Publications by authors named "Godson Maro"
Article Synopsis
- The Program to Reduce Maternal Deaths in Tanzania (2006-2019) aimed to enhance maternal and reproductive healthcare in the Kigoma region through a phased approach, focusing on accessibility, quality, and community demand.
- The initiative notably decreased maternal and perinatal mortality rates, increased modern contraceptive use, and reduced the unmet need for contraception, ultimately transitioning to Tanzanian government oversight by 2019.
- Key lessons from the Program highlight the importance of partnerships, quality clinical services, timely data responsiveness, and sustainability planning to successfully reduce maternal mortality in similar low-resource settings.
Introduction: To address high levels of maternal mortality in Kigoma, Tanzania, stakeholders increased women's access to high-quality comprehensive emergency obstetric and newborn care (EmONC) by decentralizing services from hospitals to health centers where EmONC was delivered mostly by associate clinicians and nurses. To ensure that women used services, implementers worked to continuously improve and sustain quality of care while creating demand.
Methods: Program evaluation included periodic health facility assessments, pregnancy outcome monitoring, and enhanced maternal mortality detection region-wide in program- and nonprogram-supported health facilities.
Factors Associated with Contraceptive Use in Sub-Saharan Africa.
J Womens Health (Larchmt)
March 2022
Globally 10% of women have an unmet need for contraception, with higher rates in sub-Saharan Africa. Programs to improve family planning (FP) outcomes require data on how service characteristics (, geographic access, quality) and women's characteristics are associated with contraceptive use. We combined data from health facility assessments (2018 and 2019) and a population-based regional household survey (2018) of married and in-union women ages 15-49 in the Kigoma Region of Tanzania.
View Article and Find Full Text PDFBeyond adequate: Factors associated with quality of antenatal care in western Tanzania.
Int J Gynaecol Obstet
December 2020
Objective: To determine quality of antenatal care (ANC). Most literature focuses on ANC attendance and services. Less is known about quality of care (QoC).
View Article and Find Full Text PDFCost of providing emergency obstetric care in Tanzania's Kigoma region.
Int J Health Plann Manage
October 2019
Background: The provision of Emergency Obstetric and Neonatal Care (EmONC) is critical for reducing maternal mortality, yet little is known about the costs of EmONC services in developing countries. This study estimates these costs at six health facilities in Tanzania's Kigoma region.
Methods: The study took a comprehensive programmatic approach considering all sources of financial and in-kind support over a 1-year period (1 July 2012 to 30 June 2013).
Background: Access to transportation is vital to reducing the travel time to emergency obstetric and neonatal care (EmONC) for managing complications and preventing adverse maternal and neonatal outcomes. This study examines the distribution of travel times to EmONC in Kigoma Region, Tanzania, using various transportation schemes, to estimate the proportion of live births (a proxy indicator of women needing delivery care) with poor geographic access to EmONC services.
Methods: The 2014 Reproductive Health Survey of Kigoma Region identified 4 primary means of transportation used to travel to health facilities: walking, cycling, motorcycle, and 4-wheeled motor vehicle.
Background: The thinking behind malaria research and control strategies stems largely from experience gained in rural areas and needs to be adapted to the urban environment.
Methods: A rapid assessment of urban malaria was conducted in Dar es Salaam in June-August, 2003 using a standard Rapid Urban Malaria Appraisal (RUMA) methodology. This study was part of a multi-site study in sub-Saharan Africa supported by the Roll Back Malaria Partnership.