Research for Promotion and Implementation of Early Essential Newborn Care Training in Tanzania

2019 Fiscal Year Final Research Report

• Project/Area Number: 19K21459
• Project/Area Number (Other): 18H06378 (2018)
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund (2019); Single-year Grants (2018)
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: St. Luke's International University
• Principal Investigator: FUKUTOMI Rika 聖路加国際大学, 大学院看護学研究科, 助教 (60826329)
• Project Period (FY): 2018-08-24 – 2020-03-31
• Keywords: EENC / 新生児看護 / 看護実践教育 / 実装研究 / 助産教育 / タンザニア

Outline of Final Research Achievements

A group interview was conducted with 5 nurses in Tanzania. Per the interview, nursing staff's challenges with implementing Early Essential Newborn Care (EENC) training is as follows: (1) feeling burdened by routine work, fatigue, and long commutes; (2) dissatisfaction with low wages and low remuneration; (3) as the training is in addition to normal work, there is a lack of motivation for activities such as mandatory team activities and, at the same time, deep-rooted dependence on support countries also proves a barrier to voluntary activities.
Based on this feedback, we tried to make changes with the administration at the hospital but improvements in work and wages was difficult. Therefore, we are examining the modification of EENC programs to weave in more naturally with the existing cultural and medical profile of Tanzania.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

EENC実践の普及活動を実際に行っている中心となるタンザニアの看護職5名において、負担感、不満、活動意欲の不足が生じていることが明らかになった。タンザニア以外の各国においても、EENC実践の普及活動の停滞がみられている状況があり、その背景には共通するこのような現場の認識があることが示唆された。よって、病院の管理部への業務・待遇改善はもとより、EENCプログラム自体の修正が必要なことから、タンザニアの組織文化的、医療背景に根ざしたプログラム修正の検討につなげている。文化的背景に合ったEENCの教育プログラムの確立をめざすことは、他の導入国のより効果的な教育活動につながる知見を得ることができる。