm infants since it maintains bonding between mother and infant as a result of skin to skin contact, protects infants against infection, stimulates milk secretion, reduces hospital long stay for the infant and provides good sleep pattern to infants because of comfortability from the mother. The objective of this study was to assess challenges facing mothers who practice kangaroo mother care method for their preterm or low birth weight babies in Dar es Salaam. The study adopted a descriptive cross-sectional design. Mwananyamala hospital which is located in Kinondoni municipality was purposively selected for the study. The study population included mothers who practice kangaroo mother care method in the kangaroo unit of the hospital. Data was collected using structured interviews, focus group discussion and observation. Fifteen individual interviews and one focus group discussion were conducted. Data was analysed using content analysis methods where themes were developed from the responses. Major factors that affect kangaroo mother care include little knowledge of kangaroo mother care, fatigue of mothers, lack of cooperation from health care workers and unconducive environment of the wards. Recommendations from the study are that mothers should be educated on the importance of kangaroo mother care during the perinatal period, health care workers should encourage mothers to practice kangaroo method and hospital administrators should furnish the kangaroo wards with the necessary equipment.
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    Challenges of monitoring reproductive health services: a case study of antenatal clinics in Kinondoni municipality, Dar Es Salaam.
    (2015) Mbao, Ezekiel H.
    Introduction: Antenatal Care (ANC) is one of the interventions that have the potential of significantly reducing the maternal mortality rate when properly conducted. Objectives: The purpose of this research was to assess the challenges of monitoring and evaluation of reproductive health services using ANC clinics as a case study and identify strategies for addressing the challenges. Methods: The study was descriptive cross sectional employing both qualitative and quantitative methods. The sample population included nurse-midwives who manage ANC clinics in Kinondoni Municipality. Results: Of the 30 respondents, 24 respondents noted the need to improve monitoring of the ANC services. Challenges noted were low information use, inadequate human resource, and lack of feedback data from higher authorities. Conclusion: There is need to improve information flow and use, have frequent supportive supervision visits, seminars and workshops to update nurse midwife managers with knowledge and skills of monitoring and evaluation, and development of a culture of information.