Efficiency of antenatal care and childbirth services in selected primary health care facilities in rural Tanzania: A cross-sectional study

BMC Health Services Research

Volumn 14, Issue , 2014, Pages

  Saronga, Happiness P ^a   Duysburgh, Els ^b   Massawe, Siriel ^a   Dalaba, Maxwell A ^c   Savadogo, Germain ^d   Tonchev, Pencho ^e   Dong, Hengjin ^f   Sauerborn, Rainer ^g   Loukanova, Svetla ^g  

^a MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED SCIENCES   (Tanzania)

^b GHENT UNIVERSITY   (Belgium)

^c NAVRONGO HEALTH RESEARCH CENTRE   (Ghana)

^d CENTRE DE RECHERCHE EN SANTÉ DE NOUNA   (Burkina Faso)

^e University Hospital G Stranski   (Bulgaria)

^f ZHEJIANG UNIVERSITY   (China)

^g UNIVERSITY OF HEIDELBERG   (Germany)

Author keywords

Antenatal care; Childbirth; Cost; Efficiency; Health care provider; Quality; Rural area; Tanzania; Unit cost

Indexed keywords

CROSS-SECTIONAL STUDY; DELIVERY; ECONOMICS; EPIDEMIOLOGY; FEMALE; HEALTH CARE COST; HUMAN; ORGANIZATION AND MANAGEMENT; PREGNANCY; PRENATAL CARE; PRIMARY HEALTH CARE; RESOURCE ALLOCATION; RETROSPECTIVE STUDY; RURAL HEALTH CARE; STANDARDS; STATISTICS AND NUMERICAL DATA; TANZANIA;

CROSS-SECTIONAL STUDIES; DELIVERY, OBSTETRIC; EFFICIENCY, ORGANIZATIONAL; FEMALE; HEALTH CARE COSTS; HUMANS; PREGNANCY; PRENATAL CARE; PRIMARY HEALTH CARE; RESOURCE ALLOCATION; RETROSPECTIVE STUDIES; RURAL HEALTH SERVICES; TANZANIA;

EID: 84897607420     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-14-96     Document Type: Article

References (49)

1. WHO, World Health Statistics: A Snapshot of Global Health Geneva, Switzerland: WHO Press 2012 [ http://apps.who.int/iris/bitstream/10665/70889/1/ WHO-IER-HSI-12.1-eng.pdf ]
2. WHO, Trends in Maternal Mortality: 1990 to 2010. WHO, UNICEF, UNFPA and the World Bank Estimates Geneva, Switzerland: WHO Press 2012 [ http://whqlibdoc.who.int/publications/2012/9789241503631-eng.pdf?ua=1 ]
3. National Bureau of Statistics (NBS) [Tanzania], ICF Macro, Tanzania Demographic And Health Survey 2010 Dar es Salaam, Tanzania: NBS and ICF Macro 2011
4. The World Bank Website. [ http://data.worldbank.org/indicator/SH.DYN.NMRT ]
5. The World Bank Website. [ http://data.worldbank.org/indicator/SP.DYN. IMRT.IN ]
6. URT, The National Road Map Strategic Plan to Accelerate Reduction of Maternal, Newborn and Child Deaths in Tanzania 2008-2015 Dar es salaam, Tanzania: Ministry of Health and Social Welfare 2008 [ http://www.unfpa.org/ sowmy/resources/docs/library/R224-MOHTanzania-2008-Roadmap-MNCH.pdf ]
7. WHO, WHO Global Health Expenditure Atlas Geneva, Switzerland: WHO Press 2012 [ http://www.who.int/nha/atlas.pdf ]
8. Costing maternal health services in South Tanzania. A case study from Mtwara Urban District. Both CV, Jahn A, Flessa S, Eur J Health Econ 2008 9 103 115 10.1007/s10198-007-0048-3 17453262
9. Cost efficiency in primary health care: studies of health facilities in Indonesia. Berman P, Health Policy Plan 1989 4 4 316 322 10.1093/heapol/4.4.316
10. Estimating the cost of healthcare delivery in three hospitals in Southern Ghana. Aboagye A, Degboe A, Obuobi A, Ghana Med J 2010 44 3 83 92 21327011
11. The costs of hospital services: a case study of Evangelical Lutheran Church hospitals in Tanzania. Flessa S, Health Policy Plan 1998 13 4 397 407 10.1093/heapol/13.4.397 10346031
12. Can mothers afford maternal health care costs? User costs of maternity services in rural Tanzania. Kowalenski M, Mujinja P, Jahn A, Afr J Reprod Health 2002 6 1 65 73 10.2307/3583147 12476730
13. Efficiency of primary care in rural Burkina Faso. A two-stage DEA analysis. Marshall P, Flessa S, Heal Econ Rev 2011 1 5 doi:10.1186/2191-1991-1-5 10.1186/2191-1991-1-5
14. Costing health care interventions at primary health facilities in Nouna, Burkina Faso. Mugisha F, Kouyate B, Dong H, Sauerborn R, Afr J Health Sci 2002 9 1 2
15. The Cost of the district hospital: a case study in Malawi. Mills A, Kapalamula J, Chisimbi S, Bull World Health Organ 1993 71 3/4 329 339 8324852
16. Costs of maternal health care services in three Anglophone African countries. Levin A, Dmytraczenko T, McEuen M, Ssengooba F, Mangani R, Van Dyck G, Int J Health Plann Manag 2003 18 1 3 22 10.1002/hpm.690
17. Levin A, Mangani R, McEuen M, Chaweza R, Chizani N, Cost Of Maternal Health Care Services In Blantyre District Malawi. Special Initiatives Report 17 Bethesda, MD: Partnerships for Health Reform Project, Abt Associates Inc. 1999
18. Levin A, Dmytraczenko T, McEuen M, Ssengooba F, Mirembe F, Okui O, Nakakeeto, Cowley P, Costs Of Maternal Health Care Services in Masaka District Uganda. Special Initiative Report 16 Bethesda, MD: Partnerships for Health Reform Project, Abt Associates Inc. 1999
19. What are the technical and allocative efficiencies of public health centers in Ghana? Akazili J, Adjuik M, Chatio S, Kanyomse D, Hodgson A, Aikins M, Gyapong J, Ghana Med J 2008 42 149 155 19452023
20. The United Republic of Tanzania National Website. [ http://www.lindi.go. tz/lindi-rural.html ]
21. URT, National Census Lindi Regional And District Projections Dar es salaam: National Bureau Statistics and Ministry of Planning, Economy and Empowerment 2006
22. URT, Health Sector Performance Profile Report 2010 Update Dar es salaam, Tanzania: Ministry of Health and Social Welfare 2010
23. URT, National Census Mtwara Regional And District Projections Dar es salaam: National Bureau Statistics and Ministry of Planning, Economy and Empowerment 2006
24. The QUALMAT project Website. [ http://www.qualmat.net ]
25. Cost and unit cost calculations using step-down accounting. Conteh L, Walker D, Health Policy Plan 2004 19 2 127 135 10.1093/heapol/czh015 14982891
26. Drummond MF, Sculpher MJ, Torrance GW, O'Brien BJ, Stoddart GL, Methods for the Economic Evaluation of Health Care Programmes Oxford: Oxford University Press 3 2005
27. Basing care reforms on evidence: the Kenya health sector costing model. Flessa S, Moeller M, Ensor T, Hornetz K, BMC Health Serv Res 2011 11 128 10.1186/1472-6963-11-128 21619567
28. WHO, Integrated Management Of Pregnancy And Childbirth. WHO Recommended Interventions For Improving Maternal And Newborn Health Geneva, Switzerland: WHO Press 2009 [ http://whqlibdoc.who.int/hq/2007/who-mps-07.05-eng.pdf ]
29. Quality of antenatal and childbirth care in selected rural health facilities in Burkina Faso, Ghana and Tanzania: similar finding. Duysburgh E, Zhang WH, Ye M, Williams A, Massawe S, Sié A, Williams J, Mpembeni R, Loukanova S, Temmerman M, Trop Med Int Health 2013 doi:10.1111/tmi.12076
30. URT, The 11th Joint Annual Health Sector Review Tanzania Dar es salaam, Tanzania: Ministry of Health and Social Welfare 2010
31. Timing of antenatal care for adolescent and adult pregnant women in South-eastern Tanzania. Gross K, Alba S, Glass TR, Schellenberg JA, Obrist B, BMC Pregnancy Childbirth 2012 12 16 10.1186/1471-2393-12-16 22436344
32. Use pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania: implications for achievement of MDG-5 targets. Mpembeni RNM, Killewo JZ, Leshabari MT, Massawe SN, Jahn A, Mushi D, Mwakipa H, BMC Pregnancy Childbirth 2007 7 29 10.1186/1471-2393-7-29 18053268
33. The use of antenatal and postnatal care: perspectives and experiences of women and health care providers in rural southern Tanzania. Mrisho M, Obrist B, Schellenberg JA, Haws RA, Mushi AK, Mshinda H, Tanner M, Schellenberg D, BMC Pregnancy Childbirth 2009 9 10 10.1186/1471-2393-9-10 19261181
34. Bypassing primary care facilities for childbirth: a population-based study in rural Tanzania. Kruk ME, Mbaruku G, McCord CW, Moran M, Rockers PC, Galea S, Health Policy Plan 2009 24 279 288 10.1093/heapol/czp011 19304785
35. High ANC coverage and low skilled attendance in a rural Tanzanian district: a case for implementing a birth plan intervention. Magoma M, Requejo J, Campbell OMR, Cousens S, Filippi V, BMC Pregnancy Childbirth 2010 10 13 10.1186/1471-2393-10-13 20302625
36. User fee exemptions are not enough: out-of-pocket payments for 'free' delivery services in rural Tanzania. Kruk ME, Mbaruku G, Rockers PC, Galea S, Trop Med Int Health 2008 13 12 1 10 18578806
37. Factors affecting home delivery in rural Tanzania. Mrisho M, Schellenberg JA, Mushi AK, Obrist B, Mshinda H, Tannar M, Schellenberg D, Trop Med Int Health 2007 12 7 862 872 10.1111/j.1365-3156.2007.01855.x 17596254
38. Qualitative study on maternal referrals in rural Tanzania: decision making and acceptance of referral advice. Pembe AB, Urassa DP, Darj E, Carlstedt A, Olsson P, Afr J Reprod Health 2008 12 2 120 131 20695047
39. Why do at-risk mothers fail to reach referral level? Barriers beyond distance and cost. Kowalenski M, Jahn A, Kimatta SS, Afr J Reprod Health 2000 4 1 100 109 10.2307/3583247 11000713
40. Still too far to walk: literature review of the determinants of delivery service use. Gabrysch S, Campbell OMR, BMC Pregnancy Childbirth 2009 9 34 10.1186/1471-2393-9-34 19671156
41. Ability to pay for maternal health services: what will it take to meet WHO standards. Prata N, Greig F, Walsh J, West A, Health Policy 2004 70 163 174 10.1016/j.healthpol.2004.02.011 15364146
42. Overview of the costs of obstetric care and the economic and social consequences for households. Borghi J, Storeng KT, Veronique F, Health Serv Organ Pol 2008 24 23 46
43. Out of pocket costs for facility based maternity care in three African countries. Perkins M, Brazier E, Themmen E, Bassane B, Diallo D, Mutunga A, Mwakajonga T, Ngobola O, Health Policy Plan 2009 24 289 300 10.1093/heapol/ czp013 19346273
44. Use of biomedical obstetric care in rural Tanzania. The role of social and material inequalities. Spangler SA, Bloom SS, Soc Sci Med 2010 71 760 768 10.1016/j.socscimed.2010.05.025 20579797
45. Human resources for health care delivery in Tanzania: a multifaceted problem. Manzi F, Schellenberg JA, Hutton G, Wyss K, Mbuya C, Shirima K, Mshinda H, Tanner M, Schellenberg D, Hum Resour Health 2012 10 3 10.1186/1478-4491-10-3 22357353
46. What is the cost of maternal health care and how can it be financed? Borghi J, Safe Motherhood Strategies: A Review of the Evidence Belgium: ITG Press, De Brouwere V, Van Lerberghe W, 17 Stud HealthServ Organ Policy. 2001 247 296
47. Capacity utilization and the cost of primary care visits: implications for the costs of scaling up health interventions. Adam T, Ebener S, Johns B, Evans DB, Cost Eff Resour Alloc 2008 6 22 10.1186/1478-7547-6-22 19014524
48. Cost-effectiveness of family planning and maternal health service delivery strategies in rural Bangladesh. Levin A, Amin A, Rahman A, Saifi R, Khuda B, Mozumder K, Int J Health Plann Manag 1999 14 219 233 10.1002/(SICI)1099-1751(199907/09)14:3<219::AID-HPM549>3.0.CO;2-N
49. Effectiveness of community based safe motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania. Mushy D, Mpembeni R, John A, BMC Pregnancy Childbirth 2010 10 14 10.1186/1471-2393-10-14 20359341