Diwakar Mohan|Shivam Gupta|Amnesty LeFevre|Eva Bazant|Japhet Killewo|Abdullah H Baqui
Determinants of postnatal care use at health facilities in rural Tanzania: multilevel analysis of a household survey
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Muhimbili University of Health and Allied Sciences|Johns Hopkins University
postnatal care pnc mother infant neglected area even women give birth health facility currently little evidence determinants use postnatal care health facilities tanzania study examined role individual communitylevel variables use postnatal health services defined check heath facility within 42 days delivery using multilevel logistic regression analysis analyzed data 1931 women delivered preceding 214 months twostage household survey 4 rural districts morogoro region tanzania individual level explanatory variables included sociodemographic factors age birth order education wealth ii factors related pregnancy frequency antenatal visits history complications mode delivery place delivery care counseling received community level variables included community levels family planning health service utilization trust poverty education distance health facility less one four women morogoro reported visited health facility postnatal care individuallevel attributes positively associated postnatal care use womens education primary level higher odds ratio 137 95 confidence interval ci 104181 caesarean section forceps delivery 295 18481 counseled community health worker go postnatal care health facility 23 136389 positive associations included recommended hiv testing baby 194 119315 whose partners tested hiv 141 107186 high community levels postpartum family planning usage 248 115537 high level trust health system 177 112279 two significant communitylevel predictors lower postnatal care use associated delivered hospital 05 033076 health center 057 038085 dispensary 048 033069 severe swelling face legs pregnancy 065 043097 context low postnatal care use rural setting programs direct efforts towards reaching women avail postnatal care identified study