The Regression Model of Risk Factors Associated with Maternal Mortality in Tanzania

Fulgence Juliana ,Ndume Vitalis ,Mtafya Ambele ,Expeditho Mtisi

doi:10.7176/jhmn/67-06

Abstract

Maternal mortality is one of the statistics showing the largest degree of disparity between the developed and developing countries. According to literature up to 2016 Tanzania was among the countries with unacceptably maternal mortality ratio and claimed to be still very far from reaching the Millennium developing goals. This study aimed at modeling of risk factors for maternal mortality using pre collected data Based on Tanzania Demographic Health Survey (TDH 2015 -16. Therefore secondary data were used to build the model. Data were reanalyzed by descriptive statistics using statistical software package STATA version 13. Based on data the result indicates that mortality was about 345 per 100,000 live births. The contributing factor was identified as education [OR= 0.81), Age group between 20 to 24 (OR = 2.84), distance to the health center (OR = 0.89), Marital status (OR = 1.39). It is concluded that, the risk factor of maternal death is age groups 20 – 24 and 25 – 29 years especially in the mainland rural. Keywords : Martenal Motility, Regression model, Prevalence on maternal DOI : 10.7176/JHMN/67-06 Publication date :October 31 st 2019

Highlights

Maternal mortality is defined as the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated or its management but not from accidental or incidental causes (Shah & Say, 2007)
3.0 FINDINGS AND DISCUSSION The maternal mortality in this study is 345 death per 100,000 live birth. This finding shows that Maternal Mortality Ratio (MMR) in Tanzania was high in the study period
3.1 Maternal mortality in Mainland compared to Islands Women who had been in mainland urban area were found to be 69% less likely to experience a maternal death compared to those women in mainland rural area (OR = 0.31, 95% confidence intervals (CL) = 0.1 – 0.81; P = 0.017)

Summary

Introduction

Maternal mortality is defined as the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated or its management but not from accidental or incidental causes (Shah & Say, 2007). Over 99% of the annual global estimate of 585,000 maternal deaths occur in developing countries; a woman in sub-Saharan Africa who becomes pregnant is 75 times more likely to die as a result of this than a woman in Europe (excluding Eastern Europe) or North America (WHO & UNICEF, 1996).According to the 2004/05 DHS data, the MMR in Tanzania is 578 deaths per 100,000 live births and the 2010 DHS data shows that MMR was 454 deaths per 100,000 live births It argue by (Girum & Wasie, 2017), Policy and programs targeted to improve maternal health and reduce maternal deaths should consider population dynamics, socio-economic influence and health system factors that impose a major risk on mothers. Most maternal deaths occur to women who were young, married, with low levels of education and those having at least two births

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Conclusion