Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania
Abstract Background A detailed understanding of trends, as well as what act as enablers and/or barriers to the utilisation of antenatal care (ANC) among Tanzanian women, is essential to policymakers and health practitioners to guide maternal health efforts. We investigated the trends and factors ass...
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ftdoajarticles:oai:doaj.org/article:b19aaa877a444d6d989b21983a2337ff 2023-05-15T15:16:10+02:00 Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania Abdon Gregory Rwabilimbo Kedir Y. Ahmed Andrew Page Felix Akpojene Ogbo 2020-06-01T00:00:00Z https://doi.org/10.1186/s41182-020-00226-7 https://doaj.org/article/b19aaa877a444d6d989b21983a2337ff EN eng BMC http://link.springer.com/article/10.1186/s41182-020-00226-7 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00226-7 1349-4147 https://doaj.org/article/b19aaa877a444d6d989b21983a2337ff Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-16 (2020) Antenatal care Maternal and child health Tanzania Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1186/s41182-020-00226-7 2022-12-31T12:18:00Z Abstract Background A detailed understanding of trends, as well as what act as enablers and/or barriers to the utilisation of antenatal care (ANC) among Tanzanian women, is essential to policymakers and health practitioners to guide maternal health efforts. We investigated the trends and factors associated with ANC service use during the Millennium Development Goals (MDG) era in Tanzania between 1999 and 2016. Methods The study used the Tanzania Demographic and Health Survey (TDHS) data for the years 1999 (n = 2095), 2004–2005 (n = 5576), 2010 (n = 6903) and 2015–2016 (n = 5392). Multivariate multinomial logistic regression models were used to investigate the association between predisposing, enabling, need and community-level factors and frequency of ANC (1–3 and ≥ 4) visits in Tanzania. Results The proportion of women who made one to three ANC visits improved significantly from 26.4% in 1999 to 47.0% in 2016. The percentage of women who make four or more ANC visits declined from 71.1% in 1999 to 51.0% in 2016. Higher maternal education, belonging to wealthier households, being informally employed and listening to the radio were associated with four or more ANC visits. Women who did not desire pregnancy had a lower likelihood to attend four or more ANC visits. Women who had primary or higher education, those who resided in wealthier households and those who were informally employed were more likely to make between one and three ANC visits. Conclusion The study showed that there was an improvement in the proportion of Tanzanian women who made one to three ANC visits, but it also indicated a concurrent decrease in the prevalence of four or more ANC visits. Improving uptake of ANC among Tanzanian women is achievable if national health policies and programmes also focus on key amenable maternal factors of education, household wealth and employment. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Tropical Medicine and Health 48 1 |
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Directory of Open Access Journals: DOAJ Articles |
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Antenatal care Maternal and child health Tanzania Arctic medicine. Tropical medicine RC955-962 |
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Antenatal care Maternal and child health Tanzania Arctic medicine. Tropical medicine RC955-962 Abdon Gregory Rwabilimbo Kedir Y. Ahmed Andrew Page Felix Akpojene Ogbo Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania |
topic_facet |
Antenatal care Maternal and child health Tanzania Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background A detailed understanding of trends, as well as what act as enablers and/or barriers to the utilisation of antenatal care (ANC) among Tanzanian women, is essential to policymakers and health practitioners to guide maternal health efforts. We investigated the trends and factors associated with ANC service use during the Millennium Development Goals (MDG) era in Tanzania between 1999 and 2016. Methods The study used the Tanzania Demographic and Health Survey (TDHS) data for the years 1999 (n = 2095), 2004–2005 (n = 5576), 2010 (n = 6903) and 2015–2016 (n = 5392). Multivariate multinomial logistic regression models were used to investigate the association between predisposing, enabling, need and community-level factors and frequency of ANC (1–3 and ≥ 4) visits in Tanzania. Results The proportion of women who made one to three ANC visits improved significantly from 26.4% in 1999 to 47.0% in 2016. The percentage of women who make four or more ANC visits declined from 71.1% in 1999 to 51.0% in 2016. Higher maternal education, belonging to wealthier households, being informally employed and listening to the radio were associated with four or more ANC visits. Women who did not desire pregnancy had a lower likelihood to attend four or more ANC visits. Women who had primary or higher education, those who resided in wealthier households and those who were informally employed were more likely to make between one and three ANC visits. Conclusion The study showed that there was an improvement in the proportion of Tanzanian women who made one to three ANC visits, but it also indicated a concurrent decrease in the prevalence of four or more ANC visits. Improving uptake of ANC among Tanzanian women is achievable if national health policies and programmes also focus on key amenable maternal factors of education, household wealth and employment. |
format |
Article in Journal/Newspaper |
author |
Abdon Gregory Rwabilimbo Kedir Y. Ahmed Andrew Page Felix Akpojene Ogbo |
author_facet |
Abdon Gregory Rwabilimbo Kedir Y. Ahmed Andrew Page Felix Akpojene Ogbo |
author_sort |
Abdon Gregory Rwabilimbo |
title |
Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania |
title_short |
Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania |
title_full |
Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania |
title_fullStr |
Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania |
title_full_unstemmed |
Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania |
title_sort |
trends and factors associated with the utilisation of antenatal care services during the millennium development goals era in tanzania |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s41182-020-00226-7 https://doaj.org/article/b19aaa877a444d6d989b21983a2337ff |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-16 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s41182-020-00226-7 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00226-7 1349-4147 https://doaj.org/article/b19aaa877a444d6d989b21983a2337ff |
op_doi |
https://doi.org/10.1186/s41182-020-00226-7 |
container_title |
Tropical Medicine and Health |
container_volume |
48 |
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1 |
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1766346461838049280 |