Infographic – Comparing Results from the 2014 and 2016 Kigoma, Tanzania Reproductive Health Surveys

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Total Fertility Rate (Number of children per woman) • The total fertility rate declined from 6.7 births per woman in 2014 to 6.5 in 2016. • This represents a decrease of 2.9% in 2 years (from 2014 to 2016).
Desire for More Children (among women in union) • The percentage of women who wished to delay their next birth (by at least 2 years, or not sure when) decreased from 58.6% in 2014 to 54.3% in 2016. • This represents a decrease of 7.3% in 2 years (from 2014 to 2016). • The percentage of women who want to have a child soon (within 2 years) decreased from 10.6% in 2014 to 7.7% in 2016. • This represents a decrease of 27% in 2 years (from 2014 to 2016). • The percentage of women who wished to have no more children increased from 19.4% in 2014 to 22.5% in 2016. • This represents an increase of 16% in 2 years (from 2014 to 2016). • The percentage of women with other answers about their desire for more children (including unable, up to God’s Will, not sure) increased from 11.5% in 2014 to 15.5% in 2016. • This represents an increase of 35% in 2 years (from 2014 to 2016).
Current Contraceptive Use (among women in union) • The percentage of women using any modern contraceptive method (injectables, implants, and other modern methods) increased from 15.6% in 2014 to 19.9% in 2016. • This represents an increase of 21% in 2 years (from 2014 to 2016). • The percentage of women using injectables decreased from 8.9% in 2014 to 8.6% in 2016. • This represents a decrease of 3.4% in 2 years (from 2014 to 2016). • The percentage of women using implants increased from 1.8% in 2014 to 4.8% in 2016. • This represents an increase of 167% in 2 years (from 2014 to 2016). • The percentage of women using other modern contraceptive methods (pill, IUD, tubal ligation, lactational amenorrhea method, condoms) increased from 4.7% in 2014 to 6.5% in 2016. • This represents an increase of 11% in 2 years (from 2014 to 2016). • The percentage of women using traditional methods increased from 5.0% in 2014 to 7.3% in 2016. • This represents an increase of 46% in 2 years (from 2014 to 2016). • The percentage of women using no method decreased from 79.4% in 2014 to 75.7% in 2016. • This represents a decrease of 4.7% in 2 years (from 2014 to 2016).
Total Fertility Rate (Number of children per woman) • The total fertility rate declined from 6.7 births per woman in 2014 to 6.5 in 2016. • This represents a decrease of 2.9% in 2 years (from 2014 to 2016).
Antenatal Care (among women with a birth since January 2014) • The percentage of women who had at least 4 antenatal care visits for their most recent birth increased from 42.1% in 2014 to 43.1% in 2016. • This represents an increase of 2.4% in 2 years (from 2014 to 2016). • The goal is for 100% of women to have at least 4 antenatal care visits. This goal is recommended by the World Health Organization. • The percentage of women who were told about pregnancy complications, among those who received antenatal care, increased from 51.6% in 2014 to 58.0% in 2016. • This represents an increase of 12% in 2 years (from 2014 to 2016). • The goal is for 100% of women who received antenatal care to be told about pregnancy complications. This goal is recommended by the World Health Organization. • The percentage of women who had their blood pressure checked, among those who received antenatal care, decreased from 51.1% in 2014 to 46.0% in 2016. • This represents a decrease of 10% in 2 years (from 2014 to 2016). • The goal is for 100% of women who receive antenatal care to have their blood pressure checked. This goal is recommended by the World Health Organization. • The percentage of women who received antenatal care during the first trimester, for their most recent birth, decreased from 17.0% in 2014 to 15.6% in 2016. • This represents a decrease of 8.2% in 2 years (from 2014 to 2016). • The goal is for 100% of women begin antenatal care visits in the first trimester. This goal is recommended by the World Health Organization.
Location of Delivery • The percentage of births that took place in a health facility increased from 47.0% in 2014 to 58.6% in 2016. • This represents an increase of 25% in 2 years (from 2014 to 2016).
Postnatal Check Up • The percentage of infants who received a check up within 2 months of birth decreased from 85.6% in 2014 to 79.9% in 2016. • This represents a decrease of 6.7% in 2 years (from 2014 to 2016). • The goal is for 100% of infants to have a check up within 2 months of birth. This goal is recommended by the World Health Organization. • The percentage of mothers who received a check up within 6 weeks of giving birth increased from 12.5% to 17.2%. • This represents an increase of 38% in 2 years (from 2014 to 2016). • The goal is for 100% of women to receive a check up within 6 weeks of giving birth. This goal is recommended by the World Health Organization.
Cesarean Section Rate • The percentage of births in Kigoma that are delivered by C-section increased from 3.5% in 2014 to 5.1% in 2016. • This represents an increase of 46% in 2 years (from 2014 to 2016). • The World Health Organization recommends that between 5% and 15% of births be delivered by C-section.
Recommendations • Contraceptive prevalence could be increased by: o Training more health staff to provide family planning counseling and methods (particularly long-acting methods). o Integrating family planning with other health services. o Providing women with information on the safety and effectiveness of contraceptives. • The quality of ANC could be improved by: o Informing women of the health benefits of starting ANC in the first trimester. o Encouraging women to have at least 4 ANC visits. o Training providers on the importance of checking blood pressure and of informing women about the danger signs of pregnancy complications. • The percentage of births in health facilities could be increased by: o Improving counseling about birth safety during ANC. o Referring births with complications to higher level facilities. o Increasing access to basic and comprehensive emergency obstetric care. o Allowing women to have a supportive companion during labor and delivery. • Postnatal care rates could increase if providers: o During antenatal care, stress the importance of a postnatal checkup, for both mother and infant. o Offer women a postnatal checkup when they brings their infants for a checkup.