Factors affecting uptake of modern family planning services in Kishapu rural district, Tanzania

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Date

2020

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Journal ISSN

Volume Title

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

Citation