BACKGROUND Postpartum hemorrhage (PPH) is the leading cause of maternal death in Tanzania. The Every Second Matters for Mothers and Babies- Uterine Balloon Tamponade (ESM-UBT) device was developed to address this problem in women with atonic uterus. The objective of this study was to understand the barriers and facilitators to optimal use of the device, in Dar es Salaam Tanzania 1 year after implementation. METHODS Semi-structured interviews of skilled-birth attendants were conducted between May and July 2017. Interviews were recorded, coded and analyzed for emergent themes. RESULTS Among the participants, overall there was a positive perception of the ESM-UBT device. More than half of participants reported the device was readily available and more than 1/3 described ease and success with initial use. Barriers included fear and lack of refresher training. Finally, participants expressed a need for training and device availability at peripheral hospitals. CONCLUSION The implementation and progression to optimal use of the ESM-UBT device in Tanzania is quite complex. Ease of use and the prospect of saving a life/preserving fertility strongly promoted use while fear and lack of high-level buy-in hindered utilization of the device. A thorough understanding and investigation of these facilitators and barriers are required to increase uptake of the ESM-UBT device.

中文翻译：

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达累斯萨拉姆转诊设施中的避孕套子宫球囊装置：实施后一年对感知，障碍和促进者进行评估。

背景技术产后出血（PPH）是坦桑尼亚产妇死亡的主要原因。母亲和婴儿的第二个重要方面-子宫球囊填塞（ESM-UBT）设备的开发旨在解决无瓣膜子宫妇女的这一问题。这项研究的目的是了解实施该设备一年后在坦桑尼亚达累斯萨拉姆最佳使用该设备的障碍和促进者。方法2017年5月至2017年7月，对熟练出生的服务员进行了半结构化访谈。对访谈进行了记录，编码和分析，以发现新出现的主题。结果参与者总体上对ESM-UBT设备有积极的看法。超过一半的参与者报告说该设备随时可用，超过1/3的参与者表示该设备在初次使用时很容易成功。障碍包括恐惧和缺乏进修培训。最后，参与者表示需要在外围医院进行培训并提供设备。结论在坦桑尼亚，ESM-UBT设备的实施和最佳使用的过程非常复杂。易用性和挽救生命/保留生育能力的前景极大地促进了使用，而担心和缺乏高级买主阻碍了设备的使用。需要对这些促进剂和障碍物有透彻的了解和调查，以增加对ESM-UBT设备的吸收。易用性和挽救生命/保留生育能力的前景极大地促进了使用，而担心和缺乏高级买主阻碍了设备的使用。需要对这些促进剂和障碍物有透彻的了解和调查，以增加对ESM-UBT设备的吸收。易用性和挽救生命/保留生育能力的前景极大地促进了使用，而担心和缺乏高级买主阻碍了设备的使用。需要对这些促进剂和障碍物有透彻的了解和调查，以增加对ESM-UBT设备的吸收。