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Table 4 Characteristics of PPC counseling sessions observed (n = 45) and clients interviewed (n = 41) in 18 health centers in 4 districts of Morogoro region, Tanzania in 2012

From: Program assessment of efforts to improve the quality of postpartum counselling in health centers in Morogoro region, Tanzania

 

Total

Program

Comparison

PPC Client Characteristics

N = 41

N = 25

N = 16

Age (median time in years)

24

23

28

Health facility delivery

29 (71%)

14 (55%)

12 (76%)

Days since delivery (median)

7.0

7.0

11

Mode of delivery

 Normal without episiotomy

38 (93%)

23 (92%)

15 (94%)

 Normal with episiotomy

2 (5%)

1 (4%)

1 (6%)

 Cesarean

1 (2%)

1 (4%)

0 (0%)

Years of Schooling

 No formal education

14 (33%)

12 (48%)

2 (12%)

 Primary

20 (48%)

10 (40%)

9 (59%)

 Secondary

6 (14%)

3 (12%)

3 (18%)

 Others

1 (2%)

0 (0%)

2 (12%)

Number of times pregnant prior to delivery of last child (median)

1.5

1.0

2.0

Patient recalled visit characteristics

N = 41

N = 25

N = 16

Duration of travel time to get health facility (median time in minutes)

30

60

15

Duration of waiting time between arriving at clinic and being seen by provider (median time in minutes)

30

30

15

Client perceptions on waiting time

 Long / too long

17 (41%)

11 (43%)

6 (40%)

 Acceptable

22 (53%)

13 (52%)

8 (53%)

 Short

2 (6%)

1 (5%)

1 (7%)

Reason for PPC Visit

 Baby well-visit

25 (61%)

14 (56%)

11 (69%)

 Mother well-visit

14 (34%)

11 (44%)

3 (19%)

 Baby symptoms/ sickness

2 (5%)

2 (8%)

0 (0%)

 Mother symptoms/ sickness

1 (2%)

1 (4%)

0 (0%)

Observed visit characteristics

N = 45

N = 26

N = 19

Duration of Individual PPC counseling (median time in minutes)

9.5

20

2.0

Counselling type

 Group

12 (30%)

5 (21%)

7 (44%)

 Individual

14 (35%)

14 (54%)

1 (6%)

 Both

14 (35%)

6 (25%)

8 (50%)

PPC visit number

 At discharge post delivery

9 (22%)

7 (27%)

3 (16%)

 First follow up visit after delivery (within 7 days)

20 (49%)

14 (54%)

7 (42%)

 Second visit (within 28 days)

9 (22%)

4 (15%)

5 (32%)

 Third visit (within 42 days)

12 (29%)

1 (4%)

2 (11%)

PPC Visit recipient

 Child

1 (2%)

1 (4%)

0 (0%)

 Mother

13 (31%)

1 (4%)

11 (68%)

 Mother and child

27 (67%)

23 (92%)

5 (32%)

Provider used job aides

12 (29%)

1 (4%)

10 (63%)

Provider told client return visit date

 Sets a date for the next visit with the client

41 (100%)

25 (100%)

16 (100%)

 Encourages her to return to the next planned visit

40 (98%)

24 (96%)

16 (100%)

PPC provider was the same as that who attended you during a previous visit to this health facility

11 (26%)

6 (23%)

5 (29%)