Maternal and Perinatal Surveillance and Response System in Simiyu Region, Tanzania : A Preliminary Result 2018

Abstract

Background: Despite a reduction in under-five mortality in Tanzania, perinatal death remains unacceptably high. We conducted analysis and interpretation of data from the maternal and perinatal surveillance system to provide a local understanding of factors determining perinatal mortality in the Simiyu region. Methods: This was a retrospective cross-section analytical study, in which we analyzed data from the maternal and perinatal surveillance and response system. Multiple logistic regressions performed to examine the associations between stillbirth, demographic characteristics, and obstetric explanatory variables. Results: A total of 381 out of 400 forms with adverse pregnancy outcomes identified and analyzed. Attending ANC at the hospital was significantly associated with adverse pregnancy outcomes [AOR=2.395%CI: 1.16-4.56]. Women delivered at the hospitals were twice as much as [AOR=2.2, 95%CI: 1.12-4.27] to have adverse pregnancy outcomes than those born at the dispensaries. The increasing frequency of deliveries found to be1.2 times more of having stillbirth compared to those with a low rate of births (AOR=1.1595%CI: 1.05-1.26]. Conclusion: Factors associated with perinatal death in the Simiyu region found to be associated with a poor quality of pregnant care from antenatal to delivery. To further reduce neonatal mortality, the quality of care of pregnancy must be improved from antenatal and during intrapartum by providing skilled birth attendance.