Providing postpartum care with limited resources: Experiences of nurse-midwives and obstetricians in urban Tanzania

Document Type



School of Nursing and Midwifery, East Africa


Background: Tanzania has high maternal and neonatal mortality rates. Comprehensive guidelines for postpartum care have been developed by the government as a means to improve health outcomes during the perinatal period. Despite the creation of these guidelines and the government’s commitment to universal perinatal care for women and neonates, there is concern that the delivery of postpartum services may not be meeting the needs of mothers and neonates.

Aim: The purpose of this feminist poststructuralist study was to explore nurse-midwives’ and obstetricians’ experiences of providing postpartum care in Tanzania.

Methods: This qualitative study used feminist poststructuralism to explore the personal, social, and institutional discourses of postpartum care. We individually interviewed ten nurse-midwives and three obstetricians in Dar es Salaam, Tanzania. Feminist poststructuralist discourse analysis was used to analyze the transcribed interviews after their translation from Kiswahili to English.

Findings: Fourmainthemeswere identified.Inthispaper, wepresentthemaintheme of availabilityof resources, and its four corresponding subthemes; (1) space, (2) equipment, (3) staffing, and (4) government responsibility.

Discussion: Thefindings fromour study illustrate theneedforhealth workforceplanning tobe addressedin a comprehensive manner that accounts for context, required resources and systemic challenges. These findings are consistent with findings from other studies.

Conclusion: Understanding the resource challenges that nurse-midwives and obstetricians are facing in one low-and-middle-income-country will assist researchers, decision makers, and politicians as they address issues of mortality, morbidity, and disrespectful maternity care


Women and Birth