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. 2017 Oct 31;95(12):810–820. doi: 10.2471/BLT.17.194126

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.