Conference abstract
Predictors of health facilities utilization during delivery among women of reproductive age (15-49 years) in Dodoma Municipality, Central Tanzania
Pan African Medical Journal - Conference Proceedings. 2024:21(46).29
Apr 2024.
doi: 10.11604/pamj-cp.2024.21.46.2376
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Delivery, health facilities utilization, predictors, women of reproductive age, Dodoma
Oral presentation
Predictors of health facilities utilization during delivery among women of reproductive age (15-49 years) in Dodoma Municipality, Central Tanzania
Richard Donald Katanji1,&, Theresia John Masoi2, Anodi Rwehumbiza Kaihula3, Jofrey Amos Osarya4
1Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, P. O Box 259, Dodoma, Tanzania, 2Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, P. O Box 259, Dodoma, Tanzania, 3Tanzania Health Summit, Dar es Salaam, Tanzania, 4School of Nursing and Public Health, University of Dodoma, P. O Box 259, Dodoma, Tanzania
&Corresponding author
Introduction: maternal mortality remains a significant challenge in Tanzania, and meeting Sustainable Development Goal 3.1 requires a concerted effort. One key strategy is to prevent and manage the causes that necessitate significant utilization of healthcare facilities during gestation and childbirth. The number of childbirths in healthcare facilities in Tanzania is not as high as desired, and the reasons for this are uncertain and inconsistent. The study aimed to fill this gap by assessing the predictors of health facilities utilization during delivery among women of reproductive age in Dodoma Municipality.
Methods: a cross-sectional study design was employed. 272 women of reproductive age from three wards of Dodoma Municipality who had conceived at least twice and given at least one birth within the last two years were recruited conveniently and surveyed regarding their last childbirths. Analysis was done through SPSS version 26, and a Chi-square test was performed to test statistical significance.
Results: prevalence of health facilities utilization during delivery in Dodoma MC was 80.1%(n=218), and significantly predicted by age (21-34 years) (n=124, p=0.000*), attending to school (n=206, p=0.000*), being married (n=153, p=0.000*), having health insurance (n=112, p=0.000*), adequate knowledge on maternal health (n=193, p=0.000*), and birth preparedness (n=206, p=0.000*). Furthermore, previous unfriendly maternally healthcare services (22 out of 54) were found to be a barrier.
Conclusion: facilities deliveries have been substantially increased, revealing a positive and convincing indicator towards UHC by 2030. High autonomous decision-making, education, health insurance coverage, and friendly maternal healthcare experiences predict institutionalized deliveries. Interventions should aim at promoting access to quality, cost-effective, safe, interactive, and friendly maternal healthcare services, ultimately contributing to the realization of universal health coverage of maternal healthcare.
Predictors of health facilities utilization during delivery among women of reproductive age (15-49 years) in Dodoma Municipality, Central Tanzania
Richard Donald Katanji1,&, Theresia John Masoi2, Anodi Rwehumbiza Kaihula3, Jofrey Amos Osarya4
1Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, P. O Box 259, Dodoma, Tanzania, 2Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, P. O Box 259, Dodoma, Tanzania, 3Tanzania Health Summit, Dar es Salaam, Tanzania, 4School of Nursing and Public Health, University of Dodoma, P. O Box 259, Dodoma, Tanzania
&Corresponding author
Introduction: maternal mortality remains a significant challenge in Tanzania, and meeting Sustainable Development Goal 3.1 requires a concerted effort. One key strategy is to prevent and manage the causes that necessitate significant utilization of healthcare facilities during gestation and childbirth. The number of childbirths in healthcare facilities in Tanzania is not as high as desired, and the reasons for this are uncertain and inconsistent. The study aimed to fill this gap by assessing the predictors of health facilities utilization during delivery among women of reproductive age in Dodoma Municipality.
Methods: a cross-sectional study design was employed. 272 women of reproductive age from three wards of Dodoma Municipality who had conceived at least twice and given at least one birth within the last two years were recruited conveniently and surveyed regarding their last childbirths. Analysis was done through SPSS version 26, and a Chi-square test was performed to test statistical significance.
Results: prevalence of health facilities utilization during delivery in Dodoma MC was 80.1%(n=218), and significantly predicted by age (21-34 years) (n=124, p=0.000*), attending to school (n=206, p=0.000*), being married (n=153, p=0.000*), having health insurance (n=112, p=0.000*), adequate knowledge on maternal health (n=193, p=0.000*), and birth preparedness (n=206, p=0.000*). Furthermore, previous unfriendly maternally healthcare services (22 out of 54) were found to be a barrier.
Conclusion: facilities deliveries have been substantially increased, revealing a positive and convincing indicator towards UHC by 2030. High autonomous decision-making, education, health insurance coverage, and friendly maternal healthcare experiences predict institutionalized deliveries. Interventions should aim at promoting access to quality, cost-effective, safe, interactive, and friendly maternal healthcare services, ultimately contributing to the realization of universal health coverage of maternal healthcare.
