Table 2. Variation in the uptake of antenatal and maternity care according to the distance to nearest primary facility or hospital at which such care was available, United Republic of Tanzania, 2007 and 2013.
Type of care, distance to that care,km | Interviewees in 2007/2013a | Uptake of care in 2007/2013, %b | cPR (95% CI) |
aPR(95% CI)c |
Pd | ||||
---|---|---|---|---|---|---|---|---|---|
2007 | 2013 | 2007 | 2013 | Change between 2007 and 2013 | |||||
Antenatal caree | 0.011 | ||||||||
< 1.0 | 5971/4560 | 44/46 | Reference | Reference | Reference | Reference | 1.0 (1.0–1.1) | ||
1.0– < 2.5 | 3638/2709 | 43/47 | 1.0 (0.9–1.0) | 1.0 (1.0–1.1) | 1.0 (0.9–1.0) | 1.0 (1.0–1.1) | 1.1 (1.0–1.2) | ||
2.5– < 5.0 | 6067/4133 | 41/45 | 0.9 (0.9–1.0) | 1.0 (0.9–1.1) | 0.9 (0.9–1.0) | 1.0 (1.0–1.1) | 1.1 (1.1–1.2) | ||
5.0– < 7.5 | 3001/1702 | 40/44 | 0.9 (0.9–1.0) | 1.0 (0.9–1.0) | 0.9 (0.9–1.0) | 1.0 (0.9–1.1) | 1.1 (1.0–1.2) | ||
≥ 7.5 | 1086/471 | 36/41 | 0.8 (0.8–0.9) | 0.9 (0.8–1.0) | 0.8 (0.7–0.9) | 0.9 (0.8–1.0) | 1.1 (1.0–1.3) | ||
Missing data | 2196/187 | 40/38 | 0.9 (0.8–1.0) | 0.8 (0.7–1.0) | 0.9 (0.8–1.0) | 0.9 (0.7–1.1) | N/A | ||
Total | 21 959/13 762 | 41/45 | N/A | N/A | N/A | N/A | 1.1(1.1–1.1) | ||
Delivery in primary facility | < 0.001 | ||||||||
< 1.0 | 5472/4364 | 22/50 | Reference | Reference | Reference | Reference | 2.3 (2.1–2.5) | ||
1.0– < 2.5 | 2989/2415 | 13/42 | 0.6 (0.5–0.7) | 0.8 (0.8–0.9) | 0.6 (0.5–0.7) | 0.8 (0.8–0.9) | 3.4 (3.0–3.9) | ||
2.5– < 5.0 | 5663/3914 | 8/35 | 0.3 (0.3–0.4) | 0.7 (0.7–0.8) | 0.3 (0.3–0.4) | 0.7 (0.6–0.8) | 4.8 (4.2–5.6) | ||
5.0– < 7.5 | 2867/1681 | 7/35 | 0.3 (0.2–0.4) | 0.7 (0.6–0.8) | 0.3 (0.2–0.4) | 0.7 (0.6–0.8) | 5.3 (4.2–6.6) | ||
≥ 7.5 | 1056/447 | 6/28 | 0.3 (0.2–0.4) | 0.6 (0.4–0.7) | 0.3 (0.2–0.4) | 0.6 (0.5–0.7) | 4.1 (2.7–6.2) | ||
Missing data | 2223/189 | 12/30 | 0.6 (0.4–0.7) | 0.6 (0.4–0.9) | 0.6 (0.4–0.7) | 0.6 (0.4–0.9) | N/A | ||
Total | 20 270/13 010 | 13/41 | N/A | N/A | N/A | N/A | 3.3 (3.1–3.6) | ||
Delivery in hospital | < 0.001 | ||||||||
< 5.0 | 1828/949 | 72/88 | Reference | Reference | Reference | Reference | 1.2 (1.1–1.3) | ||
5.0– < 10.0 | 2420/1767 | 34/57 | 0.5 (0.4–0.5) | 0.7 (0.6–0.7) | 0.6 (0.5–0.6) | 0.7 (0.7–0.8) | 1.6 (1.5–1.8) | ||
10.0– < 15.0 | 3646/2683 | 26/41 | 0.4 (0.3–0.4) | 0.5 (0.4–0.5) | 0.5 (0.4–0.5) | 0.5 (0.5–0.6) | 1.5 (1.4–1.7) | ||
15.0– < 25.0 | 7173/5099 | 22/33 | 0.3 (0.3–0.3) | 0.4 (0.4–0.4) | 0.4 (0.4–0.4) | 0.4 (0.4–0.5) | 1.4 (1.3–1.5) | ||
25.0– < 35.0 | 3681/2267 | 23/27 | 0.3 (0.3–0.4) | 0.3 (0.3–0.3) | 0.4 (0.4–0.4) | 0.3 (0.3–0.4) | 1.1 (1.0–1.3) | ||
≥ 35.0 | 1261/863 | 21/22 | 0.3 (0.3–0.3) | 0.3 (0.2–0.3) | 0.3 (0.3–0.4) | 0.3 (0.2–0.3) | 0.9 (0.7–1.1) | ||
Missing data | 2223/189 | 30/47 | 0.4 (0.4–0.5) | 0.5 (0.4–0.7) | 0.5 (0.4–0.6) | 0.6 (0.5–0.8) | N/A | ||
Total | 22 242/13 817 | 29/40 | N/A | N/A | N/A | N/A | 1.3 (1.2–1.4) | ||
Birth by caesarean section | 0.208 | ||||||||
< 5.0 | 1833/949 | 8.0/12.6 | Reference | Reference | Reference | Reference | 1.5 (1.2–1.9) | ||
5.0– < 10.0 | 2415/1764 | 5.1/8.0 | 0.6 (0.5–0.8) | 0.6 (0.5–0.8) | 0.9 (0.7–1.1) | 0.7 (0.6–0.9) | 1.5 (1.2–1.9) | ||
10.0– < 15.0 | 3636/2683 | 3.9/6.3 | 0.5 (0.4–0.6) | 0.5 (0.4–0.6) | 0.7 (0.5–0.8) | 0.6 (0.5–0.7) | 1.5 (1.2–1.9) | ||
15.0– < 25.0 | 7136/5097 | 3.8/6.1 | 0.5 (0.4–0.6) | 0.5 (0.4–0.6) | 0.7 (0.5–0.8) | 0.6 (0.5–0.7) | 1.5 (1.2–1.7) | ||
25.0– < 35.0 | 3658/2264 | 2.9/5.3 | 0.4 (0.3–0.5) | 0.4 (0.3–0.5) | 0.5 (0.4–0.6) | 0.5 (0.4–0.6) | 1.8 (1.4–2.3) | ||
≥ 35.0 | 1254/864 | 2.8/3.3 | 0.4 (0.2–0.5) | 0.3 (0.2–0.4) | 0.5 (0.3–0.8) | 0.3 (0.2–0.4) | 1.0 (0.6–1.7) | ||
Missing data | 2213/189 | 4.0/8.9 | 0.5 (0.4–0.7) | 0.7 (0.4–1.2) | 0.7 (0.5–0.9) | 0.8 (0.5–1.4) | N/A | ||
Total | 22 145/13 810 | 4.1/6.5 | N/A | N/A | N/A | N/A | 1.5 (1.3–1.6) |
aPR: adjusted prevalence ratio; CI: confidence interval; cPR: crude prevalence ratio; N/A: not applicable.
a Women of reproductive age who reported giving birth in the previous 12 months.
b All of the percentages for 2013 were computed taking sampling weights into consideration.
c Adjusted for the mother’s age, parity, district of residence, education, ethnic group and occupation and her household’s wealth quintile.
d For the interaction between distance to facility and survey year, as assessed in likelihood ratio tests.
e At least four visits.