Webber Gail C, Chirangi Bwire M, Magatti Nyamusi J
Bruyere Research Institute, University of Ottawa, Canada.
Shirati KMT District Hospital, Shirati, Rorya, Mara, Tanzania.
Afr J Reprod Health. 2019 Sep;23(3):68-78. doi: 10.29063/ajrh2019/v23i3.7.
The Saving Mothers Project was conducted from September 2015 to March 2017 in Bunda and Tarime Districts, Mara Region, Tanzania. The purpose of this project was to train community health workers (CHWs) to use mobile phones applications to register and educate pregnant women about safe deliveries and encourage them to access skilled health care providers for antenatal care and delivery, and to provide nurses and CHWs with clean birth kits with misoprostol to distribute to women. The birth kits were for use in case women could not access the health facility, or if the health facility was lacking supplies at the time of delivery. The overall goal of the study was to reduce the maternal mortality rate by increasing women's access to health services where possible, and to clean supplies when a non-facility birth was unavoidable. This paper reports on a mixed methods evaluation of the project including a survey of over two thousand four hundred women, and focus groups with women, community health workers, and nurses participating in the project. The results of the survey and focus groups demonstrate a high degree of satisfaction with the birth kits and misoprostol and an increase in facility birth rates where the project was implemented. Differences between the two districts illustrate that policy maker support is key to successful implementation.
“拯救母亲”项目于2015年9月至2017年3月在坦桑尼亚马拉地区的邦达和塔里梅区开展。该项目的目的是培训社区卫生工作者使用手机应用程序来登记孕妇并对其进行安全分娩教育，鼓励她们寻求专业医护人员进行产前护理和分娩，并为护士和社区卫生工作者提供含有米索前列醇的清洁分娩包，以便分发给孕妇。这些分娩包用于产妇无法前往医疗机构或分娩时医疗机构物资短缺的情况。该研究的总体目标是通过尽可能增加妇女获得医疗服务的机会，并在不可避免地要在家分娩时提供清洁用品，来降低孕产妇死亡率。本文报告了对该项目的混合方法评估，包括对两千四百多名妇女的调查，以及与参与该项目的妇女、社区卫生工作者和护士进行的焦点小组讨论。调查和焦点小组讨论的结果表明，对分娩包和米索前列醇的满意度很高，并且在实施该项目的地区，医疗机构分娩率有所提高。两个区之间的差异表明，政策制定者的支持是项目成功实施的关键。
