Knowledge on birth preparedness and complication readiness among expecting couples in rural Tanzania: Differences by sex cross-sectional study.

Dr. Stephen Kibusi, RN, MA PhD
Dr. Stephen Kibusi, RN, MA PhD
The University of Dodoma
Dean, School of Nursing and Public Health
Dodoma, Dodoma | Tanzania, United Republic of
Dr. Alex Ernest, MD, MMed
Dr. Alex Ernest, MD, MMed
College of Health Sciences, University of Dodoma
Obstetrics and Gynaecology
Dodoma | Tanzania

PLoS One 2018 28;13(12):e0209070. Epub 2018 Dec 28.

School of Nursing and Public Health, the University of Dodoma, Dodoma, Tanzania.

Background: Inadequate knowledge of birth preparedness and complication readiness (BPCR) among expecting couples delays timely access to maternal emergency services. The aim of this study was to assess knowledge on birth preparedness and complication readiness and how men and women differ" among expecting couples in a rural setting of Rukwa Region, Tanzania.

Methods: A community-based cross-sectional study targeting pregnant women and their partners was performed from June 2017 to October 2017. A total of 546 couples were sampled using three-stage probability sampling techniques and then interviewed using a structured questionnaire. The mean score difference was sought using independent t-test. Multiple linear regressions were performed to determine the predictors of knowledge.

Results: There was a significant difference in mean knowledge scores between pregnant women (M = 5.58, SD = 4.591) and male partners (M = 4.37, SD = 4.285); t (1085) = -4.525; p<0.001. Among women, BPCR levels were positively influenced by age (β = 0.236; p<0.01), having ever heard about birth preparedness (β = 0.176;p<0.001), being of Mambwe ethnicity (β = 0.187; p<0.001), living near a health center rather than a dispensary (β = 0.101;p<0.05) and having had a prior preterm delivery (β = 0.086;p<0.05). Access to media through radio ownership negatively influenced BPCR levels among both women (β-.119; p<0.01) and men (β = -0.168; p<0.0001). Among men, the BPCR knowledge was only positively influenced by having ever heard about birth preparedness (β = 0.169;p<0.001), age at marriage (β = -0.103; p<0.05), and having completed either primary (β = 0.157;p<0.001) or secondary education (β = 0.131;p<0.01).

Conclusion: Some important predictors of knowledge were revealed among women and men, but overall knowledge about birth preparedness and complication readiness was low. This study demonstrates inadequate knowledge and understanding at the community level about key elements of birth preparedness and complication readiness. In order to improve access to life-saving care for women and neonates, there is a pressing need for innovative community strategies to increase knowledge about birth preparedness and complication readiness. Such strategies are essential in order to reduce maternal and neonatal mortality in rural Tanzania.

Download full-text PDF


Still can't find the full text of the article?

We can help you send a request to the authors directly.
May 2019
6 Reads
3.234 Impact Factor

Publication Analysis

Top Keywords

preparedness complication
expecting couples
complication readiness
birth preparedness
knowledge birth
pregnant women
couples rural
cross-sectional study
difference sought
setting rukwa
sought independent
rukwa region
score difference
community-based cross-sectional
tanzaniamethods community-based
region tanzaniamethods
rural setting
independent t-test
multiple linear
assess knowledge


(Supplied by CrossRef)
Trends in Mternal Mortality: 1990–2013. Estimates by WHO,UNICEF, UNFPA, The World Bank and the United Nations Population Division
World Health Organisation 2014
Factors associated with the utilisation of postnatal care services among the mothers of Nepal: analysis of Nepal Demographic and Health Survey 2011
V Khanal et al.
Sub-Saharan Africa’s mothers, newborns, and children: Where and why do they die?
V Kinney M et al.
PLoS Med 2010
Curbing maternal and child mortality: The Nigerian experience
LO Ogunjimi et al.
Int J Nurs midwifery 2012
Men’s Involvement in Care and Support during Pregnancy and Childbirth
A Helleve et al.
Birth preparedness, complication readiness and fathers’ participation in maternity care in a northern Nigerian community
Z Iliyasu et al.
Afr J Reprod Health 2010
Involvement of males in antenatal care, birth preparedness, exclusive breast feeding and immunizations for children in Kathmandu, Nepal
DN Bhatta et al.
BMC Pregnancy Childbirth 2013
Determinants of Male Partner Involvement in Promoting Deliveries by Skilled Attendants in Busia
M Nanjala et al.
Kenya. Glob J Health Sci 2012

Similar Publications