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To reduce the high maternal mortality of Tanzania, a large study was planned to develop a smartphone app to promote birth preparedness in a city area of Tanzania. This study aimed to identify factors that influence birth preparedness in the city area of Tanzania.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pregnant women were asked to complete the Birth Preparedness Questionnaire during antenatal visits using tablets. Multiple linear regression analyses were performed to determine the sociodemographic and obstetric characteristics that influenced the factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 211 participants were included in the analysis. Distance from the nearest health facility negatively influenced the total score of the Birth Preparedness Assessment (\u03b2=\u00a00.7,<jats:italic>p<\/jats:italic>\u2009=\u20090.02). Education higher than college positively influenced the total score (\u03b2\u2009=\u20094.76,<jats:italic>p<\/jats:italic>\u2009=\u20090.01). Decision-making of birthplace by other people (not women) negatively influenced<jats:italic>Family Support<\/jats:italic>(\u03b2=1.18,<jats:italic>p<\/jats:italic>\u2009=\u20090.03). Having jobs negatively influenced<jats:italic>Preparation of Money and Food<\/jats:italic>(\u03b2=-1.02,<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and positively influenced the knowledge (\u03b2\u2009=\u20090.75,<jats:italic>p<\/jats:italic>\u2009=\u20090.03). Being single positively influenced<jats:italic>Preparation of Money and Food<\/jats:italic>(\u03b2\u2009=\u20090.35,<jats:italic>p<\/jats:italic>\u2009=\u20090.19) and<jats:italic>Preference of Skilled Birth Attendants<\/jats:italic>(\u03b2\u2009=\u20090.42,<jats:italic>p<\/jats:italic>\u2009=\u20090.04). Experience of losing a baby negatively influenced the knowledge (\u03b2=0.80,<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and<jats:italic>Preference of Skilled Birth Attendants<\/jats:italic>(\u03b2=0.38,<jats:italic>p<\/jats:italic>\u2009=\u20090.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings showed an updated information on pregnant Tanzanian women living in an urban area where rapid environmental development was observed. Birth preparedness was negatively affected when women reside far from the health facilities, the birthplace decision-making was taken by others beside the women, women have jobs, and when women have experienced the loss of a baby. We hope to use the information from this study as content in our future study, in which we will be applying a smartphone app intervention for healthy pregnancy and birth preparedness. This information will also help in guiding the analysis of this future study. Although generalization of the study needs careful consideration, it is important to reconsider issues surrounding birth preparedness as women\u2019s roles both in the family and society, are more, especially in urban settings.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12913-021-06853-y","type":"journal-article","created":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T18:20:48Z","timestamp":1628965248000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Birth preparedness and related factors: a cross-sectional study in Tanzania City area"],"prefix":"10.1186","volume":"21","author":[{"given":"Yoko","family":"Shimpuku","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Mwilike","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiko","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorkasi","family":"Mwakawanga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Hirose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazumi","family":"Kubota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,8,14]]},"reference":[{"key":"6853_CR1","unstructured":"United Nations. 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She has been conducting research on maternal child health and midwifery in Tanzania since 2008. She speaks fluent English and Kiswahili which were necessary for conducting this study. KI is also a Japanese midwife and obtained a master\u2019s degree under the supervision of YS. She had 3-year volunteer experience in Tanzania and is fluence in Kiswahili. NH is a Japanese nurse and a data scientist who was involved in the study as a PhD student of YS. KK is a Japanese nurse scientist who is specializing in statistics. BM and DM are Tanzanian midwifery researchers who provided cultural understanding and language translation for the data collection.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Authors\u2019 information"}},{"value":"The study was conducted based on the Declaration of Helsinki, the Ethical Guidelines for Medical and Health Research Involving Human Subjects, and the regulation of Kyoto University. The informed consent was obtained on the online form as the information gathered was unidentifiable and the study risk was minimal. Ethical clearance and permissions were obtained from (1) Kyoto University Graduate School and Faculty of Medicine, Ethics Committee (C1446), (2) National Institute for Medical Research, Tanzania (NIMR\/HQ\/R.8\/Vol.IX\/1604), and (3) Tanzania Commission for Science and Technology (No. 2013\u2013273-NA-2013-101).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"818"}}