Assessment on implementation process of maternal health project on emergency obstetric care and neonatal services in rural settings: A case of Uvinza District Council-Kigoma
A dissertation submitted to Mzumbe University as a Partial Fulfillment of the Requirements for the awards of Master’s Degree of Health in Monitoring and Evaluation(MSc.HM&E) of Mzumbe University.
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| Format: | Dissertation |
| Language: | English |
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Mzumbe University
2026
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| Online Access: | https://scholar.mzumbe.ac.tz/handle/123456789/2197 |
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| _version_ | 1872791450581729280 |
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| author | Kimambo Haika Steven |
| author_facet | Kimambo Haika Steven |
| author_sort | Kimambo Haika Steven |
| collection | DSpace |
| description | A dissertation submitted to Mzumbe University as a Partial Fulfillment of the Requirements for the awards of Master’s Degree of Health in Monitoring and Evaluation(MSc.HM&E) of Mzumbe University. |
| format | Dissertation |
| id | ir-:123456789-2197 |
| institution | Mzumbe University |
| language | English |
| publishDate | 2026 |
| publisher | Mzumbe University |
| record_format | dspace |
| spelling | ir-:123456789-21972026-07-24T22:00:23Z Assessment on implementation process of maternal health project on emergency obstetric care and neonatal services in rural settings: A case of Uvinza District Council-Kigoma Kimambo Haika Steven Emergency obstetric care Neonatal services Traditional birth attendants A dissertation submitted to Mzumbe University as a Partial Fulfillment of the Requirements for the awards of Master’s Degree of Health in Monitoring and Evaluation(MSc.HM&E) of Mzumbe University. Background: Emergency obstetric care is one of the strategies for reducing the maternal mortality as pregnancy related complications are unpredictable. However, maternal death due problems related to unimproved comprehensive obstetric has been documented. Objectives: The aim of this evaluation was to assess the implementation process more specifically on the community awareness with regards to emergency obstetric and neonatal care (EmONC).The goal of the project has been to improve maternal and child health age in a population by ensuring provision of quality health services by utilization of EmONC services by the community of Uvinza District Council. Methods: The study was conducted in four villages of Uvinza district in Kigoma region. A cross-sectional descriptive study was conducted involving 120 respondents. Semi structured questionnaire was used to capture information related to implementation process of World Lung Foundation. The focus was collected information on several issues such as assessing the level of community awareness in accessing EmONC services, identifying the roles of traditional birth attendants and challenges encounter by health care workers in facilities providing EmONC services. Evaluator randomly selected the participants to be included in the study. Results: The evaluation revealed institutional deliveries increased by 87.5% at CEmONC health centers, and 70% deliveries by caesarean section, the highest ever recorded. The level of community awareness in accessing EmONC services was high among the evaluation participants. Majority (87.5%) of the health care workers had received training supported by World lung foundation. The findings also revealed that traditional birth attendants have been undertaking early referrals of pregnant women to health facilities providing EmONC. vi Conclusion: The issue of 3 Ds (Delay in decisions making when to seek care, Decision of earlier referral and Decision on what time to start treatment) all these cut across as limitations to achieve millennium development goal number 5. Findings revealed that the maternal mortality rate (MMR) in all facilities decreased by 44% between January 2011 and June 2013(WLF report, 2013). Furthermore, there was a 70% increase in institutional deliveries in Project-supported facilities compared to a 30% decrease in non-Project-supported facilities; there were increased awareness of community in accessing care to health facilities providing EmONC services. Private 2026-07-24T15:43:10Z 2016 Dissertation APA https://scholar.mzumbe.ac.tz/handle/123456789/2197 en application/pdf Mzumbe University |
| spellingShingle | Emergency obstetric care Neonatal services Traditional birth attendants Kimambo Haika Steven Assessment on implementation process of maternal health project on emergency obstetric care and neonatal services in rural settings: A case of Uvinza District Council-Kigoma |
| title | Assessment on implementation process of maternal health project on emergency obstetric care and neonatal services in rural settings: A case of Uvinza District Council-Kigoma |
| title_full | Assessment on implementation process of maternal health project on emergency obstetric care and neonatal services in rural settings: A case of Uvinza District Council-Kigoma |
| title_fullStr | Assessment on implementation process of maternal health project on emergency obstetric care and neonatal services in rural settings: A case of Uvinza District Council-Kigoma |
| title_full_unstemmed | Assessment on implementation process of maternal health project on emergency obstetric care and neonatal services in rural settings: A case of Uvinza District Council-Kigoma |
| title_short | Assessment on implementation process of maternal health project on emergency obstetric care and neonatal services in rural settings: A case of Uvinza District Council-Kigoma |
| title_sort | assessment on implementation process of maternal health project on emergency obstetric care and neonatal services in rural settings a case of uvinza district council kigoma |
| topic | Emergency obstetric care Neonatal services Traditional birth attendants |
| url | https://scholar.mzumbe.ac.tz/handle/123456789/2197 |
| work_keys_str_mv | AT kimambohaikasteven assessmentonimplementationprocessofmaternalhealthprojectonemergencyobstetriccareandneonatalservicesinruralsettingsacaseofuvinzadistrictcouncilkigoma |