Factors Facilitating and Challenges Facing Community-based Interventions in Improving Antenatal Care in Rural Tanzania

dc.contributor.authorMaluka, Stephen O
dc.contributor.authorJoseph, Chakupewa
dc.date.accessioned2023-03-28T10:44:43Z
dc.date.available2023-03-28T10:44:43Z
dc.date.issued2021
dc.description.abstractThe improvement of antenatal care has remained a topical global concern as signalled by maternal deaths, which have remained unacceptably high, especially in low- and middle- income countries. In response to this concern, community-based interventions through women’s groups have been implemented to improve antenatal care; and have shown promising results in rural settings. However, factors contributing to the success or failure of these interventions vary across geographical settings, thereby necessitating area- specific considerations. This paper sets out to unveil significant facilitators and barriers to the implementation of women’s group interventions in Tanzania. A qualitative case study design was employed involving interviews, focus group discussions, and documentary review in Kilolo and Mufindi districts. Eighty-six participants were interviewed and six small focus group discussions were conducted. Findings show that several factors facilitated the implementation of community-based interventions. These included recruitment and selection of the women’s groups, readiness among the women’s groups, support of the local administrative systems, and inclusive monitoring and evaluation process. On the other hand, the implementation process was constrained by insufficient logistical supplies, multiple workloads, and the desire for allowances. It is concluded that increased uptake and sustainability of antenatal care can potentially be attained through an understanding of both facilitators and barriers during the planning, development and implementation of the interventions of women’s groups.en_US
dc.description.sponsorshipThe Innovating for Maternal and Child Health in Africa (IMCHA) programme implemented by the Institute of Development Studies (IDS) of the University of Dar es Salaam. IMCHA Project was funded by a joint initiative of three Canadian government agencies, namely the Canadian Institute of Health Research (CIHR), Global Affairs Canada (GAC) and the Canadian International Development Research Centre (IDRC) Grant No: IDRC 108023-001.en_US
dc.identifier.urihttp://hdl.handle.net/20.500.11810/6020
dc.language.isoenen_US
dc.publisherJournal of Education, Humanities and Sciencesen_US
dc.relation.ispartofseriesVolume 10 No. 4: 1–19;
dc.subjectCommunity based interventionsen_US
dc.subjectMaternal and child healthen_US
dc.subjectContextual factorsen_US
dc.subjectTanzaniaen_US
dc.titleFactors Facilitating and Challenges Facing Community-based Interventions in Improving Antenatal Care in Rural Tanzaniaen_US
dc.typeJournal Article, Peer Revieweden_US
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