Experiences of Mothers and Health Workers With Momcare and Safecare Bundles In Kenya And Tanzania: A Qualitative Evaluation.
Between 2019 and 2022, the Digital Dividend Project (DDP), a technology-based intervention that combined care (MomCare) and quality improvement (SafeCare) bundles to empower mothers to access quality care during pregnancy, labor, and delivery, and postnatally, was implemented in Kenya and Tanzania a...
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Kabale University
2024
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| Online Access: | http://hdl.handle.net/20.500.12493/2020 |
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| author | Izudi, Jonathan Owoko, Henry Odero Bagayoko, Moussa Kadengye, Damazo |
| author_facet | Izudi, Jonathan Owoko, Henry Odero Bagayoko, Moussa Kadengye, Damazo |
| author_sort | Izudi, Jonathan |
| collection | KAB-DR |
| description | Between 2019 and 2022, the Digital Dividend Project (DDP), a technology-based intervention that combined care (MomCare) and quality improvement (SafeCare) bundles to empower mothers to access quality care during pregnancy, labor, and delivery, and postnatally, was implemented in Kenya and Tanzania aiming to improve maternal and newborn health out-comes. We describe the experiences of the mothers in accessing and utilizing health services under the bundles, and the experiences of the health workers in providing the services. Between November and December 2022, we conducted a qualitative evaluation across health facilities in Kenya and Tanzania. We held Interviews with mothers (pregnant and postpartum women who had benefited from the care bundles) and health workers (physicians, nurses, and midwives who provided the care bundles, including health facility In-Charges) at the antenatal care (ANC), skilled birth attendance (SBA), and postnatal care (PNC) service delivery points. We performed content analysis. Findings are reported using themes and quotes from the participants. We included 127 mothers (Kenya = 76, Tanzania
= 51) and 119 health workers. Findings revealed that among mothers, the care bundles eased access to health services, ensured easy access and optimal ANC use, provision of respectful care removed financial constraints, and led to the receipt of sufficient health education. Health workers reported that the care bundles offered them a new opportunity to provide quality maternal and newborn care and to adhere to the standard of care besides experiencing a positive and fulfilling practice. Health systems improvements included prompt emergency response and continual care, infrastructural developments, medical sup-
plies and logistics, staffing, and increased documentation. Overall, the care bundles led to the strengthening of the healthcare system (staffing, service delivery, financing, supplies/logistics, and information management) to deliver quality maternal and child health services. The bundles should be replicated in settings with similar maternal and child health
challenges. |
| format | Article |
| id | oai:idr.kab.ac.ug:20.500.12493-2020 |
| institution | KAB-DR |
| language | en_US |
| publishDate | 2024 |
| publisher | Kabale University |
| record_format | dspace |
| spelling | oai:idr.kab.ac.ug:20.500.12493-20202024-08-01T00:02:10Z Experiences of Mothers and Health Workers With Momcare and Safecare Bundles In Kenya And Tanzania: A Qualitative Evaluation. Izudi, Jonathan Owoko, Henry Odero Bagayoko, Moussa Kadengye, Damazo Experiences Mothers Health Workers Momcare Safecare Bundles Qualitative Evaluation Kenya Tanzania Between 2019 and 2022, the Digital Dividend Project (DDP), a technology-based intervention that combined care (MomCare) and quality improvement (SafeCare) bundles to empower mothers to access quality care during pregnancy, labor, and delivery, and postnatally, was implemented in Kenya and Tanzania aiming to improve maternal and newborn health out-comes. We describe the experiences of the mothers in accessing and utilizing health services under the bundles, and the experiences of the health workers in providing the services. Between November and December 2022, we conducted a qualitative evaluation across health facilities in Kenya and Tanzania. We held Interviews with mothers (pregnant and postpartum women who had benefited from the care bundles) and health workers (physicians, nurses, and midwives who provided the care bundles, including health facility In-Charges) at the antenatal care (ANC), skilled birth attendance (SBA), and postnatal care (PNC) service delivery points. We performed content analysis. Findings are reported using themes and quotes from the participants. We included 127 mothers (Kenya = 76, Tanzania = 51) and 119 health workers. Findings revealed that among mothers, the care bundles eased access to health services, ensured easy access and optimal ANC use, provision of respectful care removed financial constraints, and led to the receipt of sufficient health education. Health workers reported that the care bundles offered them a new opportunity to provide quality maternal and newborn care and to adhere to the standard of care besides experiencing a positive and fulfilling practice. Health systems improvements included prompt emergency response and continual care, infrastructural developments, medical sup- plies and logistics, staffing, and increased documentation. Overall, the care bundles led to the strengthening of the healthcare system (staffing, service delivery, financing, supplies/logistics, and information management) to deliver quality maternal and child health services. The bundles should be replicated in settings with similar maternal and child health challenges. 2024-06-04T15:46:54Z 2024-06-04T15:46:54Z 2023 Article Experiences of Mothers and Health Workers With Momcare and Safecare Bundles In Kenya And Tanzania: A Qualitative Evaluation. Kabale: Kabale University. http://hdl.handle.net/20.500.12493/2020 en_US application/pdf Kabale University |
| spellingShingle | Experiences Mothers Health Workers Momcare Safecare Bundles Qualitative Evaluation Kenya Tanzania Izudi, Jonathan Owoko, Henry Odero Bagayoko, Moussa Kadengye, Damazo Experiences of Mothers and Health Workers With Momcare and Safecare Bundles In Kenya And Tanzania: A Qualitative Evaluation. |
| title | Experiences of Mothers and Health Workers With Momcare and Safecare Bundles In Kenya And Tanzania: A Qualitative Evaluation. |
| title_full | Experiences of Mothers and Health Workers With Momcare and Safecare Bundles In Kenya And Tanzania: A Qualitative Evaluation. |
| title_fullStr | Experiences of Mothers and Health Workers With Momcare and Safecare Bundles In Kenya And Tanzania: A Qualitative Evaluation. |
| title_full_unstemmed | Experiences of Mothers and Health Workers With Momcare and Safecare Bundles In Kenya And Tanzania: A Qualitative Evaluation. |
| title_short | Experiences of Mothers and Health Workers With Momcare and Safecare Bundles In Kenya And Tanzania: A Qualitative Evaluation. |
| title_sort | experiences of mothers and health workers with momcare and safecare bundles in kenya and tanzania a qualitative evaluation |
| topic | Experiences Mothers Health Workers Momcare Safecare Bundles Qualitative Evaluation Kenya Tanzania |
| url | http://hdl.handle.net/20.500.12493/2020 |
| work_keys_str_mv | AT izudijonathan experiencesofmothersandhealthworkerswithmomcareandsafecarebundlesinkenyaandtanzaniaaqualitativeevaluation AT owokohenryodero experiencesofmothersandhealthworkerswithmomcareandsafecarebundlesinkenyaandtanzaniaaqualitativeevaluation AT bagayokomoussa experiencesofmothersandhealthworkerswithmomcareandsafecarebundlesinkenyaandtanzaniaaqualitativeevaluation AT kadengyedamazo experiencesofmothersandhealthworkerswithmomcareandsafecarebundlesinkenyaandtanzaniaaqualitativeevaluation |