Determinants of Home Delivery among Women Aged 15-24 Years in Tanzania
DOI:
https://doi.org/10.21106/ijma.361Keywords:
- Adolescents,
- Young women,
- Home delivery,
- Tanzania,
- Sub-Saharan Africa
Abstract
The United Nation's Sustainable Development Goal number 3 aims at reducing the maternal mortality rate by less than 70/100,000 live births globally and 216/100,000 live births in developing regions by 2030. Despite several interventions in Tanzania, maternal mortality has increased from 454/100,000 live births in 2010 to 556/100,000 live births in 2015. Home delivery and maternal young age contribute to maternal deaths. Reducing home deliveries among women aged 15-24 years may likely decrease the prevalence of maternal deaths in Tanzania. This study investigated the determinants of home delivery among women aged 15- 24 years in rural and mainland districts of Tanzania.
Methods:This study uses a mixed-methods approach using data collected as part of the evaluation of government and UNICEF interventions in 13 districts of Tanzania mainland from October and November 2011. Results from the secondary analysis were supplemented by qualitative data collected between February and April 2019 from four rural districts: Bagamoyo, Tandahimba, Magu, and Moshi.
Results:A total of 409 adolescents and young women who delivered one year before the quantitative data collection were included in the final analysis. A quarter of them gave birth at home. Having at least four antenatal care (ANC) visits (OR=0.23, 95% CI: 0.12-0.41, p<0.01), planning place of delivery (OR=0.22, 95%CI: 0.14-0.36 p<0.01), and knowledge of the danger signs during pregnancy (OR=0.36, 95% CI: 0.22-0.57, p<0.01) were significantly associated with the place of delivery.
Conclusion and Global Health Implications:Maternal level of education, number of ANC visits attended, planned place of delivery, and knowledge of danger signs during pregnancy were the determinants of the choice of place of delivery among women aged 15-24 years in Tanzania. Understanding these risk factors is important in designing programs and interventions to reduce maternal deaths from women of this age group which contributes about 18% of all maternal deaths in Tanzania.
Downloads
Similar Articles
- Maria Vigil-Mallette, Daryle Pickens, Julliet Ogu, Deepa Dongarwar, Elizabeth Onugha, Hamisu M Salihu, Fifth Annual Summer Research Summit on Health Equity Organized by the Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, Texas 77030, USA on May 17, 2022 , Vol. 11 No. S2 (2022): International Journal of Maternal and Child Health and AIDS
- Ahmed Zohirul Islam, Nazrul Islam Mondal, Laily Khatun, Mosiur Rahman, Rafiqul Islam, Golam Mostofa, Nazrul Hoque, Prevalence and Determinants of Contraceptive use among Employed and Unemployed Women in Bangladesh , Vol. 5 No. 2 (2016): International Journal of Maternal and Child Health and AIDS
- Rachael Bonawitz, Kathleen Lucy McGlasson, Jeanette L. Kaiser, Thandiwe Ngoma, Jody Lori, Carol Boyd, Godfrey Biemba, Davidson H. Hamer, Nancy A. Scott, Maternity Waiting Home Use by HIV-positive Pregnant Women in Zambia: Opportunity for Improved Prevention of Maternal to Child Transmission of HIV , Vol. 8 No. 1 (2019): International Journal of Maternal and Child Health and AIDS
- Phillips Edomwonyi Obasohan, Religion, Ethnicity and Contraceptive Use among Reproductive age Women in Nigeria , Vol. 3 No. 1 (2015): International Journal of Maternal and Child Health and AIDS
- Sara A. Holtz, Rudi Thetard, Sarah N. Konopka, Jennifer Albertini, Anouk Amzel, Karen P. Fogg, A Systematic Review of Interventions to Reduce Maternal Mortality among HIV-Infected Pregnant and Postpartum Women , Vol. 4 No. 2 (2015): International Journal of Maternal and Child Health and AIDS
- Alicia E. Hersey, Betty Norman, Rebecca Reece, Assessing Reproductive Decision-making Among HIV-Positive Women in Kumasi, Ghana , Vol. 8 No. 1 (2019): International Journal of Maternal and Child Health and AIDS
- Elizabeth Armstrong-Mensah, Damilola Dada, Amber Bowers, Aruba Muhammad, Chisom Nnoli, Geographic, Health Care Access, Racial Discrimination, and Socioeconomic Determinants of Maternal Mortality in Georgia, United States , Vol. 10 No. 2 (2021): International Journal of Maternal and Child Health and AIDS
- Amol Jamkhande, Bhagyashree P. Agre, Neelam Gavali, Anjali Rajesh Gaikwad, Sanpreet Singh Sachdev, Association Between Maternal Periodontitis and Preterm Low Birth Weight in Indian Populations: A Literature Review , Vol. 15 (2026): International Journal of Maternal and Child Health and AIDS
- Rafeek A. Yusuf, Deepa Dongarwar, Zenab I. Yusuf, Hamisu M. Salihu, Association between Intimate Partner Violence, Knowledge and Use of Contraception in Africa: Comparative Analysis across Five African Regions , Vol. 9 No. 1 (2020): International Journal of Maternal and Child Health and AIDS
- Jayati Kusari Basu, Lawrence Chauke, Cert Maternal Fetal Medicine, Terrance Magoro, Clinical Features and Outcomes of COVID-19 Infection among Pregnant Women in South Africa , Vol. 10 No. 2 (2021): International Journal of Maternal and Child Health and AIDS
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
Published
How to Cite
Issue
Section
License
Copyright © 2020 Florence F. Kimario, Charles Festo, Josephine Shabani, Mwifadhi Mrisho. Published by Global Health and Education Projects, Inc., USA.
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , which permits others to remix, transform, and build upon the work non-commercially, provided the original author is credited and the new creations are licensed under the same terms.