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On the village level, community-based interventions that sensitize and inform both women and men about maternal and neonatal health risks and services are therefore crucial. I am a woman of substance even though I am a widow, I have an image to protect and since the death of my husband Solomon Mujuru , I have no appetite for men. Younger women aged 15 to 22 delivered more often with the assistance of a TBA than women 23 years and older. One fear is that it might make the man feel uncomfortable or inadequate but receiving honest feedback is good for both parties. The Project was managed by E. However, the high attendance rate found in this study does not provide any information about the quality of the antenatal care services. But for pregnancy and related issues such as labour we go to the government dispensary, because the service is free.

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Moreover, TBAs are respected for their motherly and caring behaviour. Health facility deliveries were free of charge; however, this did exclude delivery kits, which cost on average of 3 USD. But for pregnancy and related issues such as labour we go to the government dispensary, because the service is free. Moreover, one group at each site only involved local authorities. All of them were female and aged above 60 years. These activities are in line with the Tanzanian Primary Health Services Development Programme MMAM , which includes plans to establish a cadre of community health workers who receive formal, standardized training and get paid by the system [ 28 ]. They said Mai Mujuru, we want you to be our queen bee.

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Their numbers are declining, and new recruits are rare. Bad road conditions, coupled with inadequate and unaffordable transport, often make it impossible for the poor to reach the facilities [ 15 ]. In order to reduce recall errors as far as possible, women who had delivered within 2 months prior to data collection were interviewed retrospectively in detail as to their health-seeking behaviour, treatment s and the rationale behind their decision-making, from the time of pregnancy up to delivery. A woman in Masasi District summarised it as follows: The results from the urban site Ilala District, Dar es Salaam show that significant achievements have been made in terms of promoting pregnancy- and delivery-related services by skilled health workers. On the other hand, the waiting time for TBA services was minimal. The quantitative and qualitative sample sizes were selected in order to generate sufficient data, allowing a thick, rich description - thereby increasing descriptive validity and interpretative validity. In order to learn about the community perspective, 8 Focus-Group Discussions 4 in Ward Ilala and 4 in Maundo were implemented.

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Special local practices were believed to reduce complications during delivery. Respondents were living across the two large catchment areas of each site. Participant observation and informal conversations were applied with actors on various levels for cross-checking and supported the team during data analysis as well as coding.

AMMARA Brown breaks her silence and speaks out on leaked se_x tape. a mixed race woman, is seen having sex with her black partner at an unidentified location. The groups were purposefully sampled and divided by age and sex A woman in Masasi District summarised it as follows: BMC Pregnancy and Childbirth. ISSN:

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