Your browser doesn't support javascript.
loading
Strengthening midwives' competencies for addressing maternal and newborn mortality in Tanzania: Lessons from Midwifery Emergency Skills Training (MEST) project.
Mwakawanga, Dorkasi L; Rimoy, Martha; Mwanga, Feddy; Massae, Agnes F; Mushy, Stella E; Kisaka, Lucy; Komba, Nicodem; Mabada, Lucy; Mlay, Ecstasy; Mwakalinga, Elizabeth; Mwasha, Loveluck; Temba, Filbert Francis; Sirili, Nathanael.
Afiliación
  • Mwakawanga DL; School of Nursing, Muhimbili University of Health and Allied Sciences, P.O Box 65001 Dar es Salaam, Tanzania. Electronic address: dorkasmwakawanga@gmail.com.
  • Rimoy M; Tanzania Midwives Association, P.O Box 65524 Dar es Salaam, Tanzania.
  • Mwanga F; Tanzania Midwives Association, P.O Box 65524 Dar es Salaam, Tanzania.
  • Massae AF; School of Nursing, Muhimbili University of Health and Allied Sciences, P.O Box 65001 Dar es Salaam, Tanzania.
  • Mushy SE; School of Nursing, Muhimbili University of Health and Allied Sciences, P.O Box 65001 Dar es Salaam, Tanzania.
  • Kisaka L; The Aga Khan University, School of Nursing and Midwifery, P.O Box 38129 Dar es Salaam, Tanzania.
  • Komba N; Tanzania Midwives Association, P.O Box 65524 Dar es Salaam, Tanzania; Muhimbili National Hospital, P.O Box 65000 Dar es Salaam, Tanzania.
  • Mabada L; Tanzania Midwives Association, P.O Box 65524 Dar es Salaam, Tanzania.
  • Mlay E; Muhimbili National Hospital, P.O Box 65000 Dar es Salaam, Tanzania.
  • Mwakalinga E; Muhimbili National Hospital, P.O Box 65000 Dar es Salaam, Tanzania.
  • Mwasha L; Tanzania Midwives Association, P.O Box 65524 Dar es Salaam, Tanzania; The Aga Khan University, School of Nursing and Midwifery, P.O Box 38129 Dar es Salaam, Tanzania.
  • Temba FF; National Institute for Medical Research, Tanga, Tanzania.
  • Sirili N; School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, P.O Box 65013, Dar es Salaam, Tanzania.
Midwifery ; 122: 103695, 2023 Jul.
Article en En | MEDLINE | ID: mdl-37119672
INTRODUCTION: In Low- and Middle-Income Countries (LMICs), maternal and infant mortality remains a significant problem. Inadequate healthcare provider competencies, including those of midwives, are cited as one of the major contributors to the high maternal and newborn mortality rates. Thus, enhancing the skills of midwives is a prerequisite for enhancing positive maternal and newborn health outcomes. This study describes the lessons learned from a Midwifery Emergencies Skills Training (MEST) project implemented in Tanzania between 2013 and 2018. METHODS: An exploratory qualitative study was used to purposefully recruit and interview twelve health facility in-charges and eighteen midwives from twelve selected health facilities in six districts of Tanzania mainland to discover their perceptions about the midwifery practice after MEST training. The data were transcribed verbatim and analysed with qualitative content analysis. RESULTS: Four categories were generated from the analysis (i) enhanced knowledge and skills in the provision of midwifery care and management of obstetric emergencies, (ii) improved midwives' communication skills, (iii) increased trust and support between midwives and community and (iv) transformed attitudes of midwives toward continued professional development (CPD). CONCLUSION: MEST enhanced the knowledge and skills of midwives in the management of obstetric emergencies and referral protocol practice. However, notable gaps remain in the capacity of midwives to provide human rights-based respectful maternity care. Continued professional development for nurses and midwives through training, mentorship and supervision programs is recommended for improving maternal and newborn health.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Materna / Partería / Obstetricia Tipo de estudio: Guideline / Qualitative_research Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Midwifery Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Materna / Partería / Obstetricia Tipo de estudio: Guideline / Qualitative_research Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Midwifery Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido