Langa Neema
Department of Sociology/African American Studies, University of Houston, Houston, TX, USA.
Int J Soc Determinants Health Health Serv. 2023 Apr;53(2):183-194. doi: 10.1177/27551938231156033. Epub 2023 Feb 12.
While efforts have been made to increase maternal health care (MHC) utilization and decrease neonatal mortality in Tanzania, much remains to be known about the effect of dependency (particularly on reproductive policy changes) on the use of MHC and neonatal health over time among varying socioeconomic groups. This study applied dependency theory to cross-sectional secondary data (collected by the Tanzania Demographic Health Surveys between 1991 and 2016) to investigate period-based changes in MHC and neonatal mortalities in Tanzania. Results from the data analysis found that while neonatal mortalities were decreasing in Tanzania (from 1991 to 2016), the odds of neonatal mortality were still greater in 2016. Also, a decline in the recommended skilled delivery assistance and 4 + antenatal care visits occurred in the data period. A significant increase in socioeconomic inequality around MHC use and neonatal mortality occurred during the study period as well. Policy recommendations to reduce these inequalities and move toward meeting Sustainability Development Goals for maternal and neonatal health in Tanzania are discussed.
尽管坦桑尼亚已努力提高孕产妇保健（MHC）利用率并降低新生儿死亡率，但对于不同社会经济群体中，依赖（尤其是对生殖政策变化的依赖）对MHC使用和新生儿健康的长期影响，仍有许多未知之处。本研究运用依赖理论，对横断面二手数据（由1991年至2016年坦桑尼亚人口与健康调查收集）进行分析，以调查坦桑尼亚MHC和新生儿死亡率随时间的变化情况。数据分析结果显示，虽然坦桑尼亚的新生儿死亡率在下降（从1991年至2016年），但2016年新生儿死亡的几率仍然更高。此外，在数据统计期间，推荐的熟练接生援助和4次及以上产前检查的次数有所下降。在研究期间，MHC使用和新生儿死亡率方面的社会经济不平等也显著增加。本文还讨论了减少这些不平等现象并朝着实现坦桑尼亚孕产妇和新生儿健康可持续发展目标迈进的政策建议。
