ArticleBulletin of the World Health Organization2017
Access to maternal health services: geographical inequalities, United Republic of Tanzania.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Location of births by health facility type: a time trend analysis from 1995 to 2023 in 130 low- and middle-income countries.EClinicalMedicine · 2026Article
- Women's Perspectives on Barriers to Skilled Birth Attendance and Emergency Obstetric Care in Rural Tanzania: A Right to Health Analysis.Health and human rights · 2025Article
- The impact of direct health facility financing on MNCH service provision: results from a comparative, before-after study in Pwani Region, Tanzania.BMC health services research · 2024Article
- Postnatal women's perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive study.BMC pregnancy and childbirth · 2023Article
- Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia.Global health, science and practice · 2022Article
- A Comprehensive Approach to Improving Emergency Obstetric and Newborn Care in Kigoma, Tanzania.Global health, science and practice · 2022Article
- No increase in use of hospitals for childbirth in Tanzania over 25 years: Accumulation of inequity among poor, rural, high parity women.PLOS global public health · 2022Article
- The effects of geographical accessibility to health facilities on antenatal care and delivery services utilization in Benin: a cross-sectional study.Reproductive health · 2021Article
- Mobility for maternal health among women in hard-to-reach fishing communities on Lake Victoria, Uganda; a community-based cross-sectional survey.BMC health services research · 2021Article
- Trends, patterns and cause-specific neonatal mortality in Tanzania: a hospital-based retrospective survey.International health · 2021Article
- The role of gender power relations on women's health outcomes: evidence from a maternal health coverage survey in Simiyu region, Tanzania.BMC public health · 2021Article
- A network analysis of patient referrals in two district health systems in Tanzania.Health policy and planning · 2021Article
- Evaluation of the Direct Health Facility Financing Program in Improving Maternal Health Services in Pangani District, Tanzania.International journal of women's health · 2021Article
- Health facility readiness and provider knowledge as correlates of adequate diagnosis and management of pre-eclampsia in Kinshasa, Democratic Republic of Congo.BMC health services research · 2020Article
- Health system redesign for maternal and newborn survival: rethinking care models to close the global equity gap.BMJ global health · 2020Review
- The effects of changes in distance to nearest health facility on under-5 mortality and health care utilization in rural Malawi, 1980-1998.BMC health services research · 2020Article
- Effects of terrorist attacks on access to maternal healthcare services: a national longitudinal study in Burkina Faso.BMJ global health · 2020Article
- Bypassing or successful referral? A population-based study of reasons why women travel far for childbirth in Eastern Uganda.BMC pregnancy and childbirth · 2020Article
- The impact of a health facility construction campaign on health service utilisation and outcomes: analysis of spatially linked survey and facility location data in Ethiopia.BMJ global health · 2020Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo determine if improved geographical accessibility led to increased uptake of maternity care in the south of the United Republic of Tanzania.
methodsIn a household census in 2007 and another large household survey in 2013, we investigated 22 243 and 13 820 women who had had a recent live birth, respectively. The proportions calculated from the 2013 data were weighted to account for the sampling strategy. We examined the association between the straight-line distances to the nearest primary health facility or hospital and uptake of maternity care.
findingsThe percentages of live births occurring in primary facilities and hospitals rose from 12% (2571/22 243) and 29% (6477/22 243), respectively, in 2007 to weighted values of 39% and 40%, respectively, in 2013. Between the two surveys, women living far from hospitals showed a marked gain in their use of primary facilities, but the proportion giving birth in hospitals remained low (20%). Use of four or more antenatal visits appeared largely unaffected by survey year or the distance to the nearest antenatal clinic. Although the overall percentage of live births delivered by caesarean section increased from 4.1% (913/22 145) in the first survey to a weighted value of 6.5% in the second, the corresponding percentages for women living far from hospital were very low in 2007 (2.8%; 35/1254) and 2013 (3.3%).
conclusionFor women living in our study districts who sought maternity care, access to primary facilities appeared to improve between 2007 and 2013, however access to hospital care and caesarean sections remained low.
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