Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania

Tropical Medicine and Health
Abdon Gregory RwabilimboFelix Akpojene Ogbo

Abstract

A detailed understanding of trends, as well as what act as enablers and/or barriers to the utilisation of antenatal care (ANC) among Tanzanian women, is essential to policymakers and health practitioners to guide maternal health efforts. We investigated the trends and factors associated with ANC service use during the Millennium Development Goals (MDG) era in Tanzania between 1999 and 2016. The study used the Tanzania Demographic and Health Survey (TDHS) data for the years 1999 (n = 2095), 2004-2005 (n = 5576), 2010 (n = 6903) and 2015-2016 (n = 5392). Multivariate multinomial logistic regression models were used to investigate the association between predisposing, enabling, need and community-level factors and frequency of ANC (1-3 and ≥ 4) visits in Tanzania. The proportion of women who made one to three ANC visits improved significantly from 26.4% in 1999 to 47.0% in 2016. The percentage of women who make four or more ANC visits declined from 71.1% in 1999 to 51.0% in 2016. Higher maternal education, belonging to wealthier households, being informally employed and listening to the radio were associated with four or more ANC visits. Women who did not desire pregnancy had a lower likelihood to attend four or more ANC visits. W...Continue Reading

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