Assessment of the National Health Policy of 2003: Challenges of the reduction of maternal mortality rate in Musoma Municipality, Tanzania.
A dissertation submitted in partial fulfillment of the requirement for degree of Master of Science in Development Policy (MSc. DP) of Mzumbe University
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| Formato: | Tesis |
| Lenguaje: | inglés |
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Mzumbe University
2026
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| Acceso en línea: | https://scholar.mzumbe.ac.tz/handle/123456789/2081 |
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| _version_ | 1872791447081582592 |
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| author | Juma, Mariamu N. |
| author_facet | Juma, Mariamu N. |
| author_sort | Juma, Mariamu N. |
| collection | DSpace |
| description | A dissertation submitted in partial fulfillment of the requirement for degree of Master of Science in Development Policy (MSc. DP) of Mzumbe University |
| format | Thesis |
| id | ir-:123456789-2081 |
| institution | Mzumbe University |
| language | English |
| publishDate | 2026 |
| publisher | Mzumbe University |
| record_format | dspace |
| spelling | ir-:123456789-20812026-07-15T11:06:30Z Assessment of the National Health Policy of 2003: Challenges of the reduction of maternal mortality rate in Musoma Municipality, Tanzania. Juma, Mariamu N. Gender equity theory Health Policy Maternal mortality Maternal care services Demographic transitional theory Attribution theory Maternal death A dissertation submitted in partial fulfillment of the requirement for degree of Master of Science in Development Policy (MSc. DP) of Mzumbe University High rate of maternal deaths is one of the major public health concerns in Tanzania. Maternal mortality rate in Tanzania had been on a downward trend from 453 to 200 per 100,000 live births. However from 1990s there has been an increasing trend to 578 per 100,000 live births (TDHS, 2010). Current statistics indicate that maternal mortality ratio dropped slightly in 2010 to 454 per 100,000 live births (TDHS, 2010). Despite a number of efforts made to reduce it, maternal mortality is still high. The objective of this study was to assess the challenges of reducing maternal mortality rate in Musoma Municipality, Tanzania in line with the National Health Policy of 2003. The theoretical perspectives on gender equity, attribution and demographic transition guided the study. Key policy documents, technical reports, publications and available internet information on maternal mortality in Tanzania from 1961 to 2012 were reviewed. The study employed a cross sectional research design. Random and purposeful sampling design techniques were used to obtain the sample of 65 respondents. Data were collected through interviews, questionnaires and documentary review. Data analysis was done by using SPSS version 11.The study found out that health facilities in Musoma municipality, do face a lot of challenges such as old unrepaired equipment’s, low number of professional health workers, lack of medicine and drugs, high patient influx compared to low number of health workers, low quality health service and poor working environment. Additionally, it was also revealed that there were several factors which made women not to access health facilities such as costs (direct or indirect), health workers attitude, transport facility, lack of support from men, lack of awareness concerning reproductive health issues and distance to health facility and lack of health services at night. Also, even though maternal health services are free, yet there are costs associated with maternal health, things like blankets, polyethylene bags, gloves and pads that are direct cost to pregnant mothers. Therefore the study concluded that poverty that prevails in the community seems to be the main obstacle for women to access quality reproductive health services. Also the implementation of National Health Policy of 2003 is still low due to the fact that people still pay money to access maternal health. Private 2026-06-04T15:29:04Z 2015 Thesis APA https://scholar.mzumbe.ac.tz/handle/123456789/2081 en application/pdf Mzumbe University |
| spellingShingle | Gender equity theory Health Policy Maternal mortality Maternal care services Demographic transitional theory Attribution theory Maternal death Juma, Mariamu N. Assessment of the National Health Policy of 2003: Challenges of the reduction of maternal mortality rate in Musoma Municipality, Tanzania. |
| title | Assessment of the National Health Policy of 2003: Challenges of the reduction of maternal mortality rate in Musoma Municipality, Tanzania. |
| title_full | Assessment of the National Health Policy of 2003: Challenges of the reduction of maternal mortality rate in Musoma Municipality, Tanzania. |
| title_fullStr | Assessment of the National Health Policy of 2003: Challenges of the reduction of maternal mortality rate in Musoma Municipality, Tanzania. |
| title_full_unstemmed | Assessment of the National Health Policy of 2003: Challenges of the reduction of maternal mortality rate in Musoma Municipality, Tanzania. |
| title_short | Assessment of the National Health Policy of 2003: Challenges of the reduction of maternal mortality rate in Musoma Municipality, Tanzania. |
| title_sort | assessment of the national health policy of 2003 challenges of the reduction of maternal mortality rate in musoma municipality tanzania |
| topic | Gender equity theory Health Policy Maternal mortality Maternal care services Demographic transitional theory Attribution theory Maternal death |
| url | https://scholar.mzumbe.ac.tz/handle/123456789/2081 |
| work_keys_str_mv | AT jumamariamun assessmentofthenationalhealthpolicyof2003challengesofthereductionofmaternalmortalityrateinmusomamunicipalitytanzania |