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2014 Kigoma Reproductive Health Survey Kigoma Region, Tanzania

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2014 Kigoma Reproductive Health Survey Kigoma Region, Tanzania 2014 Kigoma Reproductive Health Survey Kigoma Region, Tanzania US Department of Health and Human Services Centers for Disease Control and Prevention Introduction A The findings and conclusions in this paper are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Suggested citation: Centers for Disease Control and Prevention. 2014 Kigoma Reproductive Health Survey: Kigoma Region, Tanzania. Atlanta, GA: Centers for Disease Control and Prevention; 2015. http://www.cdc.gov/reproductivehealth/Global/Publications/ Surveys/Africa/Kigoma-Tanzania/index.htm. FOREWORD This 2014 Kigoma Reproductive Health Survey (RHS) report presents findings from a population- based health survey conducted in collaboration with government agencies, nongovernmental organizations, and other public and private partners. The report includes key indicators that aim to inform the decisions of policy makers, program managers, and other stakeholders invested in supporting and improving reproductive health in Kigoma Region. The government of Tanzania values collaboration with its development partners to achieve shared goals for reproductive health. Through these partnerships, Bloomberg Philanthropies has supported country efforts to improve maternal and newborn health for more than 8 years. The Ministry of Health and Social Welfare (MoHSW) wishes to thank members of MoHSW Reproductive and Child Health who provided valuable contributions: Dr. Georgina Msemo, Dr. Koheleth Winani, Clement Kihinga, and Moris Hiza. MoHSW also acknowledges Kigoma Regional Medical Officer Dr. Leonard Subi and other members of Kigoma health management teams as critical to the success of the 2014 Kigoma RHS. We wish to express gratitude to Bloomberg Philanthropies for providing financial support via the CDC Foundation and contributions to the questionnaire content. The World Lung Foundation and EngenderHealth—nongovernmental organizations providing reproductive health and family planning interventions in Kigoma Region—also contributed to the questionnaire content. We recognize Abdallah Mwinchande, Patrick Kanyamwenge, and Fredrick Ananga at AMCA Inter-Consult Ltd., who trained field staff and organized and supervised survey implementation logistics. We also wish to thank the staff of the US Centers for Disease Control and Prevention, both in Tanzania and in Atlanta, for providing technical assistance in questionnaire design, field staff training, data analysis, and report writing. We are particularly grateful to the enumerators from Kigoma and Dar es Salaam whose hard work enabled the collection of quality data. Finally and most importantly, we would like to thank the women who agreed to participate in the survey and contribute important information to the evidence base for reproductive health in Kigoma Region. Dr. Neema Rusibamayila Director of Preventive Services Ministry of Health and Social Welfare United Republic of Tanzania 2014 Kigoma Reproductive Health Survey Kigoma Region, Tanzania Partners: Tanzania Ministry of Health & Social Welfare Kigoma Region Government Bloomberg Philanthropies EngenderHealth World Lung Foundation AMCA Inter-Consult Ltd. CDC Foundation US Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Reproductive Health CONTENTS Key Findings and Conclusions from the Kigoma 2014 Reproductive Health Survey ........................................................1 Chapter 1: Introduction .......................................................................................................................................................5 1.1 Background and Purpose ..................................................................................................................................................................5 1.2 Western Zone and Tanzania: Reproductive Health Indicators in Context .................................................................................5 1.3 Survey Objectives ...............................................................................................................................................................................7 1.4 Survey Methods ..................................................................................................................................................................................8 1.5 Ethics Approval .........................................................................................................................................................10 Chapter 2: Households, Women, and Births Since January 2009 .....................................................................................11 2.1 Household Characteristics ..............................................................................................................................................................11 2.2 Characteristics of Respondents ......................................................................................................................................................14 2.3 Characteristics of Births Since January 2009 ................................................................................................................................18 Chapter 3: Fertility .............................................................................................................................................................23 3.1 Fertility Levels ...................................................................................................................................................................................23 3.2 Fertility Preferences and Planning Status of Previous Pregnancies ...........................................................................................28 3.3 Future Fertility Preferences .............................................................................................................................................................31 Chapter 4: Family Planning ...............................................................................................................................................35 4.1 Contraceptive Knowledge ...............................................................................................................................................................35 4.2 Ever Use of Contraception ..............................................................................................................................................................37 4.3 Current Use of Contraception ........................................................................................................................................................39 4.4 Number of Living Children at First Use of Contraception .........................................................................................................45 4.5 Source of Modern Contraception Methods ..................................................................................................................................46 4.6 Time to Source of Modern Contraception Methods ...................................................................................................................49 4.7 Availability of Family Planning Services at Government Facilities ...........................................................................................50 4.8 Payment for Contraceptive Methods .............................................................................................................................................50 4.9 Preferred Contraceptive Method Among Current Users ...........................................................................................................51 4.10 Contraceptive Decision Making Among Current Users ...........................................................................................................53 4.11 Reasons for Non-Use of Contraception ......................................................................................................................................54 4.12 Future Intentions of Non-Users and Preferred Method ...........................................................................................................56 4.13 Unmet Need for Contraception ............................................................................................................................... 59 Chapter 5: Maternal and Perinatal Health .........................................................................................................................63 5.1 Antenatal Care ..................................................................................................................................................................................63 5.2 Use of Local Herbs During Pregnancy ..........................................................................................................................................68 5.3 Delivery .............................................................................................................................................................................................70 5.4 Postnatal ............................................................................................................................................................................................88 Chapter 6: Infant, Child, and Perinatal Mortality ............................................................................................................99
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