Bahi District Research Articles

Influence of Socio-Economic and Institutional Factors on the Adoption of Conservation Agriculture in Bahi District, Tanzania

This study sought to establish the influence of socio-economic and institutional factors on the adoption of conservation agriculture in Bahi District, Tanzania. This study used a cross-sectional research design, using the sample of 176 farming households, where 89 households were CA adopters and the remaining 87 households were non-CA adopters. Data from a questionnaire was analyzed through a binary logistic regression model and descriptive statistics. The study concluded that gender, age market availability, credit accessibility and bylaw awareness influenced the adoption of Conservation Agriculture in the study area. If credit accessibility, extension service and bylaws are present, then adopting CA is done more easily. Therefore, before introducing CA, it is important to assess the presence of these factors for better results. Some of the recommendations are that collaboration between financial institutions and policymakers be encouraged as it is essential to increase farmers' credit accessibility by providing affordable loans and financial services. Extension services need to be improved and expanded by funding the extension programs and employing more extension workers. Information dissemination and training on CA should be tailored to consider the needs of female and young farmers. Additionally, cooperative farming groups or networks of young and female farmers should be created to facilitate resource pooling, knowledge sharing and collective investment in necessary equipment and inputs.

Routine health data use for decision making and its associated factors among primary healthcare managers in dodoma region

BackgroundData demand and use culture have a tremendous impact on the proper allocation of scarce resources and evidence-based decision making. However, primary healthcare managers in the majority of Sub-Saharan African countries continue to struggle with using routine health data for decision-making.Purpose/objectiveThis study aimed to assess routine health data use for decision making among primary healthcare managers in Dodoma region.MethodsCross-sectional study design involved 188 primary healthcare managers from Dodoma City Council, Kondoa Town Council and Bahi District Council was conducted. A self-administered questionnaire adapted from the Performance of Routine Information System Management (PRISM) tools was used to collect the data. Data was analysed by using the Statistical Package for Social Science (SPSS) program. Principal Component Analysis was used to find the level of routine health data use, binary logistic regression analysis was used to determine factors associated with routine health data use for decision making among primary healthcare managers. The study was conducted from May to June, 2022.ResultsThe level of adequate routine health data use for decision making among healthcare managers was 63.30%. Factors associated with adequate routine health data use for decision making among healthcare managers were; respondents characteristics: years of working experience (OR = 1.955, 95% CI= [0.892,4.287]), district surveyed (OR = 4.760, 95%CI= [1.412,16.049]), level of health facility (OR = 3.867, 95%CI= [1.354,7.122]) and male gender (OR = 1.901, 95%CI= [1.027,3.521]). Individual factors: comparing data with strategic objectives (OR = 2.986, 95%CI= [1.233–7.229]), decision based on health needs (OR = 7.330, 95%CI= [1.968–27.295]) and decision based on detection of outbreak (OR = 3.769, 95%CI= [1.091–13.019]). Technical factors: ability to check data accuracy (OR = 3.120, 95%CI= [1.682–5.789]), ability to explain findings and its implication (OR = 2.443, 95%CI= [1.278–4.670]) and ability to use information to identity gaps and targets (OR = 2.621, 95%CI= [1.381–4.974]). Organizational factors: organizational support (OR = 3.530, CI= [1.397–8.919]), analyse data regularly (OR = 2.026, 95%CI= [1.075–3.820]) and displays information on key performance indicators (OR = 3.464, 95%CI= [1.525–7.870]).Conclusion and recommendationThe level of routine health data use for decision making among primary healthcare managers was found to be modest. The level of data demand and use culture may increase more quickly if capacity building is strengthened and issues that de-motivate primary health care managers from using data are addressed.

Drivers of Small-Scale Farmers' Adoption of Mobile Phone Technology for Rice Production and Marketing in Dodoma Region

Despite the benefits of Mobile Phone Technology (MPT) in enhancing agricultural communication in Tanzania, a significant gap exists between the rise in mobile phone subscriptions and the actual adoption of MPT by farmers for agricultural production and marketing. This study utilised multinomial logistic regression to analyse factors influencing MPT adoption among 454 small-scale farmers in Bahi District, Dodoma Region. The findings indicated that 62 percent of the farmers adopted MPT, while 38 percent did not. Key factors influencing MPT adoption for rice production communication only included; having household members under 15 years, mobile phone ownership, time spent on using mobile phones, land size, use of hired labour, market distance and distance to all-weather roads. This study revealed that significant determinants for the adoption for rice marketing communication only were farmer’s sex, time spent on mobile phones and market distance. Further, the study showed that significant factors for the adoption for combined rice production and marketing communication were the farmer’s education level, mobile phone ownership, land size, use of family and hired labour, and market distance. Understanding these factors provides a foundation for developing interventions to increase MPT adoption among key stakeholders. Increased adoption of MPT will improve access to market information and agricultural practices in rural areas, thereby enhancing rice production and marketing and improving farmers’ livelihoods.

The Influence of Procurement Compliance in Public Procurement Performance: A Case of Bahi District Council, Tanzania

Purpose: This paper aims to investigate the factors influencing procurement compliance in public procurement performance within the Bahi District Council in Tanzania.
 Design/methodology/approach: A descriptive research design was employed to gather data from 55 respondents through a closed-ended questionnaire.
 Findings: The study found that internal control systems, users’ knowledge, and ethics significantly affect procurement compliance at a significance level of p < 0.05.
 Practical implications: To enhance compliance with public procurement acts and regulations, policymakers are urged to create an enabling environment for the implementation of internal control systems, users’ knowledge, and ethical standards in public entities.
 Paper type: Empirical research.

Quality of health service in the local government authorities in Tanzania: a perspective of the healthcare seekers from Dodoma City and Bahi District councils.

Improvement and access to quality healthcare are a global agenda. Sustainable Development Goal (SDG-3) is committed to ensuring good health and well-being of the people by 2030. However, this commitment heavily depends on joint efforts by local authorities and the immediate service providers to communities. This paper is set to inform the status of health service provision in local authorities in Tanzania using the determinants for quality health services in Dodoma City and Bahi District. A cross-sectional research design was employed to collect data from 400 households in the Local Government Authorities. The five-service quality (SERVQUAL) dimensions of Parasuraman were adopted to gauge the quality of service in public healthcare facilities. Descriptive statistics were used to compute the frequency and mean of the demographic information and the quality of health services, respectively. A binary logistic regression model was used to establish the influence of the demographic dimensions on the quality of health services. The findings revealed that quality health services have not been realised for healthcare seekers. Further, the area of residence, education, and occupation are significantly associated with the perceived quality of health service delivery in the Local Government Authorities. The healthcare facilities under the LGAs offer services whose quality is below the healthcare seekers' expectations. The study recommends that the Local Government Authorities in Tanzania strengthen the monitoring and evaluation of health service delivery in public healthcare facilities.

Feeding Behaviour and Nutritional Status among Children Aged 6 to 23 Months Old in Bahi District in Tanzania.

The survival, well-being, and development of young children depend on optimal infant and young child feeding (IYCF) practices. It is imperative to assess nutrition status and feeding behaviour practices in order to develop interventions. The objective of this study is to assess nutrition status, feeding behaviour, and its association with nutrition status among children aged 6 to 23 months old in Bahi district, Tanzania. A community-based, cross-sectional study was employed. A multistage sampling technique was used. Bahi district council, wards, and village were randomly selected, and then a systematic random sampling method was used to select participants. Anthropometric measurements were used to determine the nutrition status of children. Process for the Promotion of Child Feeding (ProPAN) manual guided assessment of feeding behaviours associated with nutrition status. Z-score was used to determine the level of malnutrition; the chi-square test and logistic regression were used as descriptive and inferential statistical tests, respectively, to determine the association between nutrition status and feeding behaviour. Out of 395 children aged between 6 and 23 months, 62.8% were stunted, 25.3% were underweight, and 6.6% were wasted. In the multivariable analysis, the results reveal that stunting was significantly associated with perception of exclusive breastfeeding (number of months) (AOR 4.24, 95%CI: 2.012-8.284) and number of feeds per day (AOR 2.02, 95%CI: 1.00-6.314). With regard to perception of exclusive breastfeeding (number of months), the children whose mothers perceived that children supposed to be breastfed for more than six months were four times more likely to be not stunted compared to those who were perceived to be breastfed less than three months, and the children whose mothers' fed them twice to three times were two times more likely to be not stunted compared to the children who were fed only two times. Bahi district council has a higher prevalence rate of stunting, underweight, and wasting among children aged 6 to 23 months. Feeding on the first colostrum, exclusive breastfeeding, and breastfeeding for more than six months are the main determinants of nutrition status.

Approaches Used by Heads of Schools in the Supervision of Instructions to Improve Students’ Academic Performance in Bahi District

This study explored approaches used by the heads of schools for supervision instructions to improve students’ academic Performance in Bahi District-Dodoma, Tanzania. The study employed the qualitative approach and multiple case study design. Purposive sampling and random selection techniques were also used to obtain a sample of 60 participants. Data was collected through interviews with open-ended questions as well as focus group discussion and was then analyzed thematically. With regard to this study, interview (open ended) questions were prepared by considering the aspects like the preparation of schools’ almanac, schools’ action plans, availability of both students’ text books and reference books, attendance of teachers in classes, preparation of lesson plans and lesson notes, inspection of classroom activities and assessment. The results revealed that action plans had by 40% been effectively manifested within some schools. However, a few of the teachers were involved only as representatives during their preparation, and the majorities were required to oblige and adhere to the established plans. The other 60% did neither have school action plans nor know how to prepare them. In relation to that, the study also found out that, the heads of schools were just appointed to take the headship responsibilities without being given any leadership seminar or training. In relation to almanacs, the study found out that, school almanacs were prepared but not well followed by the teachers. Moreover, the study revealed that the heads of schools concentrated more on inspecting teaching and learning preparation documents while overlooking to inspect the teachers during classroom sessions. Therefore, the study came up with suggestions to the government, educational officers and other educational stakeholders that, the newly appointed heads of schools and those who are already holding headship roles should be given opportunities to attend leadership seminars and in-service training. The government, educational officers and other educational stakeholders should also work closely with the school heads.

The Association Between the Severity of Trachomatous Scarring and Trachomatous Trichiasis Severity in Surgical Patients in Tanzania

ABSTRACT Purpose To determine the association between the severity of trachomatous conjunctival scarring (TS) of the upper eyelid conjunctiva and trachomatous trichiasis (TT) severity in TT surgical patients. Methods A cross-sectional study was conducted amongst adults with TT who were referred to surgical camps in Bahi District, Tanzania, for TT surgery. Participants underwent ocular examination. The presence and severity of TS was evaluated in photographs of the everted upper eyelid. TT severity was assessed at the time of the ocular exam based on the number of lashes touching the globe and/or evidence and extent of epilation. Ordinal logistic models were used to examine the association between the severity of TS and TT severity. Results A total of 627 eyes of 388 participants were included. Mean age was 65 years (ranging from 21–98), 81% were females, and 62% had bilateral TT. 93% of eyes with any TT had at least moderate TS; 62% of eyes had severe TS. An increase in TS severity was associated with an increase in the severity of TT. Using as a reference eyes with none to mild TS, in eyes with moderate TS the odds of increased severity of TT was 1.30 (95% CI 0.67–2.51), in eyes with severe TS the odds was 4.20 (95% CI 2.23–7.92). Conclusion In cases of trachomatous trichiasis presenting for surgery, the severity of TT was significantly associated with the severity of TS with almost all cases of TT having moderate or severe scarring.

Benefits of the Constituency Development Catalyst Fund on Community Development: A Case of Bahi District, Tanzania

This study examined the benefits of constituency development catalyst fund on community development in Bahi District Council, Dodoma Region of Tanzania through the descriptive design. A sample of 76 respondents was selected out of the 94-study population which involved Development Committees members in four schools and two Health Service Committees, one from each ward. It also involved ten Cell leaders from the two wards, CDCF Committee members and Heads of Departments from the District council. This study employed the quantitative approach where a structured questionnaire was used to collect data. SPSS was used to analyze data through descriptive statistics. The study concluded that the Constituency Development Catalyst Fund has been supporting and funding health facilities in different areas of the country. It has been a tool for Women and Youth empowerment. Due to such encouraging results, CDCF should continue funding community’s project as intentionally designed.

Analysis of Ore Hand-Crushed Size Distribution for Grinding Process in the Artisanal and Small-Scale Gold Mines Production: A Case Study of Nholi Mine, Bahi District

In many parts of the world, artisanal and small-scale gold mines (ASGM) employed numbers of people compared to large-scale mines. The ASGM has been played a crucial role in poverty alleviation and rural development, particularly in developing countries. The mined ore is crushed and ground for beneficiation of gold. The grinding process involved the size reduction of blasted materials to acquire minerals of interest. This paper presents the size distribution of hand-crushed for blasted materials using sieve analysis and digital image processing. The sieve test results for hand-crushed blasted material of three muck-piles were ranged between 17 mm and 36 mm that is equivalent to 20% and 80% passings respectively, with an average of 26 mm. The digital image processing results were about 19.8 mm for 20% passing and 58 mm for 80% passing, with an average of 36.06 mm. The hand-crushed provided a wide range of material distribution than the required size in the grinding unit and increased oversize by 18%. The hand-crushed of blasted materials provides different sizes distribution leading to increase the residence time and power consumption of the grinding units.

Relationship between Working Environments and Employees Performance in Local Government Authorities: A Case of Bahi District Council, Tanzania

The study examined the Relationship between Working Environment and performance at Local Government Authorities in Bahi District Council, Tanzania. The study adopted the descriptive study design and quantitative research approach using the sample of 68 employees and six heads of departements. A self-administered questionnaire was employed as a tool for data collection where by both groups filled the questionnaire. The study used the Statistical Package for Social Sciences (SPSS) to analyse data whereby descriptive and inferential statistic were employed to process findings. The study establishes that employee performance was moderate as majority agreed on high revenue growth and customer satisfaction while the majority were not sure on customer retention effectiveness and profit margin. Current working environment was moderate as majority agreed on transport, communication and safe working environment while some disagreed on ventilation and office space. Ventilation and safe working environment had a significant positive effect on performance. Based on findings, it is recommended the government should allocate sufficient funds to maintain and potentially improve working conditions at Bahi District Council. Secondly, the PO-RALG should adopt the application of transformational leadership style in all Local Government Authorities in Tanzania, which will help to provide proper direction for enhancement of working environment that in turn will improve the performance. Finally, the PO-RALG should look for and allocate sufficient funds for building proper offices in Bahi District Council so as to provide good ventilation and safe working environment for employees.

Women Political Leaders’ Participation in Local Decision-Making Structures in Tanzania

Purpose: This paper envisioned examining the participation of women political leaders in the local decision-making organs in Tanzania. Specifically, the study aimed to examine the number of women represented in the study local government structures (LGSs), the motives behind women participating in the LGSs and the duration of service in the study LGSs.
 Design/Methodology/Approach: The study used a cross-sectional descriptive research design. A cluster sampling technique was used to obtain the study villages and Mitaa. Both quantitative and qualitative research approaches with different data collection methods were used. To collect quantitative data, questionnaires were administered to 390 household heads both men and women in the study villages/Mitaa, while qualitative data were gathered using an interview guide, Focus Group Discussion (FGD) and non-participant observation checklist. Quantitative data collected were analyzed and presented in tables and figures while the qualitative ones were thematically analyzed.
 Findings: The study revealed that the number of women's participation in various local committees in the study of local government structures has increased by 50% (Dodoma City) and 30% (Bahi District). However, motives for women leaders’ participation are constrained by limited continuity of tenure in the political office. Therefore, suitable interventions are recommended to address the existing capacity gaps.
 Research Limitation: The study targeted to involve an equal number of men and women household heads in each study village and Mitaa, however in some villages it happened to have less number of women than men household heads.
 Practical implication: This study recommends that more spaces should be given to women to participate in local decision-making structures and hold seats to enhance gender equality in politics.
 Originality/Value: This study focuses on the gender parity framework in local politics. It brings an understanding to the various government departments, ministries responsible for women and other stakeholders regarding the opportunities available for women to participate in local politics.

Community Participation in the Constituency Development Catalyst Fund: A case of Bahi District, Tanzania

This study examined the community participation in constituency development catalyst fund in Bahi District Council, Dodoma Region of Tanzania. The area was chosen because of low participation nature in community development programs among community members. The study used a descriptive design and employed the quantitative approach. A sample of 76 community stakeholders was selected out of the 94 study population through the simple random sampling technique. A structured questionnaire was used to collect information from respondents and the following mean scores interpretation scale was used: 3.50-4.00= very high participation, 2.50-3.49 = high participation, 1.50-2.49= low participation and 1.00-1.49 = very low participation. After analysis, the study concluded that the community highly participated in the Constituency Development Catalyst Fund (CDCF) programs. Due to such desirable results, it is recommended that the government should encourage community participation to continue for effective results to be maintained. Furthermore, the parliament should take all necessary steps to make sure that the Constituency Development Catalyst Fund’s (CDCF) Act of 2009 is amended by including provisions which show clearly how the community should participate in CDCF projects in various aspects as initiation, implementation and control. This will further enhance the community development.

Smallholder Rice Farmers’ Perceptions on Usefulness of Mobile-Phone Technology in Bahi District, Tanzania

Mobile Phone Technology is increasingly becoming a powerful method of interpersonal communication. This paper documents smallholder rice farmers’ perception of the usefulness of this technology in communicating agricultural production and market information. Data were collected from 282 smallholder farmers selected randomly from rice farmers in Bahi District, Tanzania. The findings revealed that 97.2% of the sampled smallholder farmers owned the phone for more than three years. All phones were able to perform the basic function of sending and receiving short messages and making and receiving calls, with very few (18.8%) capable of accessing the internet. 48% and 78% of the respondents perceived the network coverage and costs of buying and running the technology respectively as moderate, whilst 54.3% perceived the technology as useful in communicating agricultural production and market information. However, only less than 36% of the respondents confirmed to have used the technology to communicate agricultural production and market information, with very few (3.2%) communicating with extension officers. It is recommended that intervention intended to improve farming through mobile phone technology should be configured around the basic functions of mobile phones. More so, extension officers should increase the use of mobile phone technology in advising farmers through automated short message services or a stationed officer on calls.

Leptospira Seropositivity in Humans, Livestock and Wild Animals in a Semi-Arid Area of Tanzania.

Background: Leptospirosis is among the major neglected zoonoses in developing countries. The prevalence of leptospirosis remains underestimated in many African countries because of limited diagnostic facilities. We studied Leptospira seropositivity prevalence in humans, sheep, goats and rodents in a semi-arid region of central Tanzania and compared findings with reports from humid tropical areas. The aims were to establish the disease burden in different settings; understand circulating Leptospira serovars and potential major reservoirs for establishing appropriate control measures. Methods: Humans, sheep, goats, rodents and shrews (insectivores) were sampled from Bahi district, a semi-arid area in central Tanzania. Samples were tested for leptospiral antibodies using microscopic agglutination test (MAT) consisting of Leptospira serovars mainly reported in Tanzania and reference strains. Findings were compared with previous data to determine the disease epidemiological patterns. Results and conclusion: Semi-arid area showed high Leptospira seropositivity prevalence in humans and domestic animals due to intensive human–animal interactions at scarce water points and by flash flooding which occur in the area. Rodent population in the semi-arid areas was relatively low due to flooding. Leptospira seropositivity in rodents was also slightly lower, and the rodents appeared to be prolific breeders, probably as a means to compensate for the lost population during extreme drought as well as during short spells of floods. Intensive human–animal interaction in the semi-arid areas especially, in water sources in valleys where human and animals often meet, likely increased the risk of leptospirosis transmission to rice farmers in the area. Goats and sheep which are kept around homesteads had higher leptospiral antibodies prevalence (62%), nearly double of the 38% reported in same species in humid tropical regions of Tanzania. Livestock, especially goats and sheep, could be the major source of leptospirosis transmission to humans. Vaccination of livestock with vaccines against local Leptospira strains should be encouraged, and rodent control emphasized, as part of a management strategy against leptospirosis. Public awareness of leptospirosis must also be raised and supported by availability of rapid test kits in clinics for preliminary testing of leptospirosis in people with fevers of unknown origin.

Patient perceived barriers to surgical follow-up: Study of 6-month post-operative trichiasis surgery follow-up in Tanzania.

BackgroundPost-surgical follow-up is a challenge in low- and middle-income countries. Understanding barriers to trachomatous trichiasis (TT) surgical follow-up can inform program improvements. In this study, patient perceived barriers and enabling factors to follow-up after TT surgery are identified.MethodsA longitudinal study was carried out in a community-based cohort of persons who received TT surgery in Bahi district, Tanzania. Questionnaires were administered before TT surgery and again after the scheduled 6-month follow-up. Those who did not return were examined at their homes.ResultsAt baseline, 852 participants were enrolled. Of these, 633 (74%) returned at 6 months and 128 (15%) did not and were interviewed at home. Prior to surgery, attenders were more likely to report familiarity with a community health worker (CHW) (22% vs. 14%; p = 0.01) and less likely to state that time constraints are a potential reason for failure to follow-up (66% vs. 74%; p = .04). At follow-up, non-attenders were more likely to endorse barriers pertaining to knowledge about the need for follow-up, lack of transportation, and satisfaction with surgery. There was no difference in post-operative TT between attenders and non-attenders (23% vs. 18% respectively; p = 0.25).ConclusionsThe outcome of surgery was not a barrier to follow-up. However, better integration of CHWs into their communities and work at coordinating post-surgical care may improve follow-up rates. Moreover, provision of transportation and implementation of effective reminder systems may address patient-perceived barriers to improve follow-up.

English

The aim of this study was to assess the level of pesticide residues in locally produced grape wine in Tanzania. Fifty samples of grape wine from different locations in Dodoma urban and Bahi district were analyzed to determine the presence of 49 pesticides using the quick, easy, cheap, effective, rugged and safe (QuEChERS) multi-residue extraction, followed by gas chromatography-tandem mass spectrometry (GC-MS/MS). Twenty-two pesticides were detected among the 49 pesticides analyzed. The selected 49 pesticides was based on its use in grape cultivation which were reported by grape farmers in the study location which includes fungicides, insecticides and herbicides. The pesticides whose concentrations exceeded the maximum residue levels (MRL) were: Pyroquilon, ethofumasate, chlorobeb, azobenzene and cycloate in 38, 33, 46, 14 and 1 wine samples, respectively. Of the samples analyzed 9 (18%) contained one pesticide, 8 (16%) contained two different pesticides, 23 (46%) contained three different pesticides 8 (16%). The results indicated the occurrence of pesticide residues in grape wine produced in Dodoma urban and Bahi districts, Tanzania, and pointed to an urgent need to develop comprehensive intervention measures to reduce potential health risk to consumers. Key words: Pesticides residues, grape wine, food safety, maximum residue levels (MRL).

Blending Local Government Authorities and Grassroots for Industrial Economy through Participatory Development Communication: Experience from Bahi District, Dodoma Region

Blending Local Government Authorities and Grassroots for Industrial Economy through Participatory Development Communication: Experience from Bahi District, Dodoma Region

SUSTAINABILITY OF SCHOOL-BASED FOOD AID IN BAHI DISTRICT OF TANZANIA’S DODOMA REGION AFTER THE END OF WORLD FOOD PROGRAMME SUPPORT


 This study investigated the sustainability of school-based food drive after the phasing out of the World Food Programme (WFP) aid initiative in Bahi district of Dodoma region, Tanzania. The study found that none of the 72 public primary schools in Bahi district had managed to provide school lunch during the post-WFP by October 2017. Only 10 schools managed to provide porridge rather than full lunch to the pupils during the review period. The public primary schools under review were unable to sustain the School Food Programme due to the poor level of parental contributions, drought and widespread poverty. The study also found that parents complained about the school food programme lacking support within the national policy framework. The study recommends the application of the Resource Dependency Theory to sustain the SFP and government’s intervention to boost agricultural production and empower the people to support their wards and the SFP at their wards’ school.
 

Utilization of Maternal Postnatal Care Services Among Women in Selected Villages of Bahi District, Tanzania

Tanzania is among the countries in sub-Saharan Africa with high rate of maternal mortality. Postpartum deaths caused by obstetric factors occur mainly due to limited access and use of maternal health care services. A cross-sectional study was conducted in July, 2014 in Bahi district, Central Tanzania. The objective of the study was to assess the utilization maternal postnatal care (PNC) services and determinants for its utilization. The study involved a random sample of 134 women whose last live child birth occurred within two years preceding the survey. Key issues investigated were awareness to maternal PNC services on health facilities and attitude on the services; timing and frequency of use of maternal PNC services and barriers for utilization of the services. Results show that majority of women (94.8%) were aware of the existence of maternal PNC services in health facilities. Nearly 82% of women had positive attitude towards maternal PNC services. However, only 71.6% of them used the services in their most recent child birth, 70.8% had one to two PNC visits for checkup within 42 days post delivery as opposed to the recommended three visits; and only 41.7, 45.6 and 32.1%, respectively of women that had first, second and third maternal PNC visits, attended the visits timely. Factors associated with non- use of maternal PNC services included low education level, long distance to health facilities, low household income, non-attendance to health facilities for antenatal care service, home delivery, negative attitude towards maternal PNC services and negative perception on quality of maternity health services in health facilities. Women with at least secondary education were more likely to use maternal PNC services compared to those with no formal education (OR = 1.40, p = 0.020). Likewise, women from high income families were more likely to use the services compared to the counterpart (OR = 1.67 p = 0.015). On the other hand, women living in distant areas from health facility i.e., more than 5 km from homestead, were less likely to use the services compared to the counterpart (OR = 0.75, p = 0.033). Non-use of antenatal care services (ANC) also decreased odds for use of maternal PNC services among women (OR = 0.68, p = 0.017). Results further indicate women delivered in health facilities were more likely to report use of maternal PNC services compared to those delivered at home (OR = 2.03, p = 0.004) and women who attached less importance to maternal PNC services were 58% less likely to use the services compared to the counterpart (OR = 0.42, p = 0.003), while those think that quality of maternity health services in health facilities are good were 40% more likely to use maternal PNC services compared to the counterpart (OR = 1.40, p = 0.046). Based on these results, the study recommended that efforts to raise awareness of women in terms of health education and improving their socio-economic conditions should be continued and strengthened. There is also need for continued efforts to improve coverage of health facilities in the rural areas. Capacity of health services should be strengthened both in terms of skilled health attendants and medical supplies.