Determinants Of Women’s Decisions to Modern Contraceptive Use In Tanzania: A Case Study Of Tanga Municipality

Chidzao, Benedict Nyiro (2015) Determinants Of Women’s Decisions to Modern Contraceptive Use In Tanzania: A Case Study Of Tanga Municipality. Masters thesis, The Open University Of Tanzania.

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Abstract

The study intended to assess determinants of women’s decision to use modern contraceptive in Tanzania. Tanga municipality was used as a case study. In specific, the study determined the trend of modern contraceptive use for women in the past ten years (from 2004/2005 to 2013/2014); women’s preference to modern contraceptive methods and institutional determinants of women’s decision on modern contraceptive use. A cross-sectional study design adopted. Purposive sampling approaches through snow-ball approach was relevant to obtaining the study sample of 120 respondents in which 60 were users of modern contraceptive and 60 women were non-users of modern contraceptive methods. Structured questionnaire and interview methods were used for data collection. The study used descriptive analysis and binary logistic regression model for quantitative data while content analysis was used for qualitative data collected through interview. The study revealed that the trend of modern contraceptive use for women has improved during the past 10 years. The number of women using modern contraceptive method has almost doubled from 20549 women in 2004/2005 to 48647 women in 2013/2014. Contraceptive pills (50%) and condoms (41.7%) were the most preferred modern contraceptive methods by women. Other contraceptive methods preferred by women are injectable contraceptive drugs (23.3%), intrauterine contraceptive devices (15%) and sterilization method (8.3%). Socio-economic determinants identified to have influence on women’s decision towards modern contraceptive use were income (β1=0. 001, p=0.047), education (β1=1. 354, p=0. 046) and partner’s acceptance (β1=4. 830, p=0.038), (β1= -4.258, p=0.042) and women’s desire to have more children (β1= -7.302, p=0. 035). Distance to the nearby health centre/dispensary was the only institutional factor identified to have influence (β1= -0.099, p=0.044) on women’s decision towards modern contraceptive use. The study recommends more education and sensitization to both women and men so that they can positively respond to modern contraceptive use for birth control and enhanced reproductive health.

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