Determinants of Modern Contraceptive Use among Women of Reproductive Age in Tanzania: Evidence from Tanzania Demographic and Health Survey Data

Abstract

Introduction: Tanzania is among of the African countries with high maternal and child mortality rates and fast growing population. It also has high fertility rate and a huge unmet need for family planning. Contraceptive use reported to avert more than 1 million maternal deaths in Sub-Saharan Africa due to decline in fertility rate and thus help to achieve MDG 4 and 5. Therefore, this study aimed to determine factors influencing modern contraceptive use among women aged 15 -49 years in Tanzania. Methods: This was a secondary analysis of Tanzania Demographic Health Survey (TDHS), 2010. A total of 475 clusters (urban and rural) composed of 9663 households were selected. During the survey, a total of 10,139 women aged 15 -49 years were interviewed about sexual and reproductive matters using a standardized questionnaire. We restricted our analysis to married/cohabiting women (n = 6412) responded for in individual records and domestic violence (n = 4471). Univariate and multiple logistic regression analyses were performed using Stata version 11.0. Odds ratios with 95% confidence intervals for determinants of modern contraceptive use were estimated. A P value of 5% (2 tails) was considered statistically significant. Results: Women empowerment (OR = 1.4; 95% CI: 1.13 -1.63), male-female age difference of less or equal to nine (OR = 1.6; 95 CI: 1.01 -2.66), and advice given at health care facilities on family planning (OR = 1.6; 95 CI: 1.37 -1.96) were predictors of modern contraceptive use. Woman sexual violence * Corresponding author. P. L. Kidayi et al. 44was not associated with modern contraceptive use. Conclusions: The predictors of modern contraceptive use in our study correspond with previous studies in low and middle income countries. Women empowerment, male-female age difference, and child desire were important predictors for modern contraceptive use. This highlights the need to promote contraceptive use among women of reproductive age.

Prevalence and Determinants of Modern Contraceptive Methods Use among Women of Reproductive Age (15 - 49 Years) in Rural Setting: A Case of Kishapu District, Shinyanga Region

“…In this study women with formal education were more likely to use modern contraceptive methods compared to women without formal education. Similar findings were reported elsewhere [13] [14].…”

Contraceptive Use in Ghana: What about Women Empowerment?

“…The finding is consistent with the Planned Behavior's theoretical proposition that individual's ability to execute the intended behaviour shall be determined by the ability to have control and relative ease to undertake the intended action [23] [24]. The findings is also consistent with the one reported from Tanzania where it was similarly noticed that women who were empowered were more likely to use contraceptives [37]. It was again evident that women who were not deciding alone on visitation to family members were less probable to use contraceptives as compared to those who were deciding alone.…”

Do health care reforms in Turkey have a significant effect in equal access to maternal and child health services in Turkey: An evidence from 20 years

“…Women married to men with secondary or higher educational level were more likely to seek maternal and child health care services. A few other studies have also shown the significant effect of husband's educational level on health care service utilization . It can be suggested that husbands with higher educational level might have encouraged their wives to seek more maternal and child health care services for their newborns …”

“…A few other studies have also shown the significant effect of husband's educational level on health care service utilization. 13,19,[27][28][29] It can be suggested that husbands with higher educational level might have encouraged their wives to seek more maternal and child health care services for their newborns. 27,30 Increasing birth order significantly decreased the likelihood of prenatal care utilization and giving birth at health care facilities.…”