Journal article
Factors Associated with Four or More Antenatal Care Visits and Its Decline among Pregnant Women in Tanzania between 1999 and 2010
PloS one, v 9(7), 101893
18 Jul 2014
PMID: 25036291
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
In Tanzania, the coverage of four or more antenatal care (ANC 4) visits among pregnant women has declined over time. We conducted an exploratory analysis to identify factors associated with utilization of ANC 4 and ANC 4 decline among pregnant women over time. We used data from 8035 women who delivered within two years preceding Tanzania Demographic and Health Surveys conducted in 1999, 2004/05 and 2010. Multivariate logistic regression models were used to examine the association between all potential factors and utilization of ANC 4; and decline in ANC 4 over time. Factors positively associated with ANC 4 utilization were higher quality of services, testing and counseling for HIV during ANC, receiving two or more doses of SP (Sulphadoxine Pyrimethamine)/Fansidar for preventing malaria during ANC and higher educational status of the woman. Negatively associated factors were residing in a zone other than Eastern zone, never married woman, reported long distance to health facility, first ANC visit after four months of pregnancy and woman's desire to avoid pregnancy. The factors significantly associated with decline in utilization of ANC 4 were: geographic zone and age of the woman at delivery. Strategies to increase ANC 4 utilization should focus on improvement in quality of care, geographic accessibility, early ANC initiation, and services that allow women to avoid pregnancy. The interconnected nature of the Tanzanian Health System is reflected in ANC 4 decline over time where introduction of new programs might have had unintended effects on existing programs. An in-depth assessment of the recent policy change towards Focused Antenatal Care and its implementation across different geographic zones, including its effect on the perception and understanding among women and performance and counseling by health providers can help explain the decline in ANC 4.
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Details
- Title
- Factors Associated with Four or More Antenatal Care Visits and Its Decline among Pregnant Women in Tanzania between 1999 and 2010
- Creators
- Shivam Gupta - Johns Hopkins UniversityGoro Yamada - Johns Hopkins UniversityRose Mpembeni - Muhimbili University of Health and Allied SciencesGasto Frumence - Muhimbili University of Health and Allied SciencesJennifer A. Callaghan-Koru - Johns Hopkins UniversityRaz Stevenson - United States Agency for International DevelopmentNeal Brandes - United States Agency for International DevelopmentAbdullah H. Baqui - Johns Hopkins University
- Publication Details
- PloS one, v 9(7), 101893
- Publisher
- Public Library Science
- Number of pages
- 13
- Grant note
- GHS-A-00-09-00004-00 / United States Agency for International Development (USAID) through the Health Research Challenge for Impact (HRC) Cooperative Agreement; United States Agency for International Development (USAID)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000339615200027
- Scopus ID
- 2-s2.0-84904479829
- Other Identifier
- 991021875345004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health