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Table 2 Determinants of use of postnatal care in rural Tanzania; results for multilevel logistic models

From: Determinants of postnatal care use at health facilities in rural Tanzania: multilevel analysis of a household survey

Variables

 

Unadjusted odds ratios

Model 1

Model 2

Model 3

(N = 1931)

(N =1889) (Individual variables)

(N = 1909) (Community variables)

(N = 1889) (Individual + Community variables)

  

OR

95 % CI

p value

OR

95 % CI

p value

OR

95 % CI

p value

OR

95 % CI

p value

Individual level

Age (in years)

15–19

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

20–34

1.13

0.80, 1.60

0.47

1.04

0.67, 1.62

0.86

   

1.14

0.64, 1.57

0.99

35–49

1.31

0.85, 2.01

0.20

1.18

0.68, 2.03

0.56

   

1.16

0.66, 1.96

0.64

Birth order

First pregnancy

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Second or higher

1.17

0.87, 1.59

0.30

1.13

0.76, 1.68

0.54

   

1.13

0.76, 1.68

0.54

Education

Less than primary

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Primary or higher

1.28

0.99, 1.65

0.06

1.38*

1.05, 1.82

0.03

   

1.37*

1.04, 1.81

0.03

Wealth quintile

Lowest

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Lower

0.86

0.58, 1.26

0.43

0.89

0.59, 1.33

0.55

   

0.86

0.57, 1.29

0.46

Middle

0.91

0.62, 1.32

0.61

0.89

0.60, 1.32

0.54

   

0.86

0.58, 1.28

0.45

Higher

0.96

0.65, 1.4

0.84

1.02

0.68, 1.53

0.93

   

0.96

0.64, 1.45

0.85

Highest

0.92

0.61, 1.37

0.67

0.86

0.56, 1.33

0.48

   

0.79

0.51, 1.23

0.28

Place of Delivery

Home

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Hospital

0.7

0.51, 1.06

0.10

0.52^

0.35, 0.79

0.002

   

0.50^

0.33, 0.76

0.001

Health Center

0.75

0.52, 1.09

0.13

0.64*

0.43, 0.95

0.03

   

0.57^

0.38, 0.85

0.01

Dispensary

0.54^

0.38, 0.77

0.01

0.49#

0.34, 0.72

<0.001

   

0.48#

0.33, 0.69

<0.001

Antenatal Care utilization

No ANC visits

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

1–3 visits

2.15

0.73, 6.32

0.16

2.15

0.72, 6.45

0.17

   

2.37

0.79, 7.08

0.12

4+ visits

2.27

0.78, 6.61

0.13

2.50

0.84, 7.43

0.10

   

2.71

0.91, 8.06

0.07

Mode of delivery

Normal delivery

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Cesarean/forceps

2.6*

1.65, 4.07

<0.001

2.89#

1.76, 4.73

<0.001

   

2.95#

1.80, 4.81

<0.001

Seizures/unconscious antenatally

No

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Yes

2.18

0.93, 5.1

0.72

2.29

0.94, 5.57

0.07

   

2.33

0.95, 5.66

0.06

Severe antenatal swelling of face/legs

No

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Yes

0.71

0.49, 1.05

0.08

0.66*

0.44, 0.99

0.05

   

0.65*

0.43, 0.97

0.04

Complications during delivery

No

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Yes

1.51*

1.09, 2.09

0.01

1.31

0.89, 1.94

0.17

   

1.29

0.87, 1.91

0.2

Complications during Postnatal Period

No

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Yes

1.56*

1.09, 2.22

0.01

1.39

0.91, 2.11

0.13

   

1.33

0.88, 2.02

0.19

Report spending money on delivery care

No

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Yes

0.82

0.64, 1.05

0.12

0.77*

0.59, 1.00

0.05

   

0.78

0.60, 1.01

0.06

Counseled for PNC by CHW

No

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Yes

2.58^

1.55, 4.29

<0.001

2.32^

1.37, 3.93

0.002

   

2.3^

1.36, 3.89

0.002

Received HIV testing for infant

No

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Yes

1.9^

1.2, 3.02

0.01

1.93^

1.19, 3.15

0.01

   

1.94^

1.19, 3.15

0.01

Partner tested for HIV

No

1.00 (ref)

1.00 (ref)

   

1.00 (ref)

Yes

1.35*

1.05, 1.74

0.02

1.42*

1.08, 1.87

0.01

   

1.41^

1.07, 1.86

0.01

Community level

Community usage of family planning

Low

1.00 (ref)

   

1.00 (ref)

1.00 (ref)

Middle

1.54

0.8, 2.96

0.19

   

1.53

0.82, 2.86

0.18

1.57

0.83, 2.98

0.16

High

1.82

0.95, 3.5

0.07

   

2.21*

1.04, 4.69

0,04

2.48*

1.15, 5.37

0.02

Community coverage of 4 ANC visits

Low

1.00 (ref)

   

1.00 (ref)

1.00 (ref)

Middle

0.77

0.4, 1.46

0.42

   

0.73

0.41, 1.31

0.30

0.70

0.38, 1.27

0.5

High

1.6

0.85, 3.02

0.15

   

1.22

0.66, 2.24

0.52

1.14

0.61, 2.14

0.68

Community level of poverty

Low

1.00 (ref)

   

1.00 (ref)

1.00 (ref)

Middle

0.81

0.42, 1.55

0.52

   

0.89

0.51, 1.56

0.67

1.05

0.59, 1.88

0.89

High

1.39

0.72, 2.69

0.33

   

1.16

0.57, 2.38

0.70

1.45

0.68, 3.09

0.34

Community trust

Low

1.00 (ref)

   

1.00 (ref)

1.00 (ref)

High

1.44

0.83, 2.48

0.19

   

1.76*

1.12, 2.75

0.01

1.77*

1.12, 2.79

0.01

Community level of education

Low

1.00 (ref)

   

1.00 (ref)

1.00 (ref)

Middle

1.0

0.52, 1.93

0.99

   

0.72

0.39, 1.33

0.29

0.68

0.36, 1.26

0.22

High

1.49

0.77, 2.89

0.23

   

1.27

0.66, 2.46

0.47

1.20

0.61, 2.36

0.60

Distance to nearest health facility

Facility in village

1.00 (ref)

   

1.00 (ref)

1.00 (ref)

0–5 KM

1.77

0.87, 3.59

0.11

   

1.08

0.59, 1.99

0.82

1.07

0.57, 1.99

0.86

5 or more KM

1.09

0.55, 2.15

0.81

   

1.39

0.76, 2.55

0.30

1.38

0.74, 2.57

0.32

Districts

Morogoro DC

1.00 (ref)

   

1.00 (ref)

1.00 (ref)

Mvomero

0.50

0.22, 1.16

0.11

   

0.41*

0.20, 0.85

0.02

0.37*

0.17, 0.79

0.01

Kilosa

0.33^

0.15, 0.71

0.01

   

0.31^

0.15, 0.61

<0.001

0.27#

0.13, 0.56

<0.001

Ulanga

0.3^

0.12, 0.72

0.01

   

0.16#

0.06, 0.39

<0.001

0.15#

0.06, 0.38

<0.001

Variance

    

0.48

  

0.96

  

0.47

  

SE (variance)

    

0.1

  

0.12

  

0.1

  
  1. *p < 0.05 ^p < 0.01 #p < 0.001