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Article History

Received: 8 April 2021

Accepted: 10 May 2022

First Online: 25 May 2022

Declarations

:

: Ethical clearance to conduct the study was obtained from the joint Catholic University of Health and Allied Sciences and Bugando Medical Center (CUHAS/BMC) research ethics and review committee (CREC/435/2020). The joint CUHAS/BMC committee approved the use of simulated clients with blinded health workers to minimize potential biases that could result in changes in their provision of postnatal care education to pregnant women due to prior knowledge of the study. Prior to commencement of data collection activities, permission to conduct this study was provided by the Simiyu Regional and Busega District Authorities, as well as from the in charge of each health facility included in the study. To protect the confidentiality of the health care workers and simulated clients, identifying information including the names of the health care workers observed as well as the simulated clients were not recorded by the study team on the standardized interview forms. Further, prior to data collection, all simulated clients provided written consent and signed a non-disclosure confidentiality form that emphasized the importance of maintaining confidentiality of the information that they provided to investigators regarding the health care education provided by health care workers. This was done to ensure that health care workers offering low quality care would not experience any negative consequences. All methods were carried out in accordance with relevant guidelines and regulations.

: Not applicable.

: The authors declare that they have no competing interests.