Factors influencing utilization of skilled birth attendant during childbirth in the Southern highlands, Tanzania: a multilevel analysis
| العنوان: | Factors influencing utilization of skilled birth attendant during childbirth in the Southern highlands, Tanzania: a multilevel analysis |
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| المؤلفون: | Beatrice John, Rune Philemon, Damian J. Damian, Michael J. Mahande, Sia E. Msuya, Judges Y. Tibelerwa |
| المصدر: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-11 (2020) |
| بيانات النشر: | BioMed Central, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Southern highlands, Adolescent, Reproductive medicine, Psychological intervention, Midwifery, lcsh:Gynecology and obstetrics, SBA, Tanzania, Factors, Health Services Accessibility, Young Adult, Health facility, Pregnancy, medicine, Childbirth, Humans, Skilled births attendants, lcsh:RG1-991, biology, Marital Status, business.industry, Predictors, Attendance, Parturition, Obstetrics and Gynecology, Prenatal Care, Middle Aged, Patient Acceptance of Health Care, biology.organism_classification, Delivery, Obstetric, Utilization, Cross-Sectional Studies, Socioeconomic Factors, Birth attendant, Multilevel Analysis, Educational Status, Female, business, Live birth, Demography, Research Article |
| الوصف: | Background Use of skilled health provider (SBA) during and after childbirth has been reported to reduce maternal and newborn deaths; and is one of the key indicators monitored in Sustainable Development Goals (SDGs). Progress, levels and factors influencing utilization of SBA differ within and between countries. In Tanzania, SBA coverage stands at 64% while the national target is 80%; with wide variability between regions (42–96%). This study aimed at determining factors associated with utilization of skilled births providers during childbirth in Mbeya Region, Southern highlands, Tanzania. Methods This was a cross-sectional analytical study conducted in December 2015 to January 2016, in Mbeya Region. A total of 2844 women of reproductive age were enrolled, but only 1777 women who reported a live birth 5 years prior to the survey were included in this analysis. Multilevel logistic regression analyses were used to determine independent factors influencing utilization of SBA during childbirth. Random effects logistic model was used to assess the variability between clusters on the odds of using skilled birth attendants during delivery. Results In this setting, 81% of the women reported utilization of skilled births attendants during childbirth. ANC visits four times or more (aOR = 1.63–95% CI = 1.26, 2.10; p p = 0.011) were associated with increased SBA use during childbirth whereas having two (aOR = 0.51; 95% CI: 0.33–0.79; p = 0.003) or three children (aOR = 0.37; 95% CI: 0.27–0.58; p p = 0.012) and more than 1 h walking distance to the health facility (aOR = 0.43; 95% CI: 0.32–0.57; p Conclusion The proportion of births attended by skilled births attendants was high, but 19% of the women are still left behind. Concentrated efforts to improve utilization of SBA should be targeted to women with low education, with higher number of children, and with low frequency of ANC attendance. Furthermore, community and facility interventions addressing transport for pregnant women are needed. Qualitative study to explore the barriers of SBA use among the 19% who are not using skilled assistance during childbirth is needed. |
| اللغة: | English |
| تدمد: | 1471-2393 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d64bf9a5fa74560edcde97db38a64187Test http://europepmc.org/articles/PMC7382099Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d64bf9a5fa74560edcde97db38a64187 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712393 |
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