Birth companionship in a government health system: a pilot study in Kigoma, Tanzania

Abstract Background Having a companion of choice throughout childbirth is an important component good quality and respectful maternity care for women has become standard in many countries. However, there are only few examples birth companionship being implemented government health systems low-income To learn if was feasible, acceptable led to improved these settings, we pilot project using 9 intervention 6 comparison sites (all facilities) rural region Tanzania. Methods The developed Kigoma, Tanzania between July 2016 December 2018. Women delivering at were given the having with them during childbirth. We evaluated with: (a) data; (b) focus group discussions; (c) structured semi-structured interviews; (d) service statistics. Results More than 80% had who provided support childbirth, including comforting staying by their side. Most interviewed very satisfied (96–99%). also reported that presence labor, delivery postpartum experience (82–97%). Health providers found companions helpful because they assisted workload, alerted provider about changes woman’s status, emotional woman. When comparing sites, significantly more likely to: respond called help ( p = 0.003), interact friendly way < 0.001), greet respectfully try make comfortable 0.003). Higher proportions gave “very satisfied” received staff kind” 0.001) encouraging” 0.001). Conclusion Birth feasible well accepted providers, officials most importantly, delivered facilities. introduction women’s ward environment overall.