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Cited by 414Global Maternal and Child HealthMaternal and fetal healthcareMaternal and Perinatal Health Interventions

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Use pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania: implications for achievement of MDG-5 targets

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Mpembeni, Rose NM, Killewo, Japhet Z, Leshabari, Melkzedeck T, Massawe, Siriel N, Jahn, Albrecht, Mushi, Declare, Mwakipa, Hassan·2007·BMC Pregnancy and Childbirth
DOI 10.1186/1471-2393-7-29PMC PMC2222241
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Abstract

BACKGROUND: Almost two decades since the initiation of the Safe motherhood Initiative, Maternal Mortality is still soaring high in most developing countries. In 2000 WHO estimated a life time risk of a maternal death of 1 in 16 in Sub- Saharan Africa while it was only 1 in 2800 in developed countries. This huge discrepancy in the rate of maternal deaths is due to differences in access and use of maternal health care services. It is known that having a skilled attendant at every delivery can lead to marked reductions in maternal mortality. For this reason, the proportion of births attended by skilled health personnel is one of the indicators used to monitor progress towards the achievement of the MDG-5 of improving maternal health. METHODS: Cross sectional study which employed quantitative research methods. RESULTS: We interviewed 974 women who gave birth within one year prior to the survey. Although almost all (99.8%) attended ANC at least once during their last pregnancy, only 46.7% reported to deliver in a health facility and only 44.5% were assisted during delivery by a skilled attendant. Distance to the health facility (OR = 4.09 (2.72-6.16)), discussion with the male partner on place of delivery (OR = 2.37(1.75-3.22)), advise to deliver in a health facility during ANC (OR = 1.43 (1.25-2.63)) and knowledge of pregnancy risk factors (OR 2.95 (1.65-5.25)) showed significant association with use of skilled care at delivery even after controlling for confounding factors. CONCLUSION: Use of skilled care during delivery in this district is below the target set by ICPD + of attaining 80% of deliveries attended by skilled personnel by 2005. We recommend the following in order to increase the pace towards achieving the MDG targets: to improve coverage of health facilities, raising awareness for both men and women on danger signs during pregnancy/delivery and strengthening counseling on facility delivery and individual birth preparedness.

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Figure 1 Qualifications of delivery attendants.
Figure 1 Qualifications of delivery attendants.CC BY · PubMed Central

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Show all 21 references

Research works printed but not linked: 4

  1. Tanzania Ministry of Health: Policy Implications of Adult Morbidity and Mortality. End of Phase I Report. 1997
  2. The United Republic of Tanzania: 2002 Population and Housing Census Volume II, Age and Sex Distribution. 2003, , Central Census Office, National Bureau of Statistics, Presidents Office, Planning and Privatization
  3. Mpembeni R, Moshiro C, Mnyika KS, Hussein A, Mamuya S, Kisanga F, Kawemama P: Baseline survey to assess maternal health situation in 30 CSPD districts in Tanzania. 1999, Dar-Es-Salaam,
  4. Hussein A, Fischel J, Voet : Facility based ANC/RH services performance assessment in four pilot districts (Arusha urban, Monduli, Iringa rural and Ludewa). 2001, Dar-Es-Salaam, Muhimbili University College of Health Sciences

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Metadata

Authors
Mpembeni, R. N., Killewo, J. Z., Leshabari, M. T., Massawe, S. N., Jahn, A., Mushi, D., & Mwakipa, H.
Affiliations
  • Muhimbili University of Health and Allied Sciences (TZ)
  • Heidelberg University (DE)
Corresponding author
Mpembeni, Rose NM
ORCID
Venue
BMC Pregnancy and Childbirth
Publisher
Springer Science and Business Media LLC
Published
2007-12
Volume
7
Issue
1
Pages
29-29
ISSN
1471-2393 (ISSN-L)
DOI
10.1186/1471-2393-7-29
PMC
PMC2222241
OpenAlex
W2077416544
Cited by
414
References
21
Citations by year
2026: 8 · 2025: 5 · 2024: 8 · 2023: 10 · 2022: 23 · 2021: 22 · 2020: 31 · 2019: 29 · 2018: 31 · 2017: 35 · 2016: 32 · 2015: 38 · 2014: 51 · 2013: 36 · 2012: 23
FWCI
5.71
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Pregnancy and Childbirth (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • IHI Repository (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
skilled birth attendance, institutional delivery, maternal mortality, prenatal care, distance to health facility, male partner involvement, pregnancy danger signs, childbirth preparation, southern Tanzania
MeSH terms
Adult, Clinical Competence, Cross-Sectional Studies, Female, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Maternal Health Services, Maternal Welfare, Midwifery, Nurse-Patient Relations, Pregnancy, Pregnancy Complications, Quality of Health Care, Tanzania, Confidence Intervals, Odds Ratio, Health Care Surveys

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