Publications by authors named "J J van Roosmalen"

Article Synopsis
  • The study focused on creating a tool called the RMC-T to measure how well women are treated during childbirth in busy hospitals in Dar es Salaam, Tanzania.
  • Researchers gathered input from women who gave birth and healthcare workers using interviews and surveys to ensure the tool was useful and understood.
  • The final RMC-T has 25 questions about experiences like communication, care, and mistreatment, and it's ready to help improve the quality of maternity care for women.
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Background: High rates of labour augmentation with oxytocin have been found in some low- and lower-middle-income countries, causing potential perinatal harm. It is critical to understand the reasons for this overuse. Aim was to explore factors that shape practices around using oxytocin for labour augmentation in a high-volume labour ward in Dar es Salaam, Tanzania.

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Introduction: In 2016, UNAIDS set ambitious targets to reduce global HIV infections by 75% by 2020 and 90% by 2030, based on the 2.1 million new infections reported in 2010. However, by 2022, new HIV infections had only decreased by 38%, from 2.

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Background: Physicians and associate (non-physician) clinicians conduct cesarean sections in Tanzania and Malawi. Urogenital fistulas may occur as complications of cesarean section. Location and circumstances can indicate iatrogenic origin as opposed to ischemic injury following prolonged, obstructed labor.

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Article Synopsis
  • Tanzania has a high rate of perinatal mortality, particularly affecting urban women, prompting a study on the incidence and determinants in Dar es Salaam's public health facilities.
  • The study analyzed data from 2020, noting a total of 37,787 births, with a per-discharge perinatal death rate of 38.3 per 1,000 births, mainly driven by pre-facility stillbirths, which comprised 88.4% of all stillbirths.
  • A case-control comparison of pre-facility stillbirths and intra-facility neonatal deaths with healthy newborns revealed that despite high antenatal clinic attendance (99%), significant risk factors for perinatal deaths were still present.
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