Predictors of Health Care Seeking Behavior During Pregnancy, Delivery, and the Postnatal Period in Rural Tanzania.
Objectives Four antenatal visits, delivery in a health facility, and three postnatal visits are the World Health Organization recommendations for women to optimize maternal health outcomes. This study examines maternal compliance with the full recommended maternal health visits in rural Tanzania wit...
| Publicado en: | Maternal & Child Health Journal Vol. 20; no. 8; pp. 1726 - 1735 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116645288&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116645288 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Aug2016 vid: 20 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 116645288 116645288 116645288 10.1007/s10995-016-1976-2 116645288 ppf: 1726 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Predictors of Health Care Seeking Behavior During Pregnancy, Delivery, and the Postnatal Period in Rural Tanzania. aug: au: Larsen, Anna Exavery, Amon Phillips, James Tani, Kassimu Kanté, Almamy affil: Columbia University Mailman School of Public Health, 60 Haven Avenue - B2 New York 10032 USA sug: subj: Help Seeking Behavior In Pregnancy Maternal Health Services Utilization Prenatal Care Intrapartum Care Postnatal Care Human Pregnancy Female Rural Areas Tanzania Healthcare Disparities Multiple Logistic Regression Relative Risk Confidence Intervals Parity Continuity of Patient Care Conceptual Framework Socioeconomic Factors Adolescence Adult Random Sample Data Analysis Software Funding Source Adolescent: 13-18 years Adult: 19-44 years Female ab: Objectives Four antenatal visits, delivery in a health facility, and three postnatal visits are the World Health Organization recommendations for women to optimize maternal health outcomes. This study examines maternal compliance with the full recommended maternal health visits in rural Tanzania with the goal of illuminating interventions to reduce inequalities in maternal health. Methods Analysis included 907 women who had given birth within two years preceding a survey of women of reproductive age. Multinomial logistic regression was used to assess the influence of maternal, household, and community-level characteristics on four alternative classes defining relative compliance with optimal configuration of maternal health care seeking behavior. Results Parity, wealth index, timeliness of ANC initiation, nearest health facility type, religion, and district of residence were significant predictors of maternal health care seeking when adjusted for other factors. Multiparous women compared to primiparous were less likely to seek care at the high level [RRR 0.16, 95 % confidence interval (CI) 0.06-0.46], at the mid-level (RRR 0.22, 95 % CI 0.09-0.58), and the mid-low level (RRR 0.27, 95 % CI 0.09-0.80). Women in the highest wealth index compared to those in the poorest group were almost three times more likely to seek the highest two levels of care versus the lowest level (high RRR 2.92, 95 % CI 1.27-6.71, mid-level RRR 2.71, 95 % 1.31-5.62). Conclusion Results suggest that efforts to improve the overall impact of services on the continuum of care in rural Tanzania would derive particular benefit from strategies that improve maternal health coverage among multiparous and low socioeconomic status women. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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