Dissertations (Masters)-HME-SOPAM
Permanent URI for this collectionhttps://scholar.mzumbe.ac.tz/handle/123456789/1533
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Item An assessment of family planning program data quality: A case of Tarime District(Mzumbe University, 2018) Sufian, Magetta S.BACKGROUND: Family planning encompasses the accessibility of services, policies, information, attitudes, practices and commodities, that gives women, men, couples, and adolescents the ability to avoid unintended pregnancy and choose whether and or when to have a child and the preferable number of children. It is a cross-sectoral intervention that can hasten progress across the sustainable development goals (Starbird, 2016). Inadequate information and poor data quality on family planning intervention program seems to affect contraceptives uptake records across different level of response. Investing on family planning program data quality assessment can bridge up the gap between the observed differences. OBJECTIVES: The aim of this evaluation study was to determine the tools used by health care providers in recording and reporting family planning data at facility levels, to assess how data collected at different levels with different organisation have similarities, and exploring how different organizations assess family planning data quality collected at different levels. METHODS: The study was conducted at Tarime district in the DMO’s office, 19 health facilities, RMO’s office and Program’s office. Qualitative research design was used in this study, purposive sampling methods applied, the researcher used both primary and secondary data through questionnaires and documentary review respectively, and lastly data analysed by excel and Atlas.ti software. RESULTS: Family planning data recording and data reporting tools was available in all public health facilities visited, however, there were data disparity between health facility and district level, as well as District and Regional office. Though data similarities were observed between District office and program office. Data quality assessment was not vii done in the health facilities for almost 90% but seems to be done at the District and in the Regional levels in collaboration with partners. CONCLUSSION: The findings concluding that Family planning program use MTUHA book no 8 which consist of three books namely registers, tally sheet and summary report books as a data recording and data reporting tools in the health facilities, despite that tools are available but still the quality of data remained doubtful due to data disparities observed in the documentary review across different level of response. Family planning data quality assessment is only performed at the District and in the Region level but rarely and improperly conducted at facility levels due to some observed challenges like inadequate knowledge for FP DQA, lack of skilled team, lack of standardized data quality assessment tools, mistrust of data collectors at different levels, data manipulation to fulfil donors requirements, parallel reporting and report overburden at the health facilities.Item Process evaluation of result based financing program on improving maternal health in Kishapu District Council, Shinyanga Region(Mzumbe University, 2019) Ngwale, Tedson J.Shinyanga region is one among the regions of Tanzania mainland with high maternal mortality rate (MMR). In 2015, it was reported to have 60 MMR and ranked number one due to unsatisfactory health condition and poverty index. Result Based Financing (RBF) was introduced in Tanzania particularly in the regions with high burden of diseases with the aim of achieving Universal Health Coverage goal and to offset the long-term health sector challenges. RBF was implemented in Shinyanga from 2015. It was initially implemented in 157 health facilities where in Kishapu District Council (DC) is implemented to 55. Since the implementation of RBF in Shinyanga, there are limited studies conducted to evaluate its progress. Thus, the study aimed to conduct a process evaluation study on improvement made by RBF program on maternal health services in Kishapu District Council. Specifically, the study ascertain the extent to which maternal health have been improved at health facilities due to RBF implementation; to examine whether maternal health services delivery and support functions consistent with RBF system; also, to examine healthcare provider’s perceptions on bonus payment for RBF implementation towards improving maternal health services. The study employed a descriptive cross- sectional design with a mixed method approach. A semi-structured questionnaire was used to collect data from randomly selected 147 respondents from all 55 health facilities. Quantitative data was analysed by the use of SPSS V. 25.0 and descriptively presented by tables, figures, and measure of central tendency. Qualitative data was analysed with the help of ATLAS ti version 8.2.4 programs for content analysis. The results reveal that, (82.3%) of the health professionals provided appropriate healthcare to women with delay in labour as per national health guidelines, (80.3%) provided routine postnatal care to mothers and their new-borns, whereas all interviewed health professional (100%) provided care to women and new-borns as per standard precautions for preventing hospital-acquired infections. Nevertheless, (81.65%) of health professionals did not carry out an exit interview with their clients to gather important information about the quality of maternal health services.