ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2016
Using mixed methods to evaluate perceived quality of care in southern Tanzania.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Pregnant women's perceptions of antenatal care and utilisation of digital health tools in Magu District, Tanzania: a qualitative study.Sexual and reproductive health matters · 2023Article
- Health insurance and health system (un) responsiveness: a qualitative study with elderly in rural Tanzania.BMC health services research · 2021Article
- Quality of antenatal care and its sociodemographic determinants: results of the 2015 Pelotas birth cohort, Brazil.BMC health services research · 2021Article
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- Implementation of the INTERGROWTH-21Global health action · 2020Article
- Factors associated with the utilisation of primary care services: a cross-sectional study in public and private facilities in Albania.BMJ open · 2020Article
- Article
- Understanding client and provider perspectives of antenatal care service quality: a qualitative multi-method study from Tanzania.Journal of global health · 2019Article
- Delayed illness recognition and multiple referrals: a qualitative study exploring care-seeking trajectories contributing to maternal and newborn illnesses and death in southern Tanzania.BMC health services research · 2019Article
- Women's Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania.International journal of environmental research and public health · 2019Article
- Towards improved health service quality in Tanzania: appropriateness of an electronic tool to assess quality of primary healthcare.BMC health services research · 2019Article
- Article
- Socio-demographic determinants of women's satisfaction with prenatal and delivery care services in Italy.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2018Article
- Does quality influence utilization of primary health care? Evidence from Haiti.Globalization and health · 2018Article
- "I Was Relieved to Know That My Baby Was Safe": Women's Attitudes and Perceptions on Using a New Electronic Fetal Heart Rate Monitor during Labor in Tanzania.International journal of environmental research and public health · 2018Article
- Monitoring maternal and newborn health outcomes in Bauchi State, Nigeria: an evaluation of a standards-based quality improvement intervention.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2016Article
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3 authors.
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Abstract
objectiveTo compare perceived quality of maternal and newborn care using quantitative and qualitative methods.
designA continuous household survey (April 2011 to November 2013) and in-depth interviews and birth narratives.
settingTandahimba district, Tanzania.
participantsWomen aged 13-49 years who had a birth in the previous 2 years were interviewed in a household survey. Recently delivered mothers and their partners participated in in-depth interviews and birth narratives.
interventionNone.
main outcome measuresPerceived quality of care.
resultsQuantitative: 1138 women were surveyed and 93% were confident in staff availability and 61% felt that required drugs and equipment would be available. Drinking water was easily accessed by only 60% of respondents using hospitals. Measures of interaction with staff were very positive, but only 51% reported being given time to ask questions. Unexpected out-of-pocket payments were higher in hospitals (49%) and health centres (53%) than in dispensaries (31%). Qualitative data echoed the lack of confidence in facility readiness, out-of-pocket payments and difficulty accessing water, but was divergent in responses about interactions with health staff. More than half described staff interactions that were disrespectful, not polite, or not helpful.
conclusionBoth methods produced broadly aligned results on perceived readiness, but divergent results on perceptions about client-staff interactions. Benefits and limitations to both quantitative and qualitative approaches were observed. Using mixed methodologies may prove particularly valuable in capturing the user experience of maternal and newborn health services, where they appear to be little used together.
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