Do Early Antenatal Booking Predicts Maternal Services Utilization? An Analysis of Data from the 2015-16 Tanzania HIV and Malaria Indicators Survey

Moshi, Fabiola Vincent

doi:10.21203/rs.3.rs-35722/v1

Cited by 2 publications

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“…The authors are grateful to MEASURE DHS for allowing us to use the DHS-MIS data set. This manuscript has been released as a pre-print at https://www.researchsquare.com/article/rs-35722/v1 ( 24 ).…”

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confidence: 99%

Factors Associated With Uptake of Iron Supplement During Pregnancy Among Women of Reproductive Age in Tanzania: an Analysis of Data From the 2015 to 2016 Tanzania Demographic and Health Survey and Malaria Indicators Survey

Moshi

Millanzi

Mwampagatwa

2021

Front. Public Health

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Background: Pregnant women are vulnerable to iron deficiency due to the fact that more iron is needed primarily to supply the growing fetus and placenta and to increase the maternal red cell mass. Little is known on the factors associated with uptake of iron supplement during pregnancy.Methods: The study used data from the 2015 to 2016 Tanzania Demographic and Health Survey and Malaria Indicators Survey. A total of 6,924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine factors associated with uptake of iron supplement during pregnancy.Results: Majority of the interviewed women 5,648 (81.6%) always took iron supplement during pregnancy, while a total of 1,276 (18.4%) women never took iron supplement during pregnancy. After controlling for confounders, the predictors for uptake of iron supplement during pregnancy were early antenatal booking (adjusted odds ratio, AOR = 1.603 at 95% CI = 1.362–1.887, p < 0.001); rural residence (AOR = 0.711 at 95% CI = 0.159–0.526, p = 0.007); wealth index [rich (AOR = 1.188 at 95% CI = 0.986–1.432, p = 0.07)]—poor was the reference population; level of education [primary education (AOR = 1.187 at 95% CI = 1.013–1.391, p = 0.034)]—no formal education was the reference population; parity [para 2 to 4 (AOR = 0.807 at 95% CI = 0.668–0.974, p = 0.026), para 5 and above (AOR = 0.75 at 95% CI = 0.592–0.95, p = 0.017)], para 1 was the reference population; zones [mainland rural (AOR = 0.593 at 95% CI = 0.389–0.905, p = 0.015) and Unguja Island AOR = 0.63 at 95% CI = 0.431–0.92, p = 0.017]—mainland urban was the reference population; and current working status [working (AOR = 0.807 at 95% CI = 0.687–0.949, p = 0.009)].Conclusion: The study revealed that, despite free access to iron supplement during pregnancy, there are women who fail to access the supplement at least once throughout the pregnancy. The likelihood to fail to access iron supplement during pregnancy was common among pregnant women who initiated antenatal visits late, were from poor families, had no formal education, reside in rural settings, had high parity, were from mainland rural, and were in working status. Interventional studies are recommended in order to come up with effective strategies to increase the uptake of iron supplement during pregnancy.

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Factors Associated With Uptake of Iron Supplement During Pregnancy Among Women of Reproductive Age in Tanzania: an Analysis of Data From the 2015 to 2016 Tanzania Demographic and Health Survey and Malaria Indicators Survey

Moshi

Millanzi

Mwampagatwa

2021

Front. Public Health

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“…The state of these services in developing countries is alarmingly low [17,18] . Tanzania is among the sub-Saharan countries with low antenatal services utilization [19][20][21] . Birth preparedness allows pregnant women and their male partners to be equipped with necessary information on the danger signs during pregnancy, childbirth, post-delivery period, and neonatal period [22] .…”

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Assessing Male Partners’ Attitudes, Subjective Norms and Perceived Behavior Control towards Their Involvement in Maternal Health Services in Rural Settings, Tanzania: A Baseline Community-Based Analytical Cross-Sectional Study

Moshi

2023

Preprint

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Background: Men are not only heads and decision makers in most families but, also the key determinant of health of the female partners and/or children. However, male involvement in the uptake of maternal services has been a public concern in national, regional and global levels respectively. The constructs of theory of planned behaviour bold that the right attitude, perceived subjective norms and perceived behavior control help to determine individual’s behaviour. The study on hand assessed male partners' attitudes, perceived subjective norms, and perceived behavior control towards their involvement in maternal services utilization. Methods: A community-based analytical cross-sectional study in a quantitative research approach was adopted to study 546 randomly selected male partners from June to October 2017. An interviewer administered structured questionnaire developed by the principal investigator was the main data collection tool to quantify the variables under study. Given a statistical product for social sciences computer software program, participants’ social demographic characteristics profiles were analysed descriptively and regression analysis established the association the relationship between variables at a 95% confidence interval and a 5% significance level. Results: Mean age was 31±7.726 with 71.8% of the male partners being married. Findings revealed that 41%, 43% and 43% of male partners had positive attitude, positive perceived subjective norms and positive perceived behavior control towards being involved in maternal services utilization for their female partners respectively. Mambwe ethnicity, having the intention to accompany a female partner, ever heard about birth preparedness and <1kilometer walking distance were the positive predictor of male involvement in maternal services utilization (p<0.01). Conclusion: Male partners’ attitudes, subjective norms, and perceived behavior control perspectives on being involved in the uptake of maternal services was found to be negative. However, some participants’ socio-demographic characteristics profiles (Mambwe ethnicity, ever heard about birth preparedness, and living less than one kilometer from a nearby health facility) were associated with the outcome variables significantly. Intervention studies are recommended to come up with cost-effective strategies to improve male partners' involvement in maternal services utilization.

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Do Early Antenatal Booking Predicts Maternal Services Utilization? An Analysis of Data from the 2015-16 Tanzania HIV and Malaria Indicators Survey

Cited by 2 publications

References 8 publications

Factors Associated With Uptake of Iron Supplement During Pregnancy Among Women of Reproductive Age in Tanzania: an Analysis of Data From the 2015 to 2016 Tanzania Demographic and Health Survey and Malaria Indicators Survey

Factors Associated With Uptake of Iron Supplement During Pregnancy Among Women of Reproductive Age in Tanzania: an Analysis of Data From the 2015 to 2016 Tanzania Demographic and Health Survey and Malaria Indicators Survey

Assessing Male Partners’ Attitudes, Subjective Norms and Perceived Behavior Control towards Their Involvement in Maternal Health Services in Rural Settings, Tanzania: A Baseline Community-Based Analytical Cross-Sectional Study

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