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Background <p>Globally, access to healthcare among women of reproductive age is among top most health agenda. In line with the endeavor, the government of Tanzania strive to ensure healthcare is accessible to every community member particularly women of reproductive age (15–49 years). However, there are limited scientific evidence on the proportion of women aged 15–49 who can access and the determinants of healthcare services in Tanzania. This study intended to fill the gap.</p> Methods <p>In this study, we analysed secondary information of a weighted sample 15,254 women aged 15–49 years collected using cross-sectional design during the 2022 Tanzania Demographic and Health Survey(TDHS). The binary dependent variable was healthcare access status and independent variables were women’s social demographical characteristics. Descriptive analysis and multivariable modified Poisson regression analysis were performed. The p-value &lt; 0.05 at 95% was set to determine the significant determinant.</p> Results <p>The proportion of women with access to healthcare in Tanzania, stand at 50.2%. After controlling for other covariates, the modified Poisson regression showed that women with secondary and higher education level (Adjusted Prevalence Ratio (APR);1.21,95%CI:1.12,1.30), women who are covered by health insurance (APR;1.18,95%CI:1.11,1.26), belonging to richest households (APR;1.62,95%CI:1.45,1.80), residing in southern zone (APR;1.32,95%CI:1.22,1.42) and women living in union (APR;1.10,95%C:1.05,1.16); had higher prevalence ratio of healthcare access compared to their counter parts. “Conversely, negative determinants of healthcare access included being aged 35–49 years (APR; 0.92; 95% CI: 0.88, 0.97), living in households with 5–6 members, and residing in rural areas (APR; 0.78; 95% CI: 0.73, 0.83). These groups had a lower prevalence of healthcare access compared to their counterparts.</p> Conclusion <p>Only half of Tanzanian women of reproductive age had adequate healthcare access. Its positive determinants included having secondary and above education level, being covered by health insurance, belonging to richest households, residing in southern and coast zones and living in union. Negative determinants included residing in rural, coming from poor households and having no formal education. As a motive toward universal health coverage in Tanzania, the government should design targeted health interventions focusing on poor women in rural areas with low levels of education to improve the healthcare access for all.</p>

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Determinants of healthcare access among women aged 15–49 years in tanzania: a population-based cross-sectional survey

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月14日

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  • Pankras Luoga,
  • Alphoncina Kagaigai,
  • Amani Anaeli,
  • Malale Tungu,
  • Jovinary Adam,
  • Augustus Osborne

摘要

Background

Globally, access to healthcare among women of reproductive age is among top most health agenda. In line with the endeavor, the government of Tanzania strive to ensure healthcare is accessible to every community member particularly women of reproductive age (15–49 years). However, there are limited scientific evidence on the proportion of women aged 15–49 who can access and the determinants of healthcare services in Tanzania. This study intended to fill the gap.

Methods

In this study, we analysed secondary information of a weighted sample 15,254 women aged 15–49 years collected using cross-sectional design during the 2022 Tanzania Demographic and Health Survey(TDHS). The binary dependent variable was healthcare access status and independent variables were women’s social demographical characteristics. Descriptive analysis and multivariable modified Poisson regression analysis were performed. The p-value < 0.05 at 95% was set to determine the significant determinant.

Results

The proportion of women with access to healthcare in Tanzania, stand at 50.2%. After controlling for other covariates, the modified Poisson regression showed that women with secondary and higher education level (Adjusted Prevalence Ratio (APR);1.21,95%CI:1.12,1.30), women who are covered by health insurance (APR;1.18,95%CI:1.11,1.26), belonging to richest households (APR;1.62,95%CI:1.45,1.80), residing in southern zone (APR;1.32,95%CI:1.22,1.42) and women living in union (APR;1.10,95%C:1.05,1.16); had higher prevalence ratio of healthcare access compared to their counter parts. “Conversely, negative determinants of healthcare access included being aged 35–49 years (APR; 0.92; 95% CI: 0.88, 0.97), living in households with 5–6 members, and residing in rural areas (APR; 0.78; 95% CI: 0.73, 0.83). These groups had a lower prevalence of healthcare access compared to their counterparts.

Conclusion

Only half of Tanzanian women of reproductive age had adequate healthcare access. Its positive determinants included having secondary and above education level, being covered by health insurance, belonging to richest households, residing in southern and coast zones and living in union. Negative determinants included residing in rural, coming from poor households and having no formal education. As a motive toward universal health coverage in Tanzania, the government should design targeted health interventions focusing on poor women in rural areas with low levels of education to improve the healthcare access for all.