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

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.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fabiola V. Moshi ◽  
Maximilian Tungaraza

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.



2020 ◽  
Author(s):  
Fabiola Vincent Moshi ◽  
Maximilian Tungaraza

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.



2020 ◽  
Author(s):  
Fabiola Vincent Moshi ◽  
Maximilian Tungaraza

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.



2021 ◽  
Vol 8 (7) ◽  
pp. e503-e512
Author(s):  
Ewelina Rogozińska ◽  
Jahnavi Daru ◽  
Marios Nicolaides ◽  
Carmen Amezcua-Prieto ◽  
Susan Robinson ◽  
...  




2021 ◽  
Vol 17 ◽  
pp. 174550652110606
Author(s):  
Mbuzeleni Hlongwa ◽  
Chester Kalinda ◽  
Karl Peltzer ◽  
Khumbulani Hlongwana

Introduction: Unplanned pregnancy continues to be a global reproductive and public health concern among women. This study aimed to investigate whether factors associated with modern contraceptive use differ by age-group among young and older women of reproductive age. Methods: This was a cross-sectional study conducted among 433 women of reproductive age, with the median age of 25 years (interquartile range: 21–28), and aged between 18 and 49. Data were collected from 10 public health care clinics in Umlazi Township, KwaZulu-Natal, using a structured questionnaire. Data were coded, entered into Epi Data Manager and exported to Stata for analysis. A Pearson’s chi-square test and logistic regression models were employed to assess the level of the association between the predictor and outcome variables, and the p-value of 0.05 or lower was considered statistically significant. Results: Most women in the sample (n = 351, 81%) had obtained a secondary level of education, while 53% (n = 230) were unemployed and 89% (n = 387) were single. We found that women with secondary level of education (AOR: 2.89, 95% CI: 0.99–5.38) or a tertiary level of education (AOR 3.80, 95% CI: 1.07–3.53) were more likely to use contraceptive methods compared to women with lower education. Women who experienced unplanned pregnancy (AOR 0.51, 95% CI: 0.22–3.79) were more likely to use contraceptives. Women aged 25–49 years who experienced pregnancy, whether planned (AOR 3.87, 95% CI: 1.08–3.89) or unplanned (AOR 3.60, 95% CI: 2.15–4.19), were more likely to use a contraceptive method. Results showed that the level of education (p = 0.942) and whether one experienced unplanned pregnancy (p = 0.913) were not significant predictors of contraceptive use among women aged 18–24 years. Conclusion: Concerted educational efforts to addressing existing barriers deterring women from accessing contraception among young women are necessary. Different groups of women should be targeted with family planning interventions specific to their needs.



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