Achieving progress in maternal and neonatal health through integrated and comprehensive healthcare services – experiences from a programme in northern Tanzania

Table 2 Antenatal and emergency obstetric care; comparison between study area and other estimates from Tanzania, 1995–2004

Antenatal and obstetric care indicators[22]	Estimates from programme catchment area and Mbulu district 1995–2000[6, 25, 28–30, 32]	Study from other areas in Tanzania[4, 5, 7, 8, 26, 27, 33, 34]	National estimates WHO/DHS – Tanzania 1995–96[2, 9]	National estimates WHO/DHS – Tanzania 2000–2005[3, 10]
Maternal mortality ratio	382 (95% CI 250–560) [6]	241[4], 348–1099[5], 442[7],961[8]	1100 [2]	1500 [3]
Perinatal mortality ratio	27 (95% CI 22–33) [25]			42 [10]
Neonatal mortality ratio	17 (95% CI 13–21) [25]	58[7],68[27],82[26]	36.3 [9]	32 [10]
HIV infected pregnant women for PMTCT	42% (2006) [29]			6% [3]
Proportion of women attended at least once during pregnancy by trained personnel for reasons related to pregnancy	128% [28]		97% [9]	94% [10]
Proportion of all births in health facilities	57% [30]	47.5% and 37.3% [33]	46.5% [9]	47% [10]
Met need for basic and comprehensive EmOC	50.4% [30]	13.9% – 19.3% [34]
Caesarean section as % of complications^a	40.3% [32]
Caesarean section rate	3.6% [32]	1.4% – 1.8% [33]	2.1% [9]	3.2% [10]
Case fatality rate^b (Comprehensive EMOC)	1.4% [32]	3.9% – 1.9% [33]

a. The Caesarean section rate as percent of complications is the rate of Caesarean sections of the total number of obstetric complications needing intervention in a population.
b. The case fatality rate is estimated as the number of obstetric deaths from among all women with obstetric complications in EmOC facilities.
Sources: [2–10, 22, 25, 28–30, 32–34, 26, 27]

ISSN: 1475-9276