Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey
Abstract Background Improving maternal health by reducing maternal mortality/morbidity relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and cor...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-019-2653-4 |
| _version_ | 1818602592312229888 |
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| author | James Orwa Michaela Mantel Micheal Mugerwa Sharon Brownie Eunice Siaity Pallangyo Loveluck Mwasha Kahabi Isangula Leonard Subi Secilia Mrema Grace Edwards David Siso Edna Selestine Tumbwene Mwansisya Columba Mbekenga Marleen Temmerman |
| author_facet | James Orwa Michaela Mantel Micheal Mugerwa Sharon Brownie Eunice Siaity Pallangyo Loveluck Mwasha Kahabi Isangula Leonard Subi Secilia Mrema Grace Edwards David Siso Edna Selestine Tumbwene Mwansisya Columba Mbekenga Marleen Temmerman |
| author_sort | James Orwa |
| collection | DOAJ |
| description | Abstract Background Improving maternal health by reducing maternal mortality/morbidity relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and correlates of uptake of maternal healthcare services among women of reproductive age (15–49 years) in Mwanza Region, Tanzania. Methods A cross-sectional multi-stage sampling household survey was conducted to obtain data from 1476 households in six districts of Mwanza Region. Data for the 409 women who delivered in the 2 years before the survey were analyzed for three outcomes: four or more ANC visits (ANC4+), health facility delivery, and postpartum visits. Factors associated with the three outcomes were determined using generalized estimating equations to account for clustering at the district level while adjusting for all variables. Results Of the 409 eligible women, 58.2% attended ANC4+, 76.8% delivered in a health facility, and 43.5% attended a postpartum clinic. Women from peri-urban, island, and rural regions were less likely to have completed ANC4+ or health facility delivery compared with urban women. Education and early first antenatal visit were associated with ANC4+ and health facility delivery. Mothers from peri-urban areas and those who with health facility delivery were more likely to attend postpartum check-ups. Conclusion Use of ANC services in early pregnancy influences the number of ANC visits, leading to higher uptake of ANC4+ and health facility delivery. Postpartum check-ups for mothers and newborns are associated with health facility delivery. Encouraging early initiation of ANC visits may increase the uptake of maternal healthcare services. |
| first_indexed | 2024-12-16T13:09:44Z |
| format | Article |
| id | doaj.art-f4a53a3c85344132a12f32e5a84edfa5 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-16T13:09:44Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-f4a53a3c85344132a12f32e5a84edfa52022-12-21T22:30:39ZengBMCBMC Pregnancy and Childbirth1471-23932019-12-0119111110.1186/s12884-019-2653-4Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline surveyJames Orwa0Michaela Mantel1Micheal Mugerwa2Sharon Brownie3Eunice Siaity Pallangyo4Loveluck Mwasha5Kahabi Isangula6Leonard Subi7Secilia Mrema8Grace Edwards9David Siso10Edna Selestine11Tumbwene Mwansisya12Columba Mbekenga13Marleen Temmerman14Department of Population Health, Aga Khan UniversityDepartment of Population Health, Aga Khan UniversityAga-Khan Health ServicesResearch Associate, Green Templeton College, Oxford UniversityAga Khan University School of Nursing and MidwiferyAga Khan University School of Nursing and MidwiferyAga Khan University School of Nursing and MidwiferyMinistry of Health, Community Development, Gender, Elderly and ChildrenRegional Reproductive and Child Health CoordinatorSchool of Nursing and Midwifery, Aga Khan UniversityAga Khan FoundationAga-Khan Health ServicesAga Khan University School of Nursing and MidwiferyAga Khan University School of Nursing and MidwiferyDepartment of Population Health, Aga Khan UniversityAbstract Background Improving maternal health by reducing maternal mortality/morbidity relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and correlates of uptake of maternal healthcare services among women of reproductive age (15–49 years) in Mwanza Region, Tanzania. Methods A cross-sectional multi-stage sampling household survey was conducted to obtain data from 1476 households in six districts of Mwanza Region. Data for the 409 women who delivered in the 2 years before the survey were analyzed for three outcomes: four or more ANC visits (ANC4+), health facility delivery, and postpartum visits. Factors associated with the three outcomes were determined using generalized estimating equations to account for clustering at the district level while adjusting for all variables. Results Of the 409 eligible women, 58.2% attended ANC4+, 76.8% delivered in a health facility, and 43.5% attended a postpartum clinic. Women from peri-urban, island, and rural regions were less likely to have completed ANC4+ or health facility delivery compared with urban women. Education and early first antenatal visit were associated with ANC4+ and health facility delivery. Mothers from peri-urban areas and those who with health facility delivery were more likely to attend postpartum check-ups. Conclusion Use of ANC services in early pregnancy influences the number of ANC visits, leading to higher uptake of ANC4+ and health facility delivery. Postpartum check-ups for mothers and newborns are associated with health facility delivery. Encouraging early initiation of ANC visits may increase the uptake of maternal healthcare services.https://doi.org/10.1186/s12884-019-2653-4Antenatal careHealth facility deliveryPostpartum careMwanzaTanzania |
| spellingShingle | James Orwa Michaela Mantel Micheal Mugerwa Sharon Brownie Eunice Siaity Pallangyo Loveluck Mwasha Kahabi Isangula Leonard Subi Secilia Mrema Grace Edwards David Siso Edna Selestine Tumbwene Mwansisya Columba Mbekenga Marleen Temmerman Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey BMC Pregnancy and Childbirth Antenatal care Health facility delivery Postpartum care Mwanza Tanzania |
| title | Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey |
| title_full | Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey |
| title_fullStr | Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey |
| title_full_unstemmed | Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey |
| title_short | Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey |
| title_sort | maternal healthcare services use in mwanza region tanzania a cross sectional baseline survey |
| topic | Antenatal care Health facility delivery Postpartum care Mwanza Tanzania |
| url | https://doi.org/10.1186/s12884-019-2653-4 |
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