HEALTH Angela Kimweri Overview Introduction to SDH Core SDH - PowerPoint PPT Presentation

SOCIAL DETERMINANTS OF HEALTH Angela Kimweri

Overview • Introduction to SDH • Core SDH issues in Tanzania • SDH policies and strategies • Results from INTREC research • Recommendations

Objectives of the workshop • Workshop outcome  Understanding about SDH  Research that link social Determinants of Health and healthcare outcomes;

Social determinants of health conceptual framework

“ Social Determinants of Health in Tanzania ” Social-Physical-Economic-Services Determinants •  Gender  Age  Geographical location  Malnutrition  Poor budget allocation for health care  Lack of human resource for health  Social inequality  Lack of social protection and specialized care for elderly  Unequal distribution of income and resources  Education for children  Poor link between policy and practices (Source: By Rose Kalage, INTREC student 2012: Mapping SDH)

Relevant SDH polices and strategies • National strategy for Growth and Poverty Reduction (II) • National Health Policy • National Aging Policy • Tanzania Development vision 2025 • Multisectoral approach to SDH

Results Research Title : Assessing the association between gender of the household head and adolescent pregnancy in Tanzania. Methods: A cross section survey, using DHS 2010 , conducted with 2019 currently pregnant adolescents. Data analysis : we applied bi-variate and multi-variate logistic regression technique to find out how gender of the household head and other social determinants factors associated with teenage pregnancy.

Results Table 2. Percent distribution of adolescent by background characteristics in Tanzania Variable % of adolescents who are P-values currently pregnant Marital Status Single 3.4 Married 10.8 <0.001 Ever married 11.8 Education No education 11.3 Primary 8.6 0.015 Secondary 1.4 Place of residence Urban 4.6 Rural 10.2 <0.001 Religion Muslim 6.4 Catholic 8.7 Protestant 11.8 0.021 None 10.7

Results cont …. . Multivariate logistic regression of factors associated with adolescent pregnancy in Tanzania Variable Odds ratio (OR) 95% confidence P-value interval (CI) Sex of the household head Male (ref) 1 Female 0.71 0.44-1.44 0.165 Marital status Single (ref) 1.00 Married 2.88 1.71-4.86 <0.001 Ever married 3.68 1.82-7.46 <0.001 Education No education (ref) 1.00 Primary 0.90 0.63-1.25 <0.001 Secondary 0.18 0.02-1.38 Place of residence Rural (ref) 1.00

Conclusion • Various factors are interconnected • Adolescent are both affected by marital status, Education, religion, and place of residence. • Early marriage as one significant factor for adolescent pregnant • No significant effect between head of household and adolescent pregnant however need further analysis

Recommendation • Government • • Incorporate SDH in all its major programmes and in the programmes of other ministries/sectors • • Commitment/political will