Browsing by Author "Mbago, M. C. Y."
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Item Access and challenges of health facilities amongst agro-pastoralist communities in Handeni district, Tanzania(Journal of Population and Social Studies, 2018-01) Ringo, J. J.; Bengesi, K. M. K.; Mbago, M. C. Y.This study examines high incidence of under-five mortality among agro-pastoralists resulting from lack of access to healthcare facilities. A proportional sampling method was adopted, and descriptive statistics and binary logistic regression were used in data analysis. The results revealed low dependence of agro-pastoralists on formal healthcare facilities, which could be explained by prevalence of informal healthcare facilities in villages where they reside. Education, income, accessibility, and duration of stay in a particular area accounted for the choice of healthcare facilities. Level of education and income determined preference for formal health facilities, possibly due to influence of education on understanding benefits of treatment in formal health facilities and income to meet associated costs. Accessibility of health facility influenced the decision to patronize formal health facilities. This was evident in villages which were connected to reliable road networks. Additionally, the length of time one resides in a particular area played a role in adhering to traditional values influencing the choice of informal healthcare facilities. The government and private sector should invest in rural road networks and promote education among agro-pastoralists on importance of using formal healthcare facilities and rational use of household income to improve accessibility to formal health facilities.Item Gender Determined Roles and Under-Five Mortality among Agro-Pastoralist Communities in Handeni District, Tanzania(Institute for Population and Social Research, Mahidol University, 2018) Ringo, J. J.; Bengesi, K. M. M.; Mbago, M. C. Y.This paper explored gender determined roles and their impact to under-five mortalityin the study area. Across-sectional research design was used to collect data from 160 agro-pastoralist households using a simple random sampling technique.Data were collected in August, 2016in Handeni District, Tanzania mainly througha questionnaire-based survey. Descriptive statistics showed households prevalenceof under-five mortality 12 months prior to the survey for Kibaya, Msomera, Malezi and Kilimilang’ombe villages to be 24.6%, 24.6%, 31.6% and 19.2%, respectively. Binary logistic regression analysis showed that timely household decision, control of household income and equal involvement of household members in the subsistence farming had significant influence on reduction of household under-five mortality. The influence was atβ=-0.071, p = 0.000, odd ratio = 0.931, β= -1.828, p = 0.032, odd ratio = 0.674 and β= -1.013, p = 0.022, odd ration = 0.362respectively.The study findings indicate that women involvement in household decision making and use of household income contribute to the reduction of under-five mortality. It is also the same when subsistence farming is considered as a role for all household members rather than considering it as a women’s role alone. Government, non-governmental organisations and other stakeholders should create awareness campaigns in form of seminars and workshops on gender equality in agro-pastoralist communities.This paper recommends further studies to explore roles of culture on household power dynamics and their implication to under-five mortality.