Use of health belief model and self-determination theory to explain antenatal care services utilization among postnatal women in Mara region.

Tungaraza, Maximillian Biyemo

dc.creator	Tungaraza, Maximillian Biyemo
dc.date	2021-03-04T06:24:40Z
dc.date	2021-03-04T06:24:40Z
dc.date	2020
dc.date.accessioned	2022-10-20T14:03:21Z
dc.date.available	2022-10-20T14:03:21Z
dc.identifier	Tungaraza, M. B. (2020). Use of health belief model and self-determination theory to explain antenatal care services utilization among postnatal women in Mara region (Master dissertation). The University of Dodoma, Dodoma.
dc.identifier	http://hdl.handle.net/20.500.12661/2859
dc.identifier.uri	http://hdl.handle.net/20.500.12661/2859
dc.description	Dissertation (MSc Midwifery)
dc.description	Mara region is among the regions in Tanzania reported to have high maternal mortality ratios. Antenatal care services which are considered to prevent maternal deaths are under-utilized and the factors associated with under-utilization are not explained. Therefore, this study aimed to use health belief model and self-determination theory to explain ANC services utilization among postnatal women in Mara Region. A hospital based cross-sectional study involving postnatal women from April to July 2020 was done using a structured questionnaire. A total of 384 postnatal women were recruited using systematic sampling technique. Data were analyzed using SPSS version 20. Chi square was used to compare categorical variables. Univariate and multivariate analysis were performed to determine the association of variables. A p value of<0.05 was considered as statistically significant. Out of 384 respondents, 53.4% were self-determined, 46.9% were having high level of perception on ANC services and 49.7% had adequate knowledge on ANC services. About 77.1% booked ANC services late, and 85.9% attended less than eight recommended ANC visits. Being from Kurya ethnic group [AOR=0.428 (CI: 0.236-0.779) P = 0.005] and multiparity [AOR = 2.315 (CI: 1.256 - 4.266) P = 0.007] were the predictors of maternal self-determination. Multivariate analysis indicated that those women with low autonomy [AOR = 2.137 (CI: 1.185 - 3.852) P = 0.012], multiparty [AOR = .630 (CI: 1.244 - 5.59) P = 0.011], booking as a regular visit [AOR = 2.446 (CI: 1.210-4.946) P=0.013], self-employment [AOR = 5.089 (95% CI: 1.404 -18.447) P = 0.013] and unemployment [AOR = 5.256 (95% CI: 1.464 - 18.869) P = 0.011] were the predictors for ANC booking. Moreover, those women with low autonomy [AO R= 2.232 (1.045 - 4.767 P = 0.038], and low perceived barriers [AOR = 2.373 (95% CI: 1.267 - 4.447) P = 0.007] were the only predictors for ANC visits. ANC services are still inadequately utilized in Mara region. Low perceived autonomy and low perceived barriers showed to have significant association with inadequate ANC services. Other factors which showed significant association were ANC parity, and initiating ANC services as a regular cause. Efforts should be taken to improve womens self-determination (autonomy), and remove barriers so that to uphold the coverage of ANC services.
dc.language	en
dc.publisher	The University of Dodoma
dc.subject	Antenatal care services
dc.subject	Postnatal
dc.subject	Mara region
dc.subject	Maternal mortality
dc.subject	Maternal deaths
dc.subject	Postpartum
dc.subject	Obstetrics
dc.subject	Hypertension
dc.subject	Diabetes
dc.subject	Health care
dc.subject	Health belief model
dc.subject	Self-determination theory
dc.title	Use of health belief model and self-determination theory to explain antenatal care services utilization among postnatal women in Mara region.
dc.type	Dissertation