Family planning in sub-Saharan Africa: progress or stagnation?TP

Cleland, John G.F.; Ndugwa, Robert; Zulu, Eliya M.

doi:10.2471/blt.10.077925

Cited by 180 publications

(177 citation statements)

References 15 publications

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“…But this is likely to change with time when married couples will be leaving far away from parents; and the improved health services and standard of leaving in communities. Educational level is regarded as a proxy determinant on use of contraceptives, but in this study educational level did not show any significant impact on use of contraceptives when compared to other studies within the country [1] and outside the country reviewed [4] [33] [34]. The possible explanation is the sample size in the present study; and the study was carried in urban area where most of the people have access to information and services on contraceptives regardless on level of education.…”

Section: Discussioncontrasting

confidence: 70%

“…Swarts [33] and Cleland [4] have showed similar findings that unmarried women were leading on utilization of contraceptives. The possible underlying reasons for high use of contraceptives among unmarried women include; level of education, freedom of choosing what she wants on reproductive health, prevent unwanted pregnancy and HIV and STIs and spacing the children.…”

Section: Discussionmentioning

confidence: 78%

“…Married women on the other hand in this study the findings have shown 22.4% have ever used contraceptives. Low use of contraceptives among married women is also reported by TDHs [1] and other developing countries [4] [34]- [36]. The possible explanation for low use of contraceptives among married women include: no freedom of using contraceptives because it has to be discussed by her husband and other key people in the family based on the value of the children (male or female) in the family and the community [20].…”

Section: Discussionmentioning

confidence: 97%

“…Tanzania is one of the countries with low rate (34%) on utilization of contraceptives for family planning [1] when compared with developed and other developing countries [2]- [4]. Of the 34%, seven percent (7%) are using natural and traditional methods including abstaining.…”

Section: Introductionmentioning

confidence: 99%

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Utilization of Modern Contraceptives for Family Planning in Urban Setting: Kitunda Ward of Ilala Municipal, Dar-es-Salaam City, Tanzania

Kessy¹,

Kayombo²

2015

OALib

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Background: Tanzania is one of countries with low rate (34%) on utilization of contraceptives when compared with developed and other developing countries. Objective: The objective of this study was to assess the current use of contraceptives among women of reproductive age (15 -49 years) in urban areas as case study, and evaluate barriers on utilization of contraceptives at Kitunda ward, Ilala Municipal, Dar-es-Salaam city. Study Design: The study was a cross-sectional study. Three hundred women of reproductive age (15 -49 years) were interviewed using structured questionnaires for data collection. Two research assistants assisted researchers to interview the sampled child bearing age women. Data Analysis: The collected data were entered in a computer and were analyzed using EPI Info software version 6.0. Results: A total of 300 women were interviewed; 71.9% were of age ranged 18 -35 years; and 50.5% had secondary and college education. The prevalence of contraceptive use was 70%, and injectables ranked first (30.8%) followed by pills (27.7%). Other contraceptive methods used were calendar, rhythm and condoms. Socio-demographic characteristics of women were found to associate with contraceptive use. The most common barriers on utilization of the contraceptives reported include disruption in menstrual cycle, headache, cancer and cardiovascular diseases. It is recommended that there should be an agent need of increasing knowledge by seminar on utilization of all types of contraceptives that spells the usefulness and possible side effects like to occur to users of contraceptives and where to seek health services when such problems occur. This will help users of contraceptive users to have an informed choice which is contraceptive to use for family planning. Above all traditional herbs used for FP should be scientifically studied on their safety and efficacy. They may provide an alternative to present contraceptives that have shown to have side effects.

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Section: Discussioncontrasting

confidence: 70%

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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Utilization of Modern Contraceptives for Family Planning in Urban Setting: Kitunda Ward of Ilala Municipal, Dar-es-Salaam City, Tanzania

Kessy¹,

Kayombo²

2015

OALib

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“…But only 3% of them had used long acting and permanent methods, IUD, female sterilization and implant were used by 0.2%, 1.3% and 2.4% of women, respectively [8]. Another finding in Ethiopia reported that the most common family planning method used was injections (83.1%) followed by oral contraceptives (17.7%) but none of them used longterm methods [9][10][11]. Thus, this study examined the association of factors affecting utilization of long acting reversible contraception and permanent method among women of reproductive age, adjusting for several factors known to be associated with contraceptive use.…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Positive Attitude Increased Utilization of Long Acting and Permanent Family Planning Methods Among Reproductive Age Group Women from Debre Berhan District, Ethiopia: Quantitative and Qualitative Analysis

Asegidew¹,

Tariku²,

M³

et al. 2017

J Community Med Health Educ

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The effects of health facility access and quality on family planning decisions in urban Senegal

2017

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Research in developing countries is rarely focused on examining how supply side factors affect family planning decisions due to a lack of facility-level data. When these data exist, analyses tend to focus on rural environments. In this paper, we study the effects that health facility access and quality have on contraceptive use and desired number of children for women in urban Senegal. Unlike related studies focusing on rural environments, we find no evidence that greater access to health facilities and pharmacies increases contraceptive use among urban women. However, we do find that contraceptive use among urban women is higher with greater facility quality. For example, we find that increasing the proportion of pharmacies employing multiple pharmacists from 0% to 50% would increase contraceptive use by 6.0 percentage points, and increasing the proportion of facilities with family planning guidelines/protocols from 50% to 100% would increase use by 2.1 percentage points.

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Family planning in sub-Saharan Africa: progress or stagnation?TP

Cited by 180 publications

References 15 publications

Utilization of Modern Contraceptives for Family Planning in Urban Setting: Kitunda Ward of Ilala Municipal, Dar-es-Salaam City, Tanzania

Utilization of Modern Contraceptives for Family Planning in Urban Setting: Kitunda Ward of Ilala Municipal, Dar-es-Salaam City, Tanzania

Acceptance and Positive Attitude Increased Utilization of Long Acting and Permanent Family Planning Methods Among Reproductive Age Group Women from Debre Berhan District, Ethiopia: Quantitative and Qualitative Analysis

The effects of health facility access and quality on family planning decisions in urban Senegal

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