Factors affecting uptake of modern family planning services in Kishapu rural district, Tanzania
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Date
2020
Authors
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Publisher
Sokoine University of Agriculture
Abstract
Modern family planning is important as it helps couples to decide the number of children,
improve maternal child health as well as saving the life of newborns. Globally, there is
high uptake of modern family planning in developed countries but still the uptake is low in
many rural Sub-Saharan African countries (SSA) such as Tanzania. This study was
conducted to investigate factors affecting the uptake of modern family planning in
Kishapu District located in rural Tanzania. The study adopted cross-sectional design and
mixed method approach whereby, both qualitative and quantitative data were collected
from randomly 120 women from selected two wards in Kishapu District. Data were
collected through structured and semi structured questionnaire. Descriptive statistics and
binary logistic regression using Statistical Package for Social Sciences (SPSS) and content
analysis were employed to examine awareness, socio- economic and cultural factors
affecting the uptake of modern family planning services. Generally, study findings in the
first manuscript show that the use of modern family planning is still low, fear of side
effects and desire for more children were the main reasons for women's not using modern
family planning services. Socio-economic factors such as living with mother in law,
partner preference for modern family planning services and income ≤ 500 000 were
observed to have significance (p < 0.001) negative effects on the odds of uptake of modern
family planning. Furthermore, in the second manuscript study identify cultural and
traditions related factors that affect uptake of modern family planning methods includes
preference for tradition family planning methods, prestige, beliefs, household power
dynamics and relationships and peer pressure. The study also, suggest the need to
eliminate the existing cultural norms and practices which undermines women’s power to
access and use modern family planning. In addition, the study show there is a need to
include key socio groups such as men, in laws, religious leader and traditional healers in
family planning related programmes. Moreover, Tanzania has to address these factors
contribute to the low uptake of modern family planning in order to attain a target of 60%
contraceptives prevalence rate indicated in national family planning costed implemented
programs.
Description
Masters Dissertation
Keywords
Family planning, Kishapu district