Tanzania HIV/AIDS and Malaria Indicator Survey ... - Measure DHS

Figure 4.3 Adolescent Fertility80 Percent Mothers Pregnant with first child6040200248546391048293821721615 16 17 18 19AgeTHMIS 2007-08As expected, the percentage of teenagers who have started childbearing rises rapidly with age,from 3 percent among women age 15, to 54 percent among women age 19. The percentage is higheramong rural women (26 percent) than urban women (16 percent). In the Mainland, adolescentchildbearing is most common in the Southern Zone and least common in the Northern Zone (34 and16 percent, respectively). Eight percent of women in Zanzibar have started childbearing; 10 percent inPemba and 7 percent in Unguja.Adolescent childbearing has a negative relationship with education. Half of women with noeducation have started childbearing compared with only 3 percent of women with secondary or highereducation.4.4 ANTENATAL CAREThe major objective of antenatal care is to identify and treat problems during pregnancy suchas anaemia and infections. Antenatal care (ANC) visits include screening for complications, andadvising on a range of issues such as place of delivery and referral of mothers with complications. Inthe 2007-08 THMIS, interviewers collected information about ANC for the most recent birth in thepast five years (since January 2002). If a woman received ANC from more than one provider, theprovider with the highest qualifications was used for the questionnaire. Table 4.7 shows the distributionof women who had a live birth in the five years preceding the survey by type of antenatal careprovider, according to background characteristics.Most pregnant women in Tanzania received ANC from skilled personnel (4 percent by adoctor, 7 percent from a clinical officer or assistant clinical officer, 65 percent from a nurse ormidwife, and 21 percent from an MCH aide). Only 2 percent of women received ANC from unskilledpersonnel such as relatives and friends, and 1 percent of women received no ANC.There are no significant differences in ANC by the age of mother, birth order, urban-ruralresidence. Women in the Eastern, Northern, and Central zones are more likely than women in otherzones to receive ANC from a health professional. There were no substantial differences in antenatalcare from a medical professional by women’s level of education or household wealth status.46 | Fertility and Reproductive Health