scholarly journals Factors Associated with Blood Pressure Checkup During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

2020 ◽  
Author(s):  
Fabiola Vincent Moshi ◽  
Maximilian Tungaraza
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Health Survey ◽  
Wealth Index ◽  
Reference Population ◽  
Education Level ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Factors Associated

Abstract Background: Hypertensive Disorder of Pregnancy (HDP) is one of the leading causes of maternal mortality and morbidity amongst pregnant women in the world. Blood pressure checkups during pregnancy are on of strategies to identify hypertensive disorders and hence timely management. Little is known on factors associated with blood pressure checkups in Tanzania.Method: The study used data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey (2015-16 TDHS-MIS). A total of 6924women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the association between early antenatal booking and maternal services utilization.Results: A total of 4997(72.17%) of interviewed women were checked for blood pressure at least once. After adjusted for the confounders, factors which influenced uptake of blood pressure checkups during pregnancy were timing for antenatal booking within first 12 weeks, AOR=1.496 at 95% CI= 1.297-1.726, p<0.001, age group [ more than 34 years, (AOR=1.518 at 95% CI=1.149-2.006,p=0.003)], wealth index [ middle income, (AOR=1.215 at 95% CI=1.053-1.468, p=0.008) and rich, (AOR=2.270 at 95% CI=1.907-2.702, p<0.001)] reference population being poor; education level [ primary education, (AOR=1.275 at 95%CI=1.107-1.468, p=0.001); secondary, (AOR=2.163 at 95% CI=1.688-2.774, p<0.001) and higher, (AOR= 9.929 at 95%CI=1.355-72.76, p=0.024)] reference population being no formal education; parity[para 2-4, (AOR=1.190 at 95% CI=1.003-1.412, p=0.046) and zones [Unguja Island, (AOR=3.934 at 95% CI=1.568-9.871, p=0.004) and Pemba Island, (AOR=5.308 at 95%CI=1.808-15.58, p=0.002)] Mainland urban being the reference populationConclusion: Blood pressure checkups during pregnancy offer the opportunity for early detection timely management of HDP. The study revealed that rural dwelling pregnant women had higher chance not to get their BP checked. It was also revealed that maternal age, education level, place of residence, wealth index and timing of ANC services significantly associated with blood pressure check-ups. The study identifies the need to explore significant factors associated with utilization of the available free reproductive health services across all public health facilities and to address prioritized intensive awareness programs and behavioral change interventions on the significance of BP checkups among pregnant women of reproductive age.

scholarly journals Factors associated with blood pressure check-up during pregnancy among women of reproductive age in Tanzania: an analysis of data from 2015—16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fabiola V. Moshi ◽  
Maximilian Tungaraza
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Health Survey ◽  
Wealth Index ◽  
Reference Population ◽  
Education Level ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Factors Associated

Abstract Background Hypertensive Disorder of Pregnancy (HDP) is one of the leading causes of maternal mortality and morbidity amongst pregnant women in the world. Blood pressure check-ups during pregnancy are one of the strategies used to identify hypertensive disorders, hence timely management. Little is known about the factors associated with blood pressure check-ups in Tanzania. Method The study used data from 2015—16 Tanzania Demographic and Health Survey and Malaria Indicators Survey (2015—16 TDHS—MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the association between early antenatal booking and maternal services utilization. Results The prevalence of blood pressure checkups during pregnancy was 72.17% at 95% confidence interval of 71.1–73.2%. Factors associated with uptake of blood pressure check-ups were; timely antenatal booking, AOR = 1.496, CI = 1.297–1.726, p < 0.001, late booking was a reference population, age group [> 34 years, (AOR = 1.518, CI = 1.149–2.006, p = 0.003)] with < 20 years used as a reference population, wealth index [middle income, (AOR = 1.215, CI = 1.053–1.468, p = 0.008) and rich, (AOR = 2.270, CI = 1.907–2.702, p < 0.001)] reference population being poor; education level [primary education, (AOR = 1.275, CI = 1.107–1.468, p = 0.001); secondary education, (AOR = 2.163, CI = 1.688–2.774, p < 0.001) and higher education, (AOR = 9.929, CI = 1.355–72.76, p = 0.024)] reference population being no formal education; parity [para 2–4, (AOR = 1.190, CI = 1.003–1.412, p = 0.046) with para one used as a reference population and zones [Unguja Island, (AOR = 3.934, CI = 1.568–9.871, p = 0.004), Pemba Island, (AOR = 5.308, CI = 1.808–15.58, p = 0.002)] and Mainland Urban being the reference population. Conclusion The study revealed that rural dwelling pregnant women had higher chance of not getting their BP checked. It was also revealed that maternal age, education level, place of residence, wealth index and timing of ANC services were significantly associated with blood pressure check-ups. The study recommends the need to explore significant factors associated with utilization of available free reproductive health services across all public health facilities. It also recommends the need to address prioritized intensive awareness programs and behavioral change interventions on the significance of BP check-ups among pregnant women of reproductive age.

scholarly journals Factors Associated with Blood Pressure Checkup During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

2020 ◽  
Author(s):  
Fabiola Vincent Moshi ◽  
Maximilian Tungaraza
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Health Survey ◽  
Wealth Index ◽  
Reference Population ◽  
Education Level ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Factors Associated

Abstract Background: Hypertensive Disorder of Pregnancy (HDP) is one of the leading causes of maternal mortality and morbidity amongst pregnant women in the world. Blood pressure check-ups during pregnancy constitute one of the strategies used to identify hypertensive disorders, hence timely management. Little is known about the factors associated with blood pressure check-ups in Tanzania.Method: The study used data from 2015 - 16 Tanzania Demographic and Health Survey and Malaria Indicators Survey (2015 - 16 TDHS - MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the association between early antenatal booking and maternal services utilization.Results: A total of 4997(72.17%) interviewed women were checked for blood pressure at least once. Having been adjusted for the confounders, the factors which influenced an uptake of blood pressure check-ups during pregnancy were timed for antenatal booking within first 12 weeks, AOR=1.496 at 95% CI= 1.297-1.726, p<0.001, age group [more than 34 years, (AOR=1.518 at 95% CI=1.149-2.006, p=0.003)], wealth index [middle income, (AOR=1.215 at 95% CI=1.053-1.468, p=0.008) and rich, (AOR=2.270 at 95% CI=1.907-2.702, p<0.001)] reference population being poor; education level [primary education, (AOR=1.275 at 95% CI=1.107-1.468, p=0.001); secondary education, (AOR=2.163 at 95% CI=1.688-2.774, p<0.001) and higher education, (AOR=9.929 at 95%CI=1.355-72.76, p=0.024)] reference population being no formal education; parity [para 2-4, (AOR=1.190 at 95% CI=1.003-1.412, p=0.046) and zones [Unguja Island, (AOR=3.934 at 95% CI=1.568-9.871, p=0.004), Pemba Island, (AOR=5.308 at 95%CI=1.808-15.58, p=0.002)] and Mainland Urban being the reference population.Conclusion: Blood pressure check-ups during pregnancy offer the opportunity for early detection, hence timely management of HDP. The study revealed that rural dwelling pregnant women had higher chance of not getting their BP checked. It was also revealed that maternal age, education level, place of residence, wealth index and timing of ANC services were significantly associated with blood pressure check-ups. The study recommends the need to explore significant factors associated with utilization of available free reproductive health services across all public health facilities. It also recommends the need to address prioritized intensive awareness programs and behavioral change interventions on the significance of BP check-ups among pregnant women of reproductive age.

scholarly journals 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

2021 ◽  
Vol 9 ◽  
Author(s):  
Fabiola Vincent Moshi ◽  
Walter C. Millanzi ◽  
Ipyana Mwampagatwa
Keyword(s):  
Pregnant Women ◽  
Health Survey ◽  
Formal Education ◽  
Reference Population ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Free Access ◽  
Iron Supplement ◽  
Factors Associated ◽  
Working Status

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 &lt; 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.

Factors Associated with Uptake of De-Worming Drugs During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania HIV and Malaria Indicators Survey

2020 ◽  
Author(s):  
Li Yinglan ◽  
Vicent Bankanie ◽  
Fabiola Vincent Moshi
Keyword(s):  
Wealth Index ◽  
Reference Population ◽  
Reproductive Age ◽  
Rural Residence ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Level Of Education ◽  
Factors Associated ◽  
Anaemia In Pregnancy ◽  
In Pregnancy

Abstract BackgroundUptake of deworming drugs is one of the important antenatal strategies in preventing anaemia in pregnancy. Little is known about the factors associated with uptake of the de-worming drugs. This study aimed at identifying the factors associated with the uptake of de-worming drugs during pregnancy among women of reproductive age.Method: The study used data from the 2015-16 Tanzania HIV Demographic and Health Survey and Malaria Indicators Survey (2015-16 TDHS-MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the factors associated with uptake of deworming drugs among women of reproductive age in Tanzania.Results: Majority of interviewed women 3864(60.1%) took deworming drug while a total of 2560(39.9%) did not take deworming drugs. After controlling for confounders, factors associated with uptake of deworming drugs were early antenatal booking, (AOR=1.404 at 95% CI=1.24-1.59,p<0.001); age group of a woman [20 to 34years (AOR=1.382 at 95% CI=1.125-1.696, p=0.002), more than 34years (AOR=1.287 at 95% CI=1.004-1.65, p=0.046)] age less than 20 years was a reference population; rural residence (AOR=1.53 at 95% CI=1.099-2.128,p=0.012); wealth index [middle (AOR=1.151 at 95% CI=1.003-1.32,p=0.044), rich (AOR=1.378 at 95% CI=1.185-1.602, p<0.001) poor was a reference population; level of education [higher level (AOR=2.455 at 95% CI=1.189-5.067,p=0.015)] no formal education was a reference population; parity [para 5 and above (AOR=0.993 at 95% CI=0.824-1.197,p<0.001)] para one was the reference population; zones [Mainland rural (AOR=0.439 at 95% CI=0.307-0.628,p<0.001), Zanzibar Island (AOR=0.22 at 95% CI=0.158-0.306, p<0.001) and Pemba Island AOR=0.493 at 95% CI=0.337-0.723, p<0.001.ConclusionFactors associated with uptake of deworming drugs were early antenatal booking, age group, rural residence, zonal residence, wealth index, level of education, and parity. Considering the outcomes of anaemia in pregnancy, clinicians should consider all the modifiable factors affecting the uptake of the deworming drugs during pregnancy to every woman of reproductive age before and after conception. Whenever possible, it should be done even beyond antenatal clinics.

scholarly journals Determinants for Choice of Home Birth over Health Facility Birth among Women of Reproductive Age in Tanzania: An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey

2020 ◽  
Author(s):  
Fabiola Vincent Moshi ◽  
Christopher H. Mbotwa
Keyword(s):  
Health Survey ◽  
Wealth Index ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Home Childbirth ◽  
Malaria Indicator Survey ◽  
Birth Attendants ◽  
Home Based ◽  
Antenatal Visits

Abstract Background While evidence has shown an association between place of childbirth and birth outcomes, still factors contributing to the choice of home childbirth have not been adequately investigated. Childbirth assisted by unskilled birth attendants has been cited as a contributing factor for the high maternal and neonatal mortalities in low resources countries. This study aimed at determining determinants of preference for home childbirth assisted by unskilled attendants in Tanzania Method The study used the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey (2015-16 TDHS-MIS) dataset. A total of 2286 women of reproductive age (15-49 years) who had childbirth within one year preceding the survey were included in the analysis. Both univariate and multivariable regression analysis was used to determine predictors for home-based childbirth. Results A total of 805(35.2%) of women had home childbirth assisted by unskilled providers. After adjusting for confounders, the determinants of preference for home childbirth were the level of education (primary education, AOR=0.666; p=0.001; secondary and higher education, AOR=0.417; p<0.001); not owning mobile phone, AOR= 1.312; p=0.018; parity (parity 2-4, AOR=1.594; p=0.004; Parity 5 and above, AOR=2.158; p<0.001); inadequate antenatal visits, AOR=1.406; p=0.001; wealth index (poorest, AOR=9.395; p<0.001; poorer, AOR=7.701; p<0.001; middle, AOR=5.961; p<0.001; richer, AOR=2.557; p<0.001) and Zones (Southern Highlands, AOR=0.189; p<0.001; Southern, AOR=0.225; p<0.001; Zanzibar, AOR=2.55; p<0.001). Conclusion There are large proportions of women who use home childbirth assisted by unskilled birth attendant’s mainly traditional birth attendants (TBA). Predictors for home-based childbirth were being illiterate women, poor access to communication, inadequate antenatal visits, low socio-economic status and those from Zanzibar. Innovative strategies targeting these groups are highly needed to increase the use of health facilities for childbirth and hence reduce maternal and neonatal mortalities in Tanzania.

scholarly journals Spatial Distribution and Analysis of Risk Factors Associated with Anemia Among Women of Reproductive Age: Case of 2014 Rwanda Demographic and Health Survey Data

2018 ◽  
Vol 11 (1) ◽  
pp. 425-437
Author(s):  
Faustin Habyarimana ◽  
Temesgen Zewotir ◽  
Shaun Ramroop
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Survey Data ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Bed Net ◽  
Women Of Reproductive Age ◽  
Factors Associated ◽  
Health Survey Data

Background:Anemia is an important public health problem affecting all age groups of the population. The objective of this study was to identify the risk factors associated with anemia among women of childbearing age in Rwanda and map their spatial variation.Methods:The 2014/15 Rwanda Demographic and Health survey data was used and the structured logistic regression model was fitted to the data, where fixed effects were modeled parametrically, non-linear effects were modeled non-parametrically using second order random walk priors and spatial effects were modeled using Markov Random field priors.Results:The prevalence of anemia among non-pregnant women of reproductive age was 18.9%. Women from the households which use water from the unprotected well had a higher risk of having anemia than a woman from the household where they use water piped into dwelling or yard. The risk of anemia was higher among underweight women and women living in households without toilet facilities. The anemia was less pronounced among the women using contraception, literate women, women from the households which use a bed net and living in rich households.Conclusion:The findings from this study highlighted the districts with the highest number of anemic women and this can help the policymakers and other public health institutions to design a specific programme targeting these districts in order to improve the health status and living conditions of these women. The findings also suggest an improvement of toilet facilities, bed net use and source of drinking water in affected households.

scholarly journals Prevalence and Predictors of Early Antenatal Booking Among Women of Reproductive Age in Tanzania: An Analysis of Data from the 2015-16 Tanzania HIV and Malaria Indicators Survey

2020 ◽  
Author(s):  
Fabiola Vincent Moshi
Keyword(s):  
Higher Education ◽  
Early Detection ◽  
Pregnant Women ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Antenatal Visit ◽  
Women Of Reproductive Age ◽  
Data Set ◽  
Antenatal Visits

Abstract Background: Early initiation of the antenatal clinic is vital as it allows early detection, management, and prevention of problems that may occur during pregnancy time. The aim of the analysis was to determine the prevalence and predictors of early antenatal booking among women of reproductive age in Tanzania. Method: The study used data from the 2015-16 Tanzania HIV Demographic and Health Survey and Malaria Indicators Survey (2015-16 TDHS-MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine predictors of early antenatal booking.Results: Only 1586(22.9%) of pregnant women had early antenatal booking. After adjusted for the confounders, the predictors of early antenatal booking were age of a woman (20 to 34 years, AOR=1.554 at 95% CI=1.213-1.993, and more than 34 years, AOR=1.758 at 95% CI=1.306-2.368); wealth status (rich, AOR=1.520 at 95% CI=1.282-1.802); education level (higher education, AOR= 2.355 at 95% CI=1.36-4.079); parity (Para 2 to 3,AOR=0.85 at 95% CI=0.727-0.994 and Para 5+, AOR=0.577 at 95%CI=0.465-0.715); zones (Unguja, AOR=0.433 at 95% CI =0.284-0.658 and Pemba, AOR=0.392 at 95% CI = 0.236-0.649). Conclusion: Early antenatal booking in Tanzania is extremely low. Women were more likely to initiate antenatal visits within the first 12 weeks are those from well-off families, those with higher education, primiparity women, and those from Tanzania mainland urban. The innovative interventional study is highly recommended in order to come up with an effective strategy to improve timing for antenatal bookingPlain English: Early antenatal booking is when a pregnant woman initiates antenatal visit for a checkup within the first 12 weeks of pregnancy. The study is about finding the percentage of women of reproductive age in Tanzania who made antenatal visits within the first 12 weeks of pregnancy. Early antenatal booking is beneficial to both pregnant women and unborn children. It is so because early visit does offer an opportunity for early detection of complications and prevention of complications. The study also aimed to determine predictors of early antenatal booking in Tanzania. After review of literature socio-demographic characteristics of a woman were used to assess their influence on early antenatal booking. These characteristics were; the age of a woman, education status, wealth index, place of residence, marital status, working status, and zones within Tanzania. Also, the obstetric characteristic of a woman was used to assess its influence on early antenatal booking. In this characteristic, a parity of woman was used. The perception towards early antenatal booking was also included as a variable to assess its influence on early antenatal booking. The Tanzania demographic and health survey 2015-16 data set was used to develop this manuscript. This study is of significance to both researches and policymakers. To researchers, the finding can guide the development of an intervention study or a program targeting to improve timing for antenatal visits. To policymakers, the finding can be used to guide the national guidelines for antenatal visits. It is quite clear that Tanzania is among the countries which offer folic acid supplement during the antenatal sessions. The supplement will be beneficial if it started to be given during the first 12 weeks of pregnancy.

scholarly journals Risk factors of anemia among Women of Reproductive Age in Rwanda: implications for designing better interventions

2019 ◽  
Author(s):  
Dieudonne Hakizimana ◽  
Marie Paul Nisingizwe ◽  
Jenae Logan ◽  
Rex Wong
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Pregnant Woman ◽  
Health Survey ◽  
Multivariable Analysis ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Hormonal Contraceptives ◽  
Women Of Reproductive Age ◽  
Factors Associated

Abstract Background Anemia among Women of Reproductive Age (WRA) continues to be among the major public health problems in many developing Rwanda where It was increased comparing 2015 to 2010 Demographic and Health Survey (DHS) reports. A thorough understanding of the its risk factors is necessary to design new better approaches. However, to the best of our knowledge, no study assessing factors associated with anemia among WRA has been conducted. Therefore, this study aims to identify anemia risk factors among WRA in Rwanda. Methods This was a quantitative, cross-sectional study using secondary data from the Rwanda Demographic and Health Survey (RDHS) 2014-2015. The study population consisted of 6680 WRA who were tested for anemia during the survey. Anemia was defined as having equal or below to 10.9 g/dl for a pregnant woman, and hemoglobin level equal or below to 11.9 g/ for a non-pregnant woman. Pearson’s chi-squared test and multiple logistic regression were conducted for bivariate and multivariable analysis respectively. We reported Odds Ratio (OR), 95% Confidence Intervals (CI) and p-values. We used Stata version 14.2 for all analyses. Results The prevalence of anemia among WRA was 19.2% (95% CI: 18.0 - 20.5). After controlling for other variables, the factors associated with were being obese (OR: 0.61, 95% CI: 0.40 - 0.91), being in rich category (OR: 0.74, 95% CI: 0.63 - 0.87), sleeping under a mosquito net (OR: 0.85, 95% CI: 0.74 - 0.98), and using hormonal contraceptives (OR: 0.61, 95% CI: 0.50 - 0.73). The factors associated with higher odds of anemia were being underweight (OR: 1.39, 95% CI: 1.09 - 1.78), using an Intra Uterus Device (OR: 1.98, 95% CI: 1.05 - 3.75), and living in the Southern province (OR: 1.45, 95% CI: 1.11 - 1.89) or in the Eastern province (OR: 1.41, 95% CI: 1.06 - 1.88). Conclusion Anemia continues to pose public health challenges; novel public health interventions should consider geographic variations, improve women economic status, and strengthen iron supplementation especially for IUD users. Additionally, given the association between anemia and malaria, interventions to prevent malaria should be enhanced.

scholarly journals Predictors for Uptake of Tetanus Toxoid Vaccination During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

2020 ◽  
Author(s):  
Maximillian Biyemo Tungaraza ◽  
Fabiola Vicent Moshi
Keyword(s):  
Service Utilization ◽  
Health Survey ◽  
Care Service ◽  
Wealth Index ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Vaccine Uptake ◽  
Women Of Reproductive Age ◽  
Ministry Of Health ◽  
Pemba Island

Abstract Background: Tetanus is a vaccine preventable disease. Tanzania through its Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) recommend all women should receive at least five TT doses in their reproductive life. Little is known on predictors of TT uptake during pregnancy among women of reproductive age in TanzaniaMethod: The study used data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey (2015-16 TDHS-MIS). A total of 6924women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the predictors of TT uptake during pregnancy among women of reproductive age in Tanzania.Results: More than half, 3480 (50.3%) of the study population had either no or one tetanus injection. A total of 3444 (49.7%) had two or more tetanus injection during pregnancy. After adjusted for confounders, predictors of uptake of tetanus vaccination were early antenatal booking (AOR=1.174 at 95% CI=1.033-1.335, p=0.014), age group of women [ 20 to 34 years (AOR=1.433 at 95% CI= 1.155-1.778, p=0.001), more than 34 years (AOR=1.379 at 95% CI=1.065-1.786, p=0.015)], wealth index [ rich (AOR=1.261 at 95% CI= 1.083-1.468, p = 0.003)], parity [para 2-4 (AOR=0.401 at 95% CI=0.343-0.468, p<0.001), para 5 and above (AOR=0.217 at 95% CI=0.178-0.265, p<0.001)], level of education [ primary level, (AOR=0.864 at 95% CI=0.754-0.99, p=0.035)] zones [Unguja Zanzibar Island (AOR=0.434 at 95% CI=0.309-0.609, p<0.001), Pemba (Pemba Island) (AOR=0.34 at 95% CI=0.226-0.512, p<0.001)] and adequate ANC visits (AOR=0.649 at 95% CI=0.582-0.723, p<0.001)Conclusion: Antenatal care service utilization, including both timeliness and the number of ANC visits attended were found important predictors for TT vaccine uptake. Therefore, the responsible ministry of health in the country should strengthen the strategies in place to increase maternal awareness on importance of ANC service utilization.

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