Family planning uptake in Kagera and Mara regions in Tanzania: a cross-sectional community survey

Abstract

BackgroundIn 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.MethodsSub-analysis of a cross-sectional household survey 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. Univariate analysis was used to present crude effects of covariates, followed by stepwise forward selection to build a multiple logistic regression model. A p-value ≥ 0.20 was applied as the criterion to retain a variable into the model.ResultsAmong 1184 women within two years after giving birth, 393 (33.2%) used family planning methods. After adjusting for (1) age, (2) level of education, (3) living in union, (4) being accompanied to ANC by a partner and (5) being able to mention at least one method, factors independently associated with family planning uptake included: (1) having discussed family planning with the partner (aOR 2.90; 95% CI 1.88-4.49), (2) having been counselled on family planning during ANC (aOR 2.15; 95% CI 1.48-3.13), (3) having discussed family planning with a community health worker (aOR 3.32; 95% CI 1.91-5.77), (4) having discussed family planning with a facility health care worker (aOR 1.79; 95% CI 1.22-2.62), (5) having primary or higher educational level (aOR 1.66; 95% CI 1.01-2.273) and (6) being in union (aOR 1.86; 95% CI 1.02-3.42).ConclusionSupportive constitutes including educational interaction with facility and community health workers, as well as having a supportive partner are facilitators to increased uptake of family planning among women in Tanzania

Prevalence and Motivators for Family Planning Utilization Among Youth Students in Higher Learning Institutions in Dodoma, Tanzania. Cross Sectional Study

“…Lastly, the ndings also indicate that discussing FP matters with sexual partners increased the utilization by more than six-times compared to those who did not. The ndings are in line with [41] who found that discussing FP with sexual partner increased the utilization. Similar ndings were reported from a study conducted in Ethiopia [42].…”

Revisiting fertility regulation and family ties in Tunisia

“…As for the delay in the first birth control, frequent communication between spouses, which presumably includes birth control questions, affects birth control in the past (increasing the probability of use by 40 percentage points), but not during the survey. Similar to findings in Link [ 44 ], Sharan and Valente [ 45 ], and Massenga et al [ 46 ], better communication between the husband and wife increases contraception use, perhaps because they often pondered it jointly.A woman having more education is associated with a greater use of contraception, whether in the past (22 percentage points higher probability of use, relative to women with no education) or during the survey (15 percentage points higher). The literature has long shown that women’s schooling favors more effective and intensive use of contraceptive methods [ 27 , 46 – 49 ].…”

“…Similar to findings in Link [ 44 ], Sharan and Valente [ 45 ], and Massenga et al [ 46 ], better communication between the husband and wife increases contraception use, perhaps because they often pondered it jointly.A woman having more education is associated with a greater use of contraception, whether in the past (22 percentage points higher probability of use, relative to women with no education) or during the survey (15 percentage points higher). The literature has long shown that women’s schooling favors more effective and intensive use of contraceptive methods [ 27 , 46 – 49 ]. As before, male education does not influence contraception, in contrast to Cochrane and Guilkey’s [ 50 ] findings for Tunisia in 1988.…”

Revisiting Fertility Regulation in Tunisia

“…The number of children desired is slightly negatively associated with the probability of current contraceptive use (-4 percent probability per additional child), as in Bollen et al [ 57 ] for 1988 Tunisia, and it does not signi cantly affect past use. The latter may be because fertility goals may change over time.…”