IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i4p1651-d496393.html
   My bibliography  Save this article

Family Planning Uptake in Kagera and Mara Regions in Tanzania: A Cross-Sectional Community Survey

Author

Listed:
  • Joseph Massenga

    (Jhpiego Tanzania, Dar es Salaam 9170, Tanzania
    Athena Institute, Vrije Universiteit, 1081HV Amsterdam, Noord-Holland, The Netherlands)

  • Rita Noronha

    (Jhpiego Tanzania, Dar es Salaam 9170, Tanzania)

  • Bayoum Awadhi

    (Jhpiego Tanzania, Dar es Salaam 9170, Tanzania)

  • Dunstan R. Bishanga

    (School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam 11103, Tanzania)

  • Oliva Safari

    (Medical Teams International Kibondo, Dar es Salaam 47401, Tanzania)

  • Lusekelo Njonge

    (Jhpiego Tanzania, Dar es Salaam 9170, Tanzania)

  • Young-Mi Kim

    (Jhpiego, Baltimore, MD 21231, USA)

  • Jos van Roosmalen

    (Athena Institute, Vrije Universiteit, 1081HV Amsterdam, Noord-Holland, The Netherlands
    Department of Obstetrics and Gynaecology, Leiden University Medical Centre, 9300RC Leiden, Zuid-Holland, The Netherlands)

  • Thomas van den Akker

    (Athena Institute, Vrije Universiteit, 1081HV Amsterdam, Noord-Holland, The Netherlands
    Department of Obstetrics and Gynaecology, Leiden University Medical Centre, 9300RC Leiden, Zuid-Holland, The Netherlands)

Abstract

In Tanzania, 27.1% of all women of reproductive age are currently using modern contraception and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania. The survey, which collected information beyond that collected in the Tanzania Demographic Health Survey, used a two-stage, stratified-cluster sampling design, conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15–49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. A total of 393 (33.2%) women used family planning methods and 929 (79%) required prior approval from their partners. Participation of men in utilization of maternal health care was low, where 680 (57.8%) women responded that their partners accompanied them to at least one antenatal care (ANC) counselling visit and 120 (10%) responded that their partners participated in family planning counselling. Women who did not want to disclose whether they had discussed family planning with their partners, strikingly had the highest percentage of using family planning methods after birth. Factors independently associated with family planning uptake included: having discussed family planning with the partner (aOR 3.22; 95% CI 1.99–5.21), having been counselled on family planning during antenatal care (aOR 2.68; 95% CI 1.78–4.05), having discussed family planning with a community health worker (CHW) (aOR 4.59; 95% CI 2.53–8.33) and with a facility health care worker (aOR 1.93; 95% CI 1.29–2.90), having primary or higher educational level (aOR 1.66; 95% CI 1.01–2.273), and being in union (aOR 1.86; 95% CI 1.02–3.42). Educational interaction with community and facility health workers, as well as having a supportive partner as facilitator increased uptake of family planning. This needs to be prioritized in regions with similar socio-cultural norms in Tanzania and beyond.

Suggested Citation

  • Joseph Massenga & Rita Noronha & Bayoum Awadhi & Dunstan R. Bishanga & Oliva Safari & Lusekelo Njonge & Young-Mi Kim & Jos van Roosmalen & Thomas van den Akker, 2021. "Family Planning Uptake in Kagera and Mara Regions in Tanzania: A Cross-Sectional Community Survey," IJERPH, MDPI, vol. 18(4), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1651-:d:496393
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/4/1651/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/4/1651/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Dunstan R. Bishanga & Joseph Massenga & Amasha H. Mwanamsangu & Young-Mi Kim & John George & Ntuli A. Kapologwe & Jeremie Zoungrana & Mary Rwegasira & Adrienne Kols & Kathleen Hill & Marcus J. Rijken , 2019. "Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania," IJERPH, MDPI, vol. 16(3), pages 1-16, February.
    2. Hannah Tappis & Anis Kazi & Waqas Hameed & Zaib Dahar & Anayat Ali & Sohail Agha, 2015. "The Role of Quality Health Services and Discussion about Birth Spacing in Postpartum Contraceptive Use in Sindh, Pakistan: A Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-18, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1651-:d:496393. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.