ArticleContraception and reproductive medicine2019
Contraceptive use and discontinuation among women in rural North-West Tanzania.
Article in Contraception and reproductive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Opportunities and challenges in integrating family planning and nutrition services in Tanzania: a mixed-methods study.BMJ global health · 2026Article
- The Magnitude and Factors for Early Discontinuation of Intrauterine Contraceptive Device Use Among Clients at Marie Stopes Maternal and Child Health Center, Adama, Ethiopia: A Cross-Sectional Study.Health science reports · 2026Article
- A phenotypicHuman reproduction open · 2026Article
- Trends and factors associated with modern contraceptive use among sexually active female youths in Tanzania, 2004-2022.BMJ open · 2025Article
- Factors influencing contraceptive use among teenage girls in Ghana: analysis of the Ghana living standard survey 7.Contraception and reproductive medicine · 2025Article
- Factors associated with the discontinuation of modern contraceptive methods among lactating women in nine West African high-fertility countries: findings of the most recent demographic and health surveys.Archives of public health = Archives belges de sante publique · 2025Article
- Prevalence and determinants of contraceptive discontinuation among reproductive age women: analysis of Tanzania demographic health survey.Frontiers in global women's health · 2025Article
- Discontinuation of family planning use among women of reproductive age in Rwanda: analysis from three Rwandan Demographic Health Survey (RDHS) 2010-2020.BMC women's health · 2024Article
- Article
- Factors associated with modern contraceptive utilization among reproductive age women in Cambodia; evidenced by the recent Cambodia demographic and health survey.Contraception and reproductive medicine · 2024Article
- "I have come to remove it because of heavy bleeding": a mixed-methods study on early contraceptive implant removal and the underlying factors in eastern Uganda.Contraception and reproductive medicine · 2024Article
- Cohort Profile Update: Magu Health and Demographic Surveillance System, Tanzania.International journal of epidemiology · 2024Article
- Healthcare providers' perceptions on post abortion intrauterine contraception: A qualitative study in central Uganda.PloS one · 2024Article
- Spatial variations and multilevel mixed effect analysis on determinants factors of modern contraceptive utilization among reproductive age women in Ethiopia; proven by Ethiopian mini demographic health survey 2019.BMC women's health · 2023Article
- Prevalence of discontinuation of contraceptives due to failure among women aged 14 to 49 years in Uganda: a nation wide cross-sectional survey.Contraception and reproductive medicine · 2023Article
- Prediction of contraceptive discontinuation among reproductive-age women in Ethiopia using Ethiopian Demographic and Health Survey 2016 Dataset: A Machine Learning Approach.BMC medical informatics and decision making · 2023Article
- Prevalence and associated factors of modern contraceptive discontinuation among sexually active married women in Nigeria.Contraception and reproductive medicine · 2023Article
- Fertility trends by HIV status in a health and demographic surveillance study in Magu District, Tanzania, 1994-2018.PloS one · 2023Article
- Spatial and Multilevel Analysis of Unscheduled Contraceptive Discontinuation in Ethiopia: Further analysis of 2005 and 2016 Ethiopia Demography and Health Surveys.Frontiers in global women's health · 2023Article
- Discontinuation of contraceptives among adolescent girls aged 15-19 years in Nigeria: a descriptive analysis.African health sciences · 2022Article
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8 authors.
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Abstract
introductionExisting estimates of contraceptive use in Tanzania rely on cross-sectional or retrospective study designs. This study used a 2-year, retrospective, month-by-month calendar of contraceptive utilization among women aged 15-49 years.
methodsWe estimated the median duration of contraceptive use, factors associated with use, and contraceptive discontinuation rates in sexually active women, using life tables and Cox proportional hazard model.
resultsA total of 5416 women contributed to the analysis in the study. Of the 5416 women, 942 (17%) had never had sex, 410 (7.6%) had no sexual partner in the last year. Among the 5416 women, 4064 were sexually active during the period, 814 (21.1%) were pregnant or amenorrheic, 610 (15.0%) were using contraception, and 1203 (29.6%) did not want to get pregnant but were not using contraception. In the 1813 women who wanted to avoid pregnancy, contraceptive use was lower among women over 35 years compared to younger ones (OR = 0.28, 95%CI: 0.19, 0.41), and in HIV positive women (OR = 0.89, 95%CI: 0.60-1.32). On the other hand, use was higher among women who were married/living together compared to unmarried ones (OR = 2.23, 95% CI: 1.54, 3.23). Using a 2-year retrospective contraceptive calendar, 1054 women reported contraceptive use, 15.8% discontinued within 6 months and 30.5% discontinued within 12 months. Higher rates of contraceptive discontinuation were observed among women who used pills (OR = 1.86, 95%CI: 1.25, 2.77) or injections (OR = 2.04, 95%CI: 1.59, 2.61) compared to those who used implants.
conclusionContraceptive use was significantly associated with age, education and parity, but not with HIV status. HIV status, number of living children and education are not statistically associated with discontinuation of contraceptive use Pills and injections had the highest rates of discontinuation. Wider choice and greater accessibility of long-acting contraceptive methods with better effectiveness and convenience may serve women better. Furthermore, special efforts may be needed to remove barriers to contraceptive use amongst younger women.
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