Assessment of factors contributing to maternal mortality a case of Mwananyamala regional referral hospital; submitted by Julius Pius Nyakazilibe.

Nyakazilibe, Julius Pius (2022) Assessment of factors contributing to maternal mortality a case of Mwananyamala regional referral hospital; submitted by Julius Pius Nyakazilibe. Masters thesis, The Open University of Tanzania.

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Abstract

The study assessed the factors contributing to maternal mortality at Mwananyamala Regional Referral Hospital in Dar es Salaam, Tanzania; which offer referrals from all over Kinondoni and Ubungo municipalities and nearby areas. The first objective of the study was to determine variation of maternal health problem in regards to demographic and biological factors. The second objective of the study was to identify risk factors associated with maternal mortality at MRRH. The last objective was to find out availability of essential medical equips and facility readiness necessary to provide safe motherhood. The study employed descriptive research design and adopted both probability and non-probability sampling. Data were collected from 12 key informants of the research purposefully selected from maternal ward in the facility which was staffed by doctors, Registered Nurses, Nurse midwifes and nurse assistance; as well as 114 the patients who has been admitted at the facility. Descriptive statistics as well as bivariate level regression analysis were used to describe the variables relationships. The findings reviled that, most of maternal mortality at MRRH were caused by preventable causes. It was recommended that, there should be integrated health care services throughout maternity period; facility service providers must have regular training towards preventive measure of those risk factors associated with maternal mortality such as PPH, pre-eclampsia and eclampsia by detecting danger sign as soon as the patient admitted in the facility to reduce if not end maternal complications and deaths. There is a need for public health awareness program concerning care before, during and after maternity period. Keywords: Maternal Mortality, Hospital, Maternal Death, Mwanayamara.

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