Singapore Nursing Research Conference

August 17-19, 2020 | Singapore

Hilda Alinda Kwezi

Hilda Alinda Kwezi
Muhimbili Universtity of Health and Allied Sciences, Tanzania
Title : Experience’s on effective communication among women who had experienced maternal near-miss in Southern, Tanzania


According to reports from the World Health Organization, every day, approximately 830 women die from preventable causes related to pregnancy and childbirth, and it was estimated that roughly 303 000 women died in 2015 during or following pregnancy and childbirth. Further 9.5 million women are estimated to suffer from a pregnancy-related complication and over 270,000 dies. Tanzania is among countries with high maternal mortality rates in the world with 398 [uncertainty interval 281-570] maternal deaths per 100,000 live births. Women who survive life-threatening conditions arising from complications related to pregnancy and childbirth have many common aspects with those who die of such complications and they can provide insight into risk factors and potential strategies for prevention of maternal morbidity as well as maternal mortality.
This study aimed to explore experiences on effective communication as elements of Quality of Care among women who had experienced maternal near miss in Southern Tanzania. Participants of this study were women who attended Ligula Regional hospital and Mkomaindo hospital for delivery and developed maternal near-miss and also live in the study area for at least one year. Thematic analysis was used to analyse the experiences of women on quality of care especially on effective communications as one of the elements of quality of care.
Findings: The analysis resulted in three main themes; being informed about the care, being listened to and receiving swift response by the healthcare providers and being involved and encouraged during care. Quotations taken directly from the data are used to illustrate the themes.
Conclusion: This study has highlighted areas of communication that women value when attend health facility for maternity care in Tanzania. The study has revealed the importance of effective communication in the provision of maternal healthcare. It is important for healthcare providers to ensure that they are communicating effectively with the women and their families.


Hilda Alinda Kwezi holds a Bachelor of Science in Nursing from MUHAS. After graduating from MUHAS, Hilda worked at Tanzania Midwives Association (TAMA) for two years as a National Project Coordinator of project “Helping Mothers Survive - Bleeding after Birth Training”, evaluating the impact of helping midwives manage postpartum hemorrhage (PPH). She has trained more than 300 health workers to manage PPH. She continues working at TAMA as Project Coordinator of advocacy for the Postpartum Family Planning Project. Hilda believes that her advocacy will help decision makers commit to improving the healthcare system in Tanzania. In 2018 Hilda won Johnson & Johnson’s One Young World scholarship, and received six months of mentorship from J&J executives on her area of specialty, and be mentored by Executive leader from J&J Company for six months on her area of interest that is Caring for women. Hilda is currently finalizing her Master’s and working as Project Manager for a UNFPA-TAMA project that give support for Adolescent Mothers in Kigoma region, Tanzania.


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