Using mixed methods to evaluate perceived quality of care in southern Tanzania

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Tara TancredTanya Marchant

Abstract

To compare perceived quality of maternal and newborn care using quantitative and qualitative methods. A continuous household survey (April 2011 to November 2013) and in-depth interviews and birth narratives. Tandahimba district, Tanzania. Women 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. None. Perceived quality of care. Quantitative: 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. Both methods prod...Continue Reading

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Citations

Aug 12, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Ibrahim KaboDele Abegunde
Feb 10, 2018·International Journal of Environmental Research and Public Health·Sara Rivenes LafontanColumba K Mbekenga
Jul 5, 2019·European Journal of Public Health·Meklit Berhan HailemeskalNata Avaliani
Jun 22, 2018·Globalization and Health·Anna D GageMargaret E Kruk
Apr 20, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Valentina TocchioniSabina Nuti
Feb 10, 2019·International Journal of Environmental Research and Public Health·Dunstan R BishangaJelle Stekelenburg
Apr 30, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Mai DoPaul Ametepi
Oct 11, 2021·BMC Health Services Research·Lina Sofia Morón-DuarteMariangela Freitas Silveira

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