Why women bypass front-line health facility services in pursuit of obstetric care provided elsewhere: A case study in three rural districts of Tanzania

Tropical Medicine and International Health

Volumn 21, Issue 4, 2016, Pages 504-514

  Kante A M ^a,b   Exavery, A ^b   Phillips, J F ^a   Jackson, E F ^a  

^a Columbia University ^*  (United States)

^b IFAKARA HEALTH INSTITUTE   (Tanzania)

Author keywords

Bypassing; Emergency obstetric and newborn care; Facility delivery; Health seeking behaviour; Multilevel analysis; Quality of care; Tanzania

Indexed keywords

CHILD HEALTH; HEALTH CARE; HEALTH SERVICES; MULTIVARIATE ANALYSIS; QUALITATIVE ANALYSIS; REGRESSION ANALYSIS; RURAL AREA;

BEHAVIOR; CHILDBIRTH; CONTROLLED STUDY; EMERGENCY; FEMALE; HEALTH CARE FACILITY; HUMAN; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MODEL; NEWBORN; NEWBORN CARE; OBSTETRIC PROCEDURE; PRIMIGRAVIDA; ADOLESCENT; ADULT; EMERGENCY HEALTH SERVICE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH SERVICE; MIDDLE AGED; OBSTETRIC DELIVERY; ODDS RATIO; PATIENT ATTITUDE; PREGNANCY; PREGNANCY COMPLICATION; RURAL POPULATION; STATISTICAL MODEL; TANZANIA; YOUNG ADULT;

TANZANIA;

ADOLESCENT; ADULT; DELIVERY, OBSTETRIC; EMERGENCY MEDICAL SERVICES; FEMALE; GRAVIDITY; HEALTH FACILITIES; HEALTH SERVICES ACCESSIBILITY; HUMANS; INFANT, NEWBORN; LOGISTIC MODELS; MATERNAL HEALTH SERVICES; MIDDLE AGED; ODDS RATIO; PATIENT ACCEPTANCE OF HEALTH CARE; PREGNANCY; PREGNANCY COMPLICATIONS; QUALITY OF HEALTH CARE; RURAL POPULATION; TANZANIA; YOUNG ADULT;

EID: 84975763896     PISSN: 13602276     EISSN: 13653156     Source Type: Journal    
DOI: 10.1111/tmi.12672     Document Type: Article

References (45)

1. Hardee K, Gay J, Blanc AK. Maternal morbidity: neglected dimension of safe motherhood in the developing world. Global Public Health 2012:7:603-617: doi:10.1080/17441692.2012.668919.
2. Hogan MC, Forman KJ, Naghavi M et al. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal. Lancet 2010: 375: 1609-1623.
3. Kassebaum NJ, Bertozzi-Villa A, Coggeshall MS et al. Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014: 384: 980-1004.
4. Ross JA & Blanc AK. Why aren't there more maternal deaths? A decomposition analysis. Matern Child Health J 2012: 16: 456-463. (Available from: http://www.ncbi.nlm.nih.gov/pubmed/21431859.)
5. Wang H, Liddell CA, Coates MM et al. Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014: 384: 957-979. (Available from: http://pmc/articles/PMC4165626/?report=abstract.)
6. Bank, The World, and The World Bank. Trends in maternal mortality: 1990 to 2010. Organization 2010: 32: 1-55.
7. Hill K, Thomas K, AbouZahr C et al. Estimates of maternal mortality worldwide between 1990 and 2005: an assessment of available data. Lancet 2007: 370: 1311-1319.
8. Kinney MV, Kerber KJ, Black RE et al. Sub-Saharan Africa's mothers, newborns, and children: where and why do they die? PLoS Med 2010: 7: e1000294.
9. Ronsmans C, Graham WJ. Maternal mortality: who, when, where, and why. Lancet 2006: 368: 1189-1200: doi:10.1016/S0140-6736(06)69380-X.
10. Friberg IK, Kinney MV, Lawn JE et al. Sub-Saharan Africa's mothers, newborns, and children: how many lives could be saved with targeted health interventions? PLoS Med 2010: 7: e1000294.
11. United Republic of Tanzania. The Primary Health Care Improvement Programme (MMAM). Dar-Es-Salaam, 2007.
12. United Republic of Tanzania. The National Road Map Strategic Plan to Accelerate Reduction of Maternal, Newborn and Child Deaths in Tanzania 2008-2015. Dar es Salaam: Tanzania, 2008.
13. Kurowski C, Wyss K, Abdulla S, Mills A. Scaling up priority health interventions in Tanzania: the human resources challenge. Health Policy Plan 2007: 22: 113-127.
14. Manzi F, Schellenberg JA, Hutton G et al. Human resources for health care delivery in Tanzania: a multifaceted problem. Hum Resour Health 2012: 10: 1-10.
15. Gross K, Armstrong Schellenberg J, Kessy F, Pfeiffer C & Obrist B. Antenatal care in practice: an exploratory study in antenatal care clinics in the Kilombero Valley, south-eastern Tanzania. BMC Pregnancy Childbirth 2011: 11: 36.
16. Sahn DE, Younger SD, Genicot G. The demand for health care services in rural Tanzania. Oxford Bull Econ Stat 2003: 65: 241-260.
17. Sarker M, Schmid G, Larsson E et al. Quality of antenatal care in rural southern Tanzania: a reality check. BMC Res Notes 2010: 3: 209.
18. Akin JS, Hutchinson P. Health-care facility choice and the phenomenon of bypassing. Health Policy Plan 1999: 14: 135-151.
19. Kahabuka C, Kvåle G, Hinderaker SG. Care-seeking and management of common childhood illnesses in Tanzania - results from the 2010 Demographic and Health Survey. PLoS ONE 2013: 8: e58789.
20. Kahabuka C, Moland KM, Kvåle G, Hinderaker SG. Unfulfilled expectations to services offered at primary health care facilities: experiences of caretakers of underfive children in rural Tanzania. BMC Health Serv Res 2012: 12: 158.
21. Klemick H, Leonard KL, Masatu MC. Defining access to health care: evidence on the importance of quality and distance in rural Tanzania. Am J Agric Econ 2009: 91: 347-358.
22. Kruk ME, Mbaruku G, McCord CW, Moran M, Rockers P C, Galea S. Bypassing primary care facilities for childbirth: a population-based study in Rural Tanzania. Health Policy Plan 2009: 24: 279-288.
23. Audo MO, Ferguson A, Njoroge PK. Quality of health care and its effects in the utilisation of maternal and child health services in Kenya. East Afr Med J 2005: 82: 547-553.
24. Straneo M, Fogliati P, Azzimonti G, Mangi S & Kisika F. Where do the rural poor deliver when high coverage of health facility delivery is achieved? Findings from a community and hospital survey in Tanzania. PLoS ONE 2014: 9: e113995. (Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4252065&tool=pmcentrez&rendertype=abstract.)
25. Mkoka DA, Kiwara A, Goicolea I & Hurtig A-K. Governing the implementation of emergency obstetric care: experiences of rural district health managers, Tanzania. BMC Health Serv Res 2014: 14: 333. (Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4124475&tool=pmcentrez&rendertype=abstract.)
26. Boex J, Fuller L & Malik A. Decentralized local health services in Tanzania are health resources reaching primary health facilities, or are they getting stuck at the district level? 2015. (Available from: http://www.urban.org/sites/default/files/alfresco/publication-pdfs/2000215-Decentralized-Local-Health-Services-in-Tanzania.pdf) [15 December 2015].
27. Mkoka DA, Goicolea I, Kiwara A, Mwangu M & Hurtig A-K. Availability of drugs and medical supplies for emergency obstetric care: experience of health facility managers in a rural District of Tanzania. BMC Pregnancy Childbirth 2014: 14: 108. (Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3995093&tool=pmcentrez&rendertype=abstract.)
28. Kruk ME, Hermosilla S, Larson E, Mbaruku GM. Bypassing primary care clinics for childbirth: a cross-sectional study in the Pwani region, United Republic of Tanzania. Bull World Health Organ 2014: 92: 246-253.
29. Ramsey K, Hingora A, Kante M et al. The Tanzania Connect Project: a cluster-randomized trial of the child survival impact of adding paid community health workers to an existing facility-focused health system. BMC Health Serv Res 2013: 13 (Supplement 2: S6): 1-14. doi: 10.1186/1472-6963-13-S2-S6.
30. Geubbels E, Amri S, Levira F, Schellenberg J, Masanja H, Nathan R. Health & demographic surveillance system profile: the Ifakara Rural and Urban Health and Demographic Surveillance System (Ifakara HDSS). Int J Epidemiol 2015: 44: 848-861.
31. Mrema S, Kante AM, Levira F et al. Health & demographic surveillance system profile: the Rufiji Health and Demographic Surveillance System (Rufiji HDSS). Int J Epidemiol 2015: 44: 472-483.
32. Exavery A, Kanté AM, Jackson E et al. Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania. BMC Public Health 2012: 12: 1097. (Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3585459&tool=pmcentrez&rendertype=abstract.)
33. WHO. Monitoring Emergency Obstetric Care: A Handbook. WHO: Geneva, 2009: 164.
34. WHO. Maternal Mortality Fact Sheet. Fact Sheet No. 348, 2012.
35. Kahabuka C, Kvåle G, Moland KM, Hinderaker SG. Why caretakers bypass primary health care facilities for child care - a case from Rural Tanzania. BMC Health Serv Res 2011: 11: 315.
36. Leonard KL, Mliga GR, Haile D. Bypassing health centres in Tanzania: revealed preferences for quality. J Afr Econ 2003: 11: 441-471.
37. Filmer D, Pritchett L. The effect of household wealth on educational attainment: evidence from 35 countries. Popul Dev Rev 1999: 25: 85-120.
38. Guo G & Zhao H. Multilevel modeling for binary data. Annu Rev Sociol 2000: 26: 441-462.
39. Rabe-Hesketh S & Skrondal A. Multilevel and Longitudinal Modeling Using Stata. Stata Press: Texas, 2012: 484.
40. Gilson L, Magomi M & Mkangaa E. The structural quality of Tanzanian primary health facilities. Bull World Health Organ 1995: 73: 105-114. (Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2486583&tool=pmcentrez&rendertype=abstract.)
41. Hsia RY, Mbembati NA, Macfarlane S & Kruk ME. Access to emergency and surgical care in sub-Saharan Africa: the infrastructure gap. Health Policy Plan 2012: 27: 234-244. (Available from: http://www.ncbi.nlm.nih.gov/pubmed/21441566.)
42. MoHSW. Tanzania Service Availability and Readiness Assessment (SARA), 2014. (Available from: http://digitallibrary.ihi.or.tz/2448/1/SARA_2012_Report.pdf) [22 April 2015].
43. Low A, de Coeyere D, Shivute N & Brandt LJ. Patient referral patterns in Namibia: identification of potential to improve the efficiency of the health care system. Int J Health Plann Manage 2001: 16: 243-257. (Available from: http://www.ncbi.nlm.nih.gov/pubmed/11596560.)
44. Boller C, Wyss K, Mtasiwa D & Tanner M. Quality and comparison of antenatal care in public and private providers in the United Republic of Tanzania. Bull World Health Organ 2003: 81: 116-122. (Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2572401&tool=pmcentrez&rendertype=abstract.)
45. Saronga HP, Duysburgh E, Massawe S et al. Efficiency of antenatal care and childbirth services in selected primary health care facilities in rural Tanzania: a cross-sectional study. BMC Health Serv Res 2014: 14: 96. (Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3944798&tool=pmcentrez&rendertype=abstract.)