Authors: Delphina M. Joseph (The Open University of Tanzania), Prof. Hosea Rwegoshora, PhD (The Open University of Tanzania) and Harrieth Mtae, PhD (The Open University of Tanzania)
Abstract: This study dealt with the three delays model in the context of maternal mortality in Longido District, Tanzania, using the descriptive correlational design. The study selected the district due to the highest maternal mortality rates and number of women giving birth to traditional birth attendants compared to other districts in Arusha. A sample of 311 respondents from 14 health facilities participated by filling out a questionnaire. Data analysis took place through descriptive statistics and regression analysis. Based on the findings, the study concluded that although respondents possessed essential knowledge to prevent maternal mortality, they also possessed negative opinions that could delay their actions against the maternal mortality. While women’s readiness to reach the healthcare facilities prevailed, male partners’ willingness to escort their wives to the healthcare facilities did not exist. Therefore, male-female partnerships in reaching healthcare support emerged as a challenge. Furthermore, the care received from medical facilities sounds unsatisfactory due to limited medical personnel, facilities, and equipment. Social cultural practices predicted the maternal mortality. Therefore, strengthening community awareness, addressing socio-cultural barriers and positivity in accessing services will alleviate delays and reduce maternal mortality. Enhancing family and spousal support towards decision-making and financial support will overcome barriers to care, improve maternal health and reduce the maternal mortality. Strengthening the health system by sustaining resources, accountability, and improved working environment are essential steps towards enhancing the quality of care and consequently reducing maternal mortality.