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Maternal healthcare services use in Mwanza Region, Tanzania : a cross-sectional baseline survey

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Abstract
Background: Improving maternal health by reducing maternal mortality/morbidity relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and correlates of uptake of maternal healthcare services among women of reproductive age (15-49 years) in Mwanza Region, Tanzania. Methods: A cross-sectional multi-stage sampling household survey was conducted to obtain data from 1476 households in six districts of Mwanza Region. Data for the 409 women who delivered in the 2 years before the survey were analyzed for three outcomes: four or more ANC visits (ANC4+), health facility delivery, and postpartum visits. Factors associated with the three outcomes were determined using generalized estimating equations to account for clustering at the district level while adjusting for all variables. Results: Of the 409 eligible women, 58.2% attended ANC4+, 76.8% delivered in a health facility, and 43.5% attended a postpartum clinic. Women from peri-urban, island, and rural regions were less likely to have completed ANC4+ or health facility delivery compared with urban women. Education and early first antenatal visit were associated with ANC4+ and health facility delivery. Mothers from peri-urban areas and those who with health facility delivery were more likely to attend postpartum check-ups. Conclusion: Use of ANC services in early pregnancy influences the number of ANC visits, leading to higher uptake of ANC4+ and health facility delivery. Postpartum check-ups for mothers and newborns are associated with health facility delivery. Encouraging early initiation of ANC visits may increase the uptake of maternal healthcare services.
Keywords
Antenatal care, Health facility delivery, Postpartum care, Mwanza, Tanzania, MORTALITY, DELIVERY

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MLA
Orwa, James, et al. “Maternal Healthcare Services Use in Mwanza Region, Tanzania : A Cross-Sectional Baseline Survey.” BMC PREGNANCY AND CHILDBIRTH, vol. 19, 2019, doi:10.1186/s12884-019-2653-4.
APA
Orwa, J., Mantel, M., Mugerwa, M., Brownie, S., Pallangyo, E. S., Mwasha, L., … Temmerman, M. (2019). Maternal healthcare services use in Mwanza Region, Tanzania : a cross-sectional baseline survey. BMC PREGNANCY AND CHILDBIRTH, 19. https://doi.org/10.1186/s12884-019-2653-4
Chicago author-date
Orwa, James, Michaela Mantel, Micheal Mugerwa, Sharon Brownie, Eunice Siaity Pallangyo, Loveluck Mwasha, Kahabi Isangula, et al. 2019. “Maternal Healthcare Services Use in Mwanza Region, Tanzania : A Cross-Sectional Baseline Survey.” BMC PREGNANCY AND CHILDBIRTH 19. https://doi.org/10.1186/s12884-019-2653-4.
Chicago author-date (all authors)
Orwa, James, Michaela Mantel, Micheal Mugerwa, Sharon Brownie, Eunice Siaity Pallangyo, Loveluck Mwasha, Kahabi Isangula, Leonard Subi, Secilia Mrema, Grace Edwards, David Siso, Edna Selestine, Tumbwene Mwansisya, Columba Mbekenga, and Marleen Temmerman. 2019. “Maternal Healthcare Services Use in Mwanza Region, Tanzania : A Cross-Sectional Baseline Survey.” BMC PREGNANCY AND CHILDBIRTH 19. doi:10.1186/s12884-019-2653-4.
Vancouver
1.
Orwa J, Mantel M, Mugerwa M, Brownie S, Pallangyo ES, Mwasha L, et al. Maternal healthcare services use in Mwanza Region, Tanzania : a cross-sectional baseline survey. BMC PREGNANCY AND CHILDBIRTH. 2019;19.
IEEE
[1]
J. Orwa et al., “Maternal healthcare services use in Mwanza Region, Tanzania : a cross-sectional baseline survey,” BMC PREGNANCY AND CHILDBIRTH, vol. 19, 2019.
@article{8647544,
  abstract     = {{Background: Improving maternal health by reducing maternal mortality/morbidity relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and correlates of uptake of maternal healthcare services among women of reproductive age (15-49 years) in Mwanza Region, Tanzania. 
Methods: A cross-sectional multi-stage sampling household survey was conducted to obtain data from 1476 households in six districts of Mwanza Region. Data for the 409 women who delivered in the 2 years before the survey were analyzed for three outcomes: four or more ANC visits (ANC4+), health facility delivery, and postpartum visits. Factors associated with the three outcomes were determined using generalized estimating equations to account for clustering at the district level while adjusting for all variables. 
Results: Of the 409 eligible women, 58.2% attended ANC4+, 76.8% delivered in a health facility, and 43.5% attended a postpartum clinic. Women from peri-urban, island, and rural regions were less likely to have completed ANC4+ or health facility delivery compared with urban women. Education and early first antenatal visit were associated with ANC4+ and health facility delivery. Mothers from peri-urban areas and those who with health facility delivery were more likely to attend postpartum check-ups. 
Conclusion: Use of ANC services in early pregnancy influences the number of ANC visits, leading to higher uptake of ANC4+ and health facility delivery. Postpartum check-ups for mothers and newborns are associated with health facility delivery. Encouraging early initiation of ANC visits may increase the uptake of maternal healthcare services.}},
  articleno    = {{474}},
  author       = {{Orwa, James and Mantel, Michaela and Mugerwa, Micheal and Brownie, Sharon and Pallangyo, Eunice Siaity and Mwasha, Loveluck and Isangula, Kahabi and Subi, Leonard and Mrema, Secilia and Edwards, Grace and Siso, David and Selestine, Edna and Mwansisya, Tumbwene and Mbekenga, Columba and Temmerman, Marleen}},
  issn         = {{1471-2393}},
  journal      = {{BMC PREGNANCY AND CHILDBIRTH}},
  keywords     = {{Antenatal care,Health facility delivery,Postpartum care,Mwanza,Tanzania,MORTALITY,DELIVERY}},
  language     = {{eng}},
  pages        = {{11}},
  title        = {{Maternal healthcare services use in Mwanza Region, Tanzania : a cross-sectional baseline survey}},
  url          = {{http://dx.doi.org/10.1186/s12884-019-2653-4}},
  volume       = {{19}},
  year         = {{2019}},
}

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