quality of antenatal care in rural tanzania counselling on pregnancy danger signs农村的产前保健质量坦桑尼亚咨询怀孕的危险信号.pdfVIP

Pembe et al. BMC Pregnancy and Childbirth 2010, 10:35 /1471-2393/10/35 R E S E A R C H A R T I C L E Open Access Research article Quality of antenatal care in rural Tanzania: counselling on pregnancy danger signs Andrea B Pembe*1,2, Anders Carlstedt†2,3, David P Urassa†4, Gunilla Lindmark†2, Lennarth Nyström†5 and Elisabeth Darj†2 Abstract Background: The high rate of antenatal care attendance in su b-Saharan Africa, should facilitate provision of information on signs of potential pregnancy complications. The aim of this study was to assess quality of antenatal care with respect to providers counselling of pregnancy danger signs in Rufiji district, Tanzania. Methods: A cross-sectional study was conducted in 18 primary health facilities. Thirty two providers were observed providing antenatal care to 438 pregnant women. Information on counselling on pregnancy danger signs was collected by an observer. Exit interviews were conducted to 435 women. Results: One hundred and eighty five (42%) clients were not informed of any pregnancy danger signs. The most common pregnancy danger sign informed on was vaginal bleeding 50% followed by severe headache/blurred vision 45%. Nurse auxiliaries were three times more likely to inform a client of a danger sign than registered/enrolled nurses (OR = 3.7; 95% CI: 2.1-6.5) and Maternal Child Health Aides (OR = 2.3: 95% CI: 1.3-4.3) and public health nurses (OR = 2.5; CI: 1.4-4.2) were two times more likely to provide information on danger signs than registered/enrolled nurses. The clients recalled less than half of the pregnancy danger signs they had been informed during the interaction. Conclusion: Two out of five clients were not counselled on pregnancy danger signs. The higher trained cadre, registered/enrolled nurses were not informing majority of clients pregnancy danger signs compare