ArticleBMC pregnancy and childbirth2018
An account for barriers and strategies in fulfilling women's right to quality maternal health care: a qualitative study from rural Tanzania.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Facilitators and barriers of healthcare financing modalities for universal maternal healthcare services in East Africa: a qualitative systematic review.BMC health services research · 2025Pooled it
- Barriers and facilitators to maternal healthcare in East Africa: a systematic review and qualitative synthesis of perspectives from women, their families, healthcare providers, and key stakeholders.BMC pregnancy and childbirth · 2025Pooled it
- Overcoming barriers and harnessing facilitators: Respectful maternity care in least-developed countries - a systematic review.Women's health (London, England)Pooled it
- Structural Quality of Institutional Delivery Services at Public Health Facilities in North-West Ethiopia: A Mixed Study.Health science reports · 2026Article
- Women's Perspectives on Barriers to Skilled Birth Attendance and Emergency Obstetric Care in Rural Tanzania: A Right to Health Analysis.Health and human rights · 2025Article
- Readiness to provide comprehensive emergency obstetric and neonatal care: a cross-sectional study in 30 health facilities in Tanzania.BMC health services research · 2024Article
- Exploring women's experiences of care during hospital childbirth in rural Tanzania: a qualitative study.BMC pregnancy and childbirth · 2024Article
- The Challenges of Implementing a Health Referral System in South Africa: A Qualitative Study.Risk management and healthcare policy · 2024Article
- Supply-side factors influencing demand for facility-based delivery in Tanzania: a multilevel analysis.Health economics review · 2023Article
- A Comprehensive Approach to Improving Emergency Obstetric and Newborn Care in Kigoma, Tanzania.Global health, science and practice · 2022Article
- An assessment of hospital maternal health services in northern Ghana: a cross-sectional survey.BMC health services research · 2020Article
- The influence of quality and respectful care on the uptake of skilled birth attendance in Tanzania.BMC pregnancy and childbirth · 2020Review
- Lessons learned through respectful maternity care training and its implementation in Ethiopia: an interventional mixed methods study.Reproductive health · 2020Article
- "We do what we can do to save a woman" health workers' perceptions of health facility readiness for management of postpartum haemorrhage.Global health action · 2020Article
- Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care.BMC pregnancy and childbirth · 2019Article
- Reasons for delay in seeking treatment among women with obstetric fistula in Tanzania: a qualitative study.BMC women's health · 2019Article
- Factors affecting early identification of pregnant women by community health workers in Morogoro, Tanzania.BMC public health · 2019Article
- Maternal knowledge-seeking behavior among pregnant women in Tanzania.Women's health (London, England)Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTanzania has ratified and abides to legal treaties indicating the obligation of the state to provide essential maternal health care as a basic human right. Nevertheless, the quality of maternal health care is disproportionately low. The current study sets to understand maternal health services' delivery from the perspective of rural health workers', and to understand barriers for and better strategies for realization of the right to quality maternal health care.
methodsSemi-structured in-depth interviews were conducted, involving 11 health workers mainly; medical attendants, enrolled nurses and Assistant Medical Officers from primary health facilities in rural Tanzania. Structured observation complemented data from interviews. Interview data were analyzed using thematic analysis guided by the conceptual framework of the right to health.
resultsThree themes emerged that reflected health workers' opinion towards the quality of health care services; "It's hard to respect women's preferences", "Striving to fulfill women's needs with limited resources", and "Trying to facilitate women's access to services at the face of transport and cost barriers".
conclusionHealth system has left health workers as frustrated right holders, as well as dis-empowered duty bearers. This was due to the unavailability of adequate material and human resources, lack of motivation and lack of supervision, which are essential for provision of quality maternal health care services. Pregnant women, users of health services, appeared to be also left as frustrated right holders, who incurred out-of-pocket costs to pay for services, which were meant to be provided free.
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