African Dental Hygiene and Therapy | 28 February 2009
Maternal Care Facility Systems Evaluation in Tanzania: A Multilevel Regression Analysis of Clinical Outcomes
M, w, a, k, a, l, y, u, a, M, w, a, s, e, k, a, ,, S, i, m, i, y, u, C, h, i, t, u, f, o, ,, K, a, m, a, l, i, Z, a, n, i, r, o, h
Abstract
Maternal care facilities in Tanzania face challenges that affect clinical outcomes for mothers and newborns. A multilevel regression analysis was conducted at both individual (clinical data) and system levels (facility management practices). Multilevel regression revealed significant associations between facility management practices and neonatal mortality rates, with a coefficient estimate of -0.35 for each unit increase in quality indicators. The multilevel approach highlighted the importance of integrated system-level improvements to enhance clinical outcomes. Facility managers should prioritise training programmes and policy reforms aimed at improving maternal health care delivery. Treatment effect was estimated with $\text{logit}(p<em>i)=\beta</em>0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.