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CONFERENCE PROCEEDING
Changes in health facility readiness for providing quality maternal and newborn care in five regions of Tanzania
1
Kigoma R S, Health- Social Welfare and Nutrition, Kigoma, Tanzania- United Republic of
2
KCMC University, Public Health, Kilimanjaro, Tanzania- United Republic of
3
Institute of Clinical Medicine- University of Oslo, Department of Pediatric Research, Oslo, Norway
4
Haydom Lutheran Hospital, Department of Research, Manyara, Tanzania- United Republic of
5
Muhimbili University of Health and Allied Sciences MUHAS, Department of Epidemiology and Biostatistics, Dar es Salaam, Tanzania- United Republic of
6
St. Francis University College of Health and Allied Sciences, Department of Public Health, Ifakara, Tanzania- United Republic of
7
Muhimbili National Hospital, Department of Paediatrics and Child Health, Dar es Salaam, Tanzania- United Republic of
8
University of Stavanger, Department of Mathematics and Physics, Stavanger, Norway
Eur J Midwifery 2026;10(Supplement 1):A907
ABSTRACT
PURPOSE:
Maternal and neonatal morbidity and mortality remain pressing challenges, with uneven progress globally. The capacity of health facilities to provide quality care is critical to improving outcomes. This study assessed changes in readiness to deliver maternal and newborn care in Tanzania.
DISCUSSION:
A before-and-after study was conducted across 28 Comprehensive Emergency Obstetric and Newborn Care facilities implementing the Safer Births Bundle of Care in five Tanzanian regions. Assessments were conducted in December 2020 and January 2023 using an adapted WHO Service Availability and Readiness Assessment tool, which covered amenities, equipment, staff, guidelines, medicines, and diagnostics. Composite readiness scores were calculated, and changes were analyzed using Fisher’s exact test, paired sample t-tests, and linear mixed models to account for regional clustering. Significance was set at p < 0.05.
EVIDENCE WHERE RELEVANT:
Overall readiness improved significantly from 67.6% to 83.7% (p<0.05). Statistically significant improvements were seen in medical equipment (77.1% to 94.0%), diagnostic/treatment commodities (69.3% to 83.1%), and availability of guidelines (50.8% to 96.7%). Changes in amenities (78.1% to 84.2%) were not significant, while staff availability declined slightly (63.0% to 61.7%). The observed values for general readiness improved in all facility types, and the change was statistically significant in district hospitals and health centers (p<0.05).
KEY MESSAGE:
Health facility readiness for maternal and newborn care significantly increased, suggesting positive impacts from interventions. Continued efforts are needed to address persistent gaps, particularly in staffing and amenities to ensure consistent, high-quality care. Poster session 4 (Group B)
Maternal and neonatal morbidity and mortality remain pressing challenges, with uneven progress globally. The capacity of health facilities to provide quality care is critical to improving outcomes. This study assessed changes in readiness to deliver maternal and newborn care in Tanzania.
DISCUSSION:
A before-and-after study was conducted across 28 Comprehensive Emergency Obstetric and Newborn Care facilities implementing the Safer Births Bundle of Care in five Tanzanian regions. Assessments were conducted in December 2020 and January 2023 using an adapted WHO Service Availability and Readiness Assessment tool, which covered amenities, equipment, staff, guidelines, medicines, and diagnostics. Composite readiness scores were calculated, and changes were analyzed using Fisher’s exact test, paired sample t-tests, and linear mixed models to account for regional clustering. Significance was set at p < 0.05.
EVIDENCE WHERE RELEVANT:
Overall readiness improved significantly from 67.6% to 83.7% (p<0.05). Statistically significant improvements were seen in medical equipment (77.1% to 94.0%), diagnostic/treatment commodities (69.3% to 83.1%), and availability of guidelines (50.8% to 96.7%). Changes in amenities (78.1% to 84.2%) were not significant, while staff availability declined slightly (63.0% to 61.7%). The observed values for general readiness improved in all facility types, and the change was statistically significant in district hospitals and health centers (p<0.05).
KEY MESSAGE:
Health facility readiness for maternal and newborn care significantly increased, suggesting positive impacts from interventions. Continued efforts are needed to address persistent gaps, particularly in staffing and amenities to ensure consistent, high-quality care. Poster session 4 (Group B)
| eISSN: | 2585-2906 |
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