High Attendance Research Articles

Analysis of Hearing Monitoring in Children during Annual Visits to an Outpatient Hearing Health Service Program

Preserving the integrity of the auditory system is crucial for language development, learning, and social interaction. Any interruption in these processes during development can result in significant functional impairments. The objective was to carry out a longitudinal analysis of audiological data from children who underwent an initial assessment at SASA in 2018 and were followed up for 4 years at the outpatient's annual consultations. This is a retrospective cross-sectional study with children who underwent initial assessment for hearing loss and follow-up at a reference service for the Unified Health System (SUS), from January 2018 to December 2022. Children aged 0 to 12 years old who underwent an initial assessment for hearing loss and follow-up in the service's database, where secondary data analyses will be carried out. Data from 127 subjects with an average age of 20 months were analyzed. 60.62% of the subjects were diagnosed with some degree of hearing loss, and the etiology of the change remained unknown in 29.90% of the cases. A considerable percentage of subjects remained under follow-up during annual consultations. There was good adherence to annual returns and follow-ups at the outpatient clinic, indicating a high attendance rate.

Distance education during the COVID-19 pandemic: experience at a public university

Objective: Evaluate the performance of distance education in the Accounting and Business Administration programs at a public university during the Covid-19 pandemic.Methods: A quantitative, field, observational, descriptive, and cross-sectional research was conducted based on the positivism paradigm. The sample consisted of 23 professors, and was obtained through a non-probabilistic, intentional sampling. All participants met the inclusion criteria. Results: The study results indicate that the contents achieved the intended objectives, adhered to the set timeline, and remained current. Nonetheless, 57% of the professors reported poor attendance in virtual sessions, leading to incomplete coverage of subject´s content. 100% of participants had access to a computer, while 70% reported having good Internet connectivity. The virtual classroom was the most frequently used communication tool (61%), followed by WhatsApp (5%).Conclusion: Based on the evaluation of instructional time, professor-student communication, and student participation, the distance education process was deemed appropriate. On the other hand, professors reported differences in the use of instructional strategies, institutional resources, and learning assessment

Effects of an Exercise Program to Reduce Falls in Older People Living in Long-Term Care: A Randomized Controlled Trial

ObjectivesTo investigate the effect of an exercise program on falls in intermediate and high-level long-term care (LTC) residents and to determine whether adherence, physical capacity, and cognition modified outcomes. DesignRandomized controlled trial. Setting and ParticipantsResidents (n = 520, aged 84 ± 8 years) from 25 LTC facilities in New Zealand. MethodsIndividually randomized to Staying UpRight, a physical therapist–led, balance and strength group exercise program delivered for 1 hour, twice weekly over 12 months. The control arm was dose-matched and used seated activities with no resistance. Falls were collected using routinely collected incident reports. ResultsBaseline fall rates were 4.1 and 3.3 falls per person-year (ppy) for intervention and control groups. Fall rates over the trial period were 4.1 and 4.3 falls ppy respectively [P = .89, incidence rate ratio (IRR) 0.98, 95% CI 0.76, 1.27]. Over the 12-month trial period, 74% fell, with 63% of intervention and 61% of the control group falling more than once. Risk of falls (P = .56, hazard ratio 1.08, 95% CI 0.85, 1.36) and repeat falling or fallers sustaining an injury at trial completion were similar between groups. Fall rates per 100 hours walked did not differ between groups (P = .42, IRR 1.15, 95% CI 0.81, 1.63). Program delivery was suspended several times because of COVID-19, reducing average attendance to 26 hours over 12 months. Subgroup analyses of falls outcomes for those with the highest attendance (≥50% of classes), better physical capacity (Short Physical Performance Battery scores ≥8/12), or cognition (Montreal Cognitive Assessment scores ≥ 18/30) showed no significant impact of the program. Conclusions/ImplicationsIn intermediate and high-level care residents, the Staying UpRight program did not reduce fall rates or risk compared with a control activity, independent of age, sex, or care level. Inadequate exercise dose because of COVID-19–related interruptions to intervention delivery likely contributed to the null result.

“Without it, I am not sure I would still be here”: a mixed methods service evaluation for online EMDR trauma therapy in a primary care network in England

IntroductionPsychological services are typically offered via specialized mental health services, which are often overwhelmed with long waitlists. To address this need and provide patients with a service characterized by shorter waiting times and increased accessibility, online Eye Movement Desensitization and Reprocessing (EMDR) was established in the North Norfolk 4 Primary Care Network.MethodsThis article presents this service’s collaborative funding, development and outcomes within local GP surgeries. It constitutes a mixed-method service evaluation encompassing the future of EMDR in primary care services. Additionally, it includes the assessment of anxiety, depression, and PTSD symptoms as well as work and social adjustment in a cohort of 83 patients alongside a Thematic Analysis involving eighteen patients and six GPs.ResultsThe evaluation showed high completion and attendance among service users. Quantitative scores combined with qualitative feedback from patients and practitioners highlight the potential impact of EMDR therapy on General Practice and its broader provision of trauma-focused therapies. The most significant improvements were observed in anxiety and depression scores. Thematic Analysis indicated that the patients found the service helpful, labeling it as a “life-saver.” They also discussed why they found the service effective; some also wished the service had been available earlier.DiscussionFindings underscore the potential of EMDR and online EMDR as an accessible and effective approach within primary care settings. The assessments showed an elevated level of access and attendance among service users. Therefore, it is recommended that timely EMDR services be extended through primary care networks.

A Novel Receivership Model for Transition of Young Adults With Diabetes: Experience From a Single-center Academic Transition Program

ObjectiveThe transition from pediatric to adult care for young adults with diabetes represents an important but often challenging time characterized by a shift from a family-centered care model of pediatrics to a patient-centered care model of adult medicine. We developed a structured transition program based on an adult receivership model at a large academic medical center to improve care coordination and patient satisfaction with the transition process. MethodsFrom 2016 to 2020, we implemented a series of quality improvement efforts for young adults aged 18 to 23 years with diabetes by incorporating best practices from the American Diabetes Association guidelines on care for emerging adults. We measured transition orientation attendance, patient satisfaction, hemoglobin A1c (HbA1c) pre- and post-transfer, and care gaps to determine the impact of the program. ResultsIn this study, 307 individuals with type 1 diabetes and 16 individuals with type 2 diabetes were taken care of by the adult endocrinology department at the University of Michigan between January 1, 2016 and October 31, 2020. We observed high attendance rates (86% among internal transfers) and favorable patient satisfaction scores for the transition orientation session. Despite the glycemic challenges posed during the transition, HbA1c modestly yet significantly improved 1-year after transfer (−0.4%, P < .01). ConclusionWe successfully established and maintained a young adult diabetes transition program using a quality improvement approach. Future work will focus on reducing care gaps at the time of transfer, assessing long-term retention rates, and enhancing care coordination for patients referred from outside the health network.

Investigating students’ attendance in face-to-face, online, and blended teaching of the Japanese language

This study aims to compare which mode of teaching delivery has the highest attendance rate among face-to-face, Emergency Remote Teaching, hybrid, and online-only courses using two different British universities between 2017 and 2022 for a five-year duration. Two types of investigations were undertaken for both universities, but not necessarily simultaneously every year. The data collection comprised two components, attendance register and students’ Module Evaluation Questionnaire comments. Mixed methods were used. The total participants of this study were 316 students who studied the Japanese language, the majority of whom were between 18 and 21 years old. Their results show that the order of high attendance rate was Emergency Remote Teaching, followed by face-to-face teaching , online teaching, and hybrid teaching . Keywords: Asynchronous online teaching; attendance; emergency remote teaching; higher education; language learning; synchronous online teaching.

Retrospective audit of a school-based integrated health-care model in a specialised school for children with externalising behaviour.

Problematic externalising behaviours in adolescents are associated with high individual and societal burden. A school-based multidisciplinary health clinic, Ngaramadhi Space (NS), was developed at Yudi Gunyi School, a specialised behavioural school in Sydney, Australia, to improve access to holistic health-care and behavioural support. This evaluation aimed to describe the demographics, clinic attendance, health screening, recommendations made, and changes in Strengths and Difficulties Questionnaire (SDQ) scores of students attending the clinic. Retrospective evaluation of students including changes in SDQ scores using descriptive statistics (26 July 2016 to 14 May 2019; n = 79). Prior to the assessment, few students engaged with a paediatrician or mental health professional (22.8%; 27.8%, respectively). Child protection services were involved with 76%. NS attendance was high (failure-to-attend = 7.6%; cancellations = 8.9%). New issues found at the assessment included: parental separation (31.6%); trauma history (27.8%); substance use (19%); emotional wellbeing concerns (16.5%), learning difficulties (12.7%), domestic violence (12.7%) and medical conditions (10.1%). SDQ teacher reports showed a significant decrease in total difficulties scores (M = 6.2, SD = 6.165, P < 0.05, eta squared = 1.013 (large effect)) and all subsets. No significant differences in parent and self-reported SDQ. Students with problematic externalising behaviour have unmet health and social needs. The NS school-based integrated health-care model offers a novel, convenient and innovative way to engage these students. This approach has high initial attendance rates with teacher-reported SDQ results showing some behavioural improvement. Further qualitative studies are required.

Recreational handball-based training for people with type 2 diabetes: a feasibility trial

Introduction Type 2 diabetes mellitus (T2DM) is recognized as a serious public health concern with a considerable impact on people suffering from the disease and the society. The benefit of physical activity in the prevention and treatment of T2DM are well documented, however, a considerable proportion of individuals with T2DM have an inactive and sedentary lifestyle. Although most people with T2DM are aware of the importance of exercise, many are not interested in joining traditional exercise options, and long-term adherence is poor for those who do. Thus, we aim to investigate the feasibility of recreational handball-based training (HBT) for people diagnosed with T2DM. Methods This single-arm feasibility trial included adults (over 30 years) with a clinical diagnosis of T2DM. They were invited to participate in a 12-week HBT consisting of two weekly 60-minute exercise sessions. The outcome was feasibility, determined by adherence, exercise intensity, adverse events, dropout rate, and metabolic parameters. Results From September to December 2021, 10 people were included in the study. One participant dropped out because of illness and one participant dropped out due to suspected atrial fibrillation. Eight participants concluded the intervention and participated on average 86% (range 14–23) of the HBT sessions exercising with a mean heart rate of 73.4% (standard deviation (SD) 10.2) of individual maximum heart rate. Conclusions HBT for people diagnosed with T2DM was found feasible with a high attendance rate and clinically relevant exercise intensities. However, future randomized controlled trials about the effects of the handball intervention are needed. Trial registration This trial was registered in ClinicalTrials.gov (NCT05015946) on 23/08/2021.

Comparison of Virtual and In-Person Tobacco Treatment Specialist Training

Purpose: There is limited research comparing virtual and in-person tobacco treatment specialist training. As a result of COVID-19, the Duke-UNC Tobacco Treatment Specialist Training Program (Duke-UNC TTS) transitioned from an in-person to a virtual format, allowing for a comparison of these two training formats.&#x0D; Materials and Methods: We conducted an observational study comparing Duke-UNC TTS attendance and evaluations at three courses provided in-person in 2019 with the same three courses provided virtually in 2020. &#x0D; Results: The transition from in-person to virtual format was associated with more than a doubling of course attendance (in-person format enrolled 112 participants; virtual format enrolled 232 participants; p &lt; 0.05). The virtual format was also associated with more than two times the proportion of out-of-state participant attendance (in-person format enrolled 22.3% out-of-state attendees; virtual format enrolled 52.8% out-of-state attendees; p &lt; 0.05). Course evaluations showed similar quality scores for measuring perceived knowledge acquisition and course satisfaction.&#x0D; Conclusions: This observational study showed that the virtual TTS training format had higher attendance and wider geographical reach, without a significant loss in quality, than the in-person training format. The study suggests that TTS training programs should consider continued delivery of training through interactive virtual formats to increase accessibility for participants.

Re-Evaluating the Role of Attendance on Home Advantage: Evidence From an International Rugby Tournament

Abstract: Home advantage has been documented in many sports. It is hypothesized that higher attendance, likely dominated by home-team supporters, can be a source of this advantage, either through influence on match officials or by spurring the home team to greater efforts relative to the away team. We examine this latter hypothesis using a dataset of 1,030 matches over eight seasons, 2012/2013 to 2019/2020, of the Pro14, one of the three major European rugby union leagues. Our results initially display strong evidence of home advantage. However, once we control for team quality, home advantage is significantly reduced. Further, our results also indicate that home advantage is not explained by the impact of attendances on team performance (effort).

Investigating the Feasibility, Acceptability, and Impact of a Brief Dementia Awareness for Caregivers (DAC) Course: A Mixed Methods Study.

Informal caregivers are vital in assisting people with dementia. However, this role can significantly impact caregivers' lives and interventions to support them are crucial. This study aimed to develop a United Kingdom version of the Dementia Awareness for Caregivers (DAC) course and to investigate the feasibility, acceptability, and impact of delivering the course online to informal dementia caregivers. This study comprised a mixed-methods pre-post intervention parallel group design. Fifty-one informal dementia caregivers were randomized into either an experimental (receiving the DAC course) or control group (treatment as usual). Outcomes relating to perceived burden, attitude, competence, relationship quality and positive caregiving aspects were measured at baseline and follow-up, alongside statistics relating to recruitment, retention, attendance, and adherence. Semi-structured interviews were conducted to explore qualitative acceptability and impact among caregivers who completed the DAC course. The study found high retention and attendance rates with low levels of unexplained attrition. Analysis indicated positive change for four of the outcome measures in favor of the DAC course, however this was not statistically significant. Qualitative analysis generated 11 subthemes organized into four overarching main themes; "acceptability of course", "impact of course on caregivers", "using skills from course" and "outcome measures". Findings provide promising evidence for the feasibility, acceptability and impact of the Dementia Awareness for Caregivers course when delivered online to informal caregivers in the United Kingdom.

The Me and the Us of Emotions: a cluster-randomized controlled trial of the feasibility and efficacy of a compassion-based social-emotional learning program for children.

There are well-established benefits of social and emotional learning (SEL) programs for children within educational contexts. Combining social-emotional skills and compassion abilities has been seldomly done, and it may be valuable at individual and societal levels, for resilient, empathetic, and inclusive societies. This study explored the feasibility and efficacy of a program designed to promote socioemotional and compassion skills in children attending the 3rd and 4th grades, by using in-class dynamics complemented with serious games. This program, named "The Me and the Us of Emotions," is part of the Gulbenkian Knowledge Academies 2020 and consists of 10 group sessions embedded in the school curriculum. Using a cluster-randomized controlled trial design, school classes were allocated to intervention (classes, n = 8; children, n = 163) and control groups (classes, n = 6; children, n = 132). During the program, facilitators assessed adherence to the sessions' plan, attendance, dosage (i.e., how many sessions were delivered), and participant responsiveness. Children completed self-report measures of social-emotional skills and emotional climate at pre-, post-intervention, 3-month, and 6-month follow-ups. Results indicate that the program is feasible, with high adherence, high attendance rate, and participant responsiveness. Results also indicate empathy, soothing, and drive feelings to change from pre-intervention to all other assessment moments, for the intervention group only. Moreover, cooperation and threat changed over time for participants in both the control and the intervention groups. The current study offers empirical support for the feasibility and utility of a compassion-based social-emotional learning program on promoting children's empathy, and emotions of soothing and vitality in the school context. Thus, these findings contribute to recent research on the potential added value of compassion practices within an SEL program.

The Effect of Trust, Knowledge Sharing, on Employee Performance through Organizational Commitment as an Intervening Variable in Shipping Companies in Surabaya

Organizations strive to achieve success because the business environment is very competitive. Regardless of the size of the company and the company’s market share, every organization strives to manage employees so that they are able to work well. The company will manage its employees so that they run in line with the company’s goals, because one of the things that must be paid attention to in the company is the performance of its employees. Good employee performance can be seen from quality work results, producing quantities according to company standards, being on time, having high attendance, and being able to work together with fellow employees (Mathis and Jackson, in Damayanti et al., 2018). According to Mahmudi (2015:21), employee performance can be influenced by various factors, one of which is personal factors such as commitment. Based on Zehir et al. (2012), organizational commitment is a driver of organizational success, having the desire to fight for the organization, and belief in the goals and values ​​of the organization. Organizational commitment is a variable that is influenced by several factors. One factor that can influence organizational commitment is trust (Redha et al., 2022). Aziz and Abadiyah (2022) confirmed that there is a real influence of organizational commitment on employee performance, whereas Kertabudi and Aripin (2014) proved that there is no influence of organizational commitment on employee performance. Mukri et al. (2017), Hardiani and Prasetya (2018) prove the influence of trust on employee performance, however, research by Prasetyo et al. (2018) proves the opposite, namely that trust has no effect on employee performance. Meanwhile, trust has been proven to have no effect on employee performance with organizational commitment as an intervening variable by Aziz and Abadiyah (2022). Referring to the background described previously, it can be seen that there are still inconsistent research results regarding the influence of Trust, Knowledge Sharing, on Employee Performance through Organizational Commitment as an Intervening Variable.

Associations between type 1 diabetes and educational outcomes: an Aotearoa/New Zealand nationwide birth cohort study using the Integrated Data Infrastructure

Aims/hypothesisType 1 diabetes is one of the most common chronic diseases of childhood. It is hypothesised that the metabolic and psychosocial consequences of type 1 diabetes may affect educational outcomes; however, existing literature presents conflicting results. This study aimed to assess whether educational outcomes differ for young people with and without type 1 diabetes in Aotearoa/New Zealand (NZ).MethodsThis was a nationwide 9 year birth cohort study of all people born in NZ from 1993 to 2001 using linked administrative data held within the Integrated Data Infrastructure, a national research database containing linked health and non-health data. Educational outcomes of high school attainment, high school attendance and university enrolment were measured from age 13 years until 20 years. Generalised linear regression models with log link and Gaussian distributions were used to compare educational outcomes between those with and those without type 1 diabetes, adjusting for sociodemographic and maternal characteristics.ResultsOf the 442,320 children in the birth cohort, type 1 diabetes was identified in 2058 (0.47%) (mean [SD] age of type 1 diabetes diagnosis 7.7 [3.4] years). Educational outcomes were significantly lower for children with type 1 diabetes than for those without type 1 diabetes, including for any high school qualification (RR 0.97 [95% CI 0.95, 0.99]), university entrance-level high school attainment (RR 0.88 [95% CI 0.84, 0.92]), regular high school attendance (RR 0.91 [95% CI 0.85, 0.97]) and university enrolment (RR 0.93 [95% CI 0.88, 0.98]), even after adjusting for sociodemographic and maternal factors. In addition, educational outcomes were substantially lower for those with post type 1 diabetes diagnosis hospitalisations for diabetic ketoacidosis and hypoglycaemia.Conclusions/interpretationIn this whole NZ birth cohort study, type 1 diabetes was associated with lower educational outcomes spanning secondary school and into university enrolment. Ongoing efforts to support students with type 1 diabetes are needed, particularly for those with a greater risk profile.Graphical

Pemberdayaan Pembudidaya Ikan Melalui Pemberian Bantuan Bibit Ikan Bandeng di Desa Growong Kidul, Pati, Jawa Tengah

The empowerment program for milkfish farmers is an effort to enhance productivity and the well-being of the fishing community in Growong Kidul Village, Pati Regency, Central Java. The program's implementation includes the distribution of quality milkfish fingerlings to milkfish farmers as part of community engagement. The program aims to improve the technical knowledge of milkfish farming, strengthen the capacity of aquaculture infrastructure, and support the sustainability of the fisheries industry in the region. The methods employed include technical training, the provision of quality milkfish fingerlings, and assistance in the maintenance and marketing of milkfish farming products. Throughout the engagement activities, the community has shown great enthusiasm and participation. This is evident in the number of involved milkfish farmers, high attendance rates, active participation in discussions, and field activities. Ensuring the sustainability of this program is essential given the significant potential for milkfish farming development, especially in post-harvest processing.

Are co‐opted boards socially responsible?

AbstractCorporate resolution on environmental, social, and governance (ESG) communication informs firms' environmental commitment, a growing determinant of corporate risk profile perceived by the market. This study examines ESG reporting in the presence of board co‐option, a phenomenon that paralyzes the dependency of the board of directors and impairs corporate transparency. Using data from 643 US‐listed firms from 2007 to 2018, we investigate the relationship between board co‐option and ESG disclosure practices and show that firms with a higher proportion of co‐opted directors on board disclose less ESG information, though this relationship diminishes if firms are strong ESG reporters. Further analyses reveal that long‐tenure board chairs, high attendance rates at board and audit committee meetings, and independent chairs of audit committees mitigate this adverse effect. In addition, we document an increasing inverse relationship among firms located in more corrupt and Democratic‐leaning states and operating in heavy‐emitting industries. Our results support the premise that co‐opted directors insulate CEOs from ESG reporting pressure and highlight that corporate governance, environmental performance as well as state institutions play significant moderating roles in this relationship.

Analisis Faktor-Faktor yang Mempengaruhi Tingginya Tingkat Kehadiran Pemuda-Pemudi Dalam Beribadah Di GEPKIN Tarutung Kota Dan Implikasinya Pada Gereja Kristen Protestan Indonesia (GKPI) Partapaan

The level of attendance of young people attending worship services at GEPKIN Tarutung City has increased. According to the author's observations, this is influenced by several factors such as: music, interesting sermons, welcoming guests, and variations in service. The method used by researchers is a qualitative descriptive approach. The research implementation uses procedures that produce descriptive data in the form of written and spoken words from people whose behavior is observed through interviews or observations using a qualitative approach. This research aims to determine the factors that influence the high level of attendance of young people in worship at GEPKIN Tarutung City. From the research results, it can be seen that the factors of music, interesting sermons, welcoming guests, variety of services can increase the high attendance of young people in worship at GEPKIN Tarutung city. With the factors that influence the high level of attendance of young people, it can increase the presence of young people in worship at GEPKIN Tarutung city.

Pengaruh Kepemimpinan dan Motivasi Kerja terhadap Kinerja Karyawan Pt. Cjfm

The progress of the organization is strongly supported by the performance of employees. If employees do a good job, employees will compete for awards, bonuses or be promoted to a better position. There are several problems arising from leadership style and lack of motivation in the Quality Control section, such as, the length of laboratory sample analysis, frequent miss communication with other related sections, to high attendance rates. The purpose of this study is intended so that we know the extent of the influence of management and morale on staff performance at PT. CJFM, The research used in this study is a quantitative descriptive type using questionnaire data collection techniques using 10 samples. The methods used are multiple regression analysis and partial t tests and F tests to determine the free parts that can affect the bound part if the data is analyzed with the SPSS application. The results of this study illustrate that leadership or leadership can have a positive effect and work encouragement has a negative effect on staff performance at PT. The results of the partial analysis of CJFM, management has a significant effect and work encouragement can have a negative and inappropriate effect on the performance of PT. CJFM

Global survey of endodontic practice and adoption of newer technologies.

To investigate current endodontic practices, adoption of technologies and continuing education attendance within specialist endodontic practice globally and to identify geographic trends. A web-based survey of endodontic association members in Australia, Britain, Canada, Italy, New Zealand and the USA on routine treatment preferences, armamentarium and education attendance was conducted. Chi-squared, independent sample t-tests, Cochran's Q test and McNemar's test were performed. The survey was completed by 543 endodontists or endodontic post-graduate students. Almost all respondents used the dental operating microscope (DOM, 91.3%), engine-driven nickel-titanium instruments (NiTi, 97.6%), electronic apex locators (EAL, 93.0%), cone-beam computed tomography (CBCT, 91.2%) and calcium silicate-based materials (CSBMs, 93.7%). Dental dam was always used by 99.1%. Over half used irrigation adjuncts (81.8%), warm vertical compaction (74.6%) and heat-treated NiTi (60.2%). Geographic comparison between AP (Asia-Pacific, n = 78), AM (Americas, n = 402) and EM (Europe and Middle East, n = 63) was performed. AM and EM preferred single-visit treatment more (p < .001) and used higher sodium hypochlorite concentrations than AP. AM had more access to CBCT in the workplace (86.6%) than AP (65.4%, p < .001) and used CBCT for routine preoperative assessment (39.6%) more than EM (7.3%, p < .001). Almost all of EM used irrigation adjuncts (95.2%), more than AM (78.1%, p = .001). AP used steroid/antibiotic medicaments most (p < .001) and had the highest attendance at continuing education programmes. Several endodontic-specific armamentaria have reached almost complete adoption within global specialist endodontic practice, whilst the continued uptake of newer technologies should be followed over time. Some practising philosophies varied significantly across different geographic regions.

Factors affecting the provision of high-quality postnatal care services in Zanzibar: a qualitative study

BackgroundIn Sub-Saharan Africa, the postnatal period is associated with high mortality and accounts for a substantial proportion of maternal deaths. Although postnatal care has been identified as critical in reducing maternal mortality, the quality of care provided is often inadequate. Tanzania and Zanzibar have not made sufficient progress towards achieving the Sustainable Development Goals on maternal health, and there is limited knowledge about the utilization and quality of postnatal follow-up. The aim of this study was therefore to explore factors affecting the provision of high-quality postnatal care services in the urban area of Zanzibar.MethodsFive focus group discussions were performed in Swahili with 25 healthcare providers from primary healthcare units in urban Zanzibar. Interviews were audio-recorded, transcribed verbatim, translated into English, and analysed using qualitative content analysis with an inductive approach.ResultsFactors affecting provision of high-quality postpartum care services could be divided into three generic categories. Difficulty achieving high attendance comprised three subcategories: long waiting times, low awareness among women, and out-of-pocket payment. Lack of basic resources also comprised three subcategories: shortage of healthcare providers, lack of adequate space, and inadequate medical equipment. Insufficient care routines comprised two subcategories: lack of guidelines and deficient chain of information.ConclusionsThe present findings suggest that the women’s perceptions of postnatal care do not align with the intended purpose of routine postnatal care. Instead, the postnatal period primarily leads to visits to health facilities only when urgent care is required, and there is a lack of awareness about the importance of postnatal care. Moreover, limited resources, including equipment, staff, and space, as well as long waiting times, hinder the delivery of high-quality care and contribute to a negative reputation of postnatal care services. To effectively reach all women and improve postnatal care, it is necessary to increase basic resources, modify health education approaches, and enhance the flow of information between different levels of care using context-specific strategies.