Mapping, and Factors Associated With Home Deliveries Among Reproductive Women in Tanzania: Demographic and Health Survey 2022

ABSTRACT Background In, 2017, Sub‐Saharan Africa accounted for more than three‐quarters of the estimated maternal deaths worldwide. This study aims to determine the mapping and factors associated with home deliveries among reproductive‐age women in Tanzania. Methods Secondary data analysis of 6,730 women of reproductive age 15–49 drawn from the 2022 Tanzania Demographic and Health Survey and Malaria Indicator Survey (2022 TDHS‐MIS). The analysis considered the complex sampling design used in the survey. Descriptive and inferential analyses were performed, including Chi‐square and multivariable modified Poisson regression. All variables from the bivariate model were entered in the multivariable model after checking for multicollinearity, after controlling for other covariates. Results A total of 6,730 women were included in the analysis with a mean age of 28.44 (SD 0.11). The distribution of women with a history of home delivery per region was observed to be higher in Tabora (109), Manyara (108), Simiyu (90), and Mara (89). The factors associated with home delivery are those women residing in the Southern zone, (aPR: 0.14, 95% CI: 0.06–0.33), and the Southern highland zone (aPR: 0.37, 95% CI: 0.22–0.61). Lake zone (aPR: 0.61, 95% CI: 0.41–0.90), Ever married (aPR: 1.43, 95% CI: 1.06–1.94), those with no or only primary education (aPR: 1.34, 95% CI: 1.06–1.70), wealth status like poorest (aPR: 3.15, 95% CI: 2.23–4.44), poorer and middle wealth index (aPR: 2.31, 95% CI: 1.61–3.28, and aPR: 1.92, 95% CI: 1.34–2.75, respectively). Conclusion The findings of this study indicate that home delivery remains a significant concern among women of reproductive age in Tanzania, with notable regional disparities and socio‐demographic influences. High numbers observed in Tabora, Manyara, Simiyu, and Mara point to persistent geographical and infrastructural challenges. Factors such as marital status, low educational attainment, and economic disadvantage further exacerbate the likelihood of home delivery.