Bypassing primary care clinics for childbirth: a cross-sectional study in the Pwani region, United Republic of Tanzania
Margaret E Kruk, Sabrina Hermosilla, Elysia Larson & Godfrey M Mbaruku
Volume 92, Number 4, April 2014, 246-253
Table 2. Multivariable associations between bypasser status and characteristics of subjects and local primary care clinics, United Republic of Tanzania, 2012
|Characteristic||aOR (95% CI)||P|
|< 20||0.83 (0.58–1.20)||0.330|
|> 35||1.17 (0.89–1.54)||0.252|
|First delivery||2.53 (1.93–3.30)||< 0.001|
|80th percentile of wealth or above||1.44 (1.02–2.03)||0.036|
|Watches television||1.19 (0.92–1.54)||0.177|
|> 5 visits to local health clinic in past year||1.23 (1.00–1.50)||0.045|
|Perceived overall quality of care at local clinic as fair or poor||1.29 (1.00–1.66)||0.049|
|Electricity available||0.60 (0.27–1.35)||0.217|
|Upgraded or renovated in past year||0.39 (0.18–0.84)||0.016|
|Conducts community outreach||0.75 (0.36–1.56)||0.439|
|Obstetric signal functions performed, no.c|
|≥ 4||0.19 (0.08–0.41)||< 0.001|
aOR, adjusted odds ratio; CI, confidence interval.
a Has completed primary school or was able to read part of a sentence in Swahili.
b The primary health facility for which the subject's house falls in the official catchment area.
c Based on a maximum of 7, specified as follows: parenteral antibiotics, parenteral oxytocics, parenteral anticonvulsants, manual removal of placenta, removal of retained products, assisted vaginal delivery and newborn resuscitation with bag and mask.
Note: A total of 1667 (87.8%) of 1898 women who delivered at a facility had complete information for all variables of interest. The model also includes a fixed effect for district, not shown here, to account for differences in health system and infrastructural characteristics at this administrative level. See Methods for definitions of “bypasser” and “non-bypasser”.