ArticleBMJ sexual & reproductive health2020
Design and pilot testing of a church-based intervention to address interpersonal and intrapersonal barriers to uptake of family planning in rural Tanzania: a qualitative implementation study.
Article in BMJ sexual & reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 23 citations in OpenAlex.
- Long-term perspectives of Muslim and Christian religious leaders on an educational intervention about family planning in Tanzania.Global public health · 2025Article
- A study protocol to engage religious leaders to reduce blood pressure in Tanzanian communities: A cluster randomized trial.Contemporary clinical trials · 2025Article
- Proposed changes to framework to assess contraceptive autonomy based on phased in-depth interviews in northwest Tanzania.Reproductive health · 2025Article
- Family planning policy and gender in Nigeria: A thematic analysis of the government's health policy perspective.Sociology of health & illness · 2025Article
- Article
- Examination of adolescent and youth modern contraceptive users' perceptions on how religion influences contraceptive use and their rationale and circumstances of use: qualitative evidence from Burkina Faso, Kenya and Niger.Journal of population research (Canberra, A.C.T.) · 2025Article
- Intimate partner violence influences modern family planning use among married women in Tanzania: cross-sectional study.BMC public health · 2024Article
- Congregation leader and member discussions in a church-based family strengthening, mental health promotion and HIV prevention trial: Intervention.Global mental health (Cambridge, England) · 2024Article
- Perspectives of Muslim Religious Leaders to Shape an Educational Intervention About Family Planning in Rural Tanzania: A Qualitative Study.Global health, science and practice · 2023Article
- Understanding ethical challenges of family planning interventions in sub-Saharan Africa: a scoping review.Frontiers in global women's health · 2023Article
- Exploring a faith-based approach to puberty education in Tanzania.Frontiers in reproductive health · 2023Article
- Faith Leaders Improve Healthy Timing and Spacing of Pregnancy: Results of Operations Research on the Channels of Hope Methodology in Kenya and Ghana.Annals of global health · 2023Article
- Health providers' perspectives on contraceptive use in rural Northwest Tanzania: A qualitative study.Contraception: X · 2022Article
- The impact of faith-based organizations on maternal and child health care outcomes in Africa: taking stock of research evidence.The Pan African medical journal · 2022Review
- Nothing so practical as theory: a rapid review of the use of behaviour change theory in family planning interventions involving men and boys.Reproductive health · 2021Review
- "If I chose to listen to people, I possibly wouldn't be using family planning": Impact of external influences on women's contraceptive autonomy in rural Northwest Tanzania.Women's health (London, England)Article
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Authors and funding
9 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundUse of family planning (FP) saves the lives of mothers and children, and contributes to better economic outcomes for households and empowerment for women. In Tanzania, the overall unmet need for FP is high. This study aimed: (1) to use focus group data to construct a theoretical framework to understand the multidimensional factors impacting the decision to use FP in rural Tanzania; (2) to design and pilot-test an educational seminar, informed by this framework, to promote uptake of FP; and (3) to assess acceptability and further refine the educational seminar based on focus group data collected 3 months after the education was provided.
methodsWe performed a thematic analysis of 10 focus group discussions about social and religious aspects of FP from predominantly Protestant church attenders prior to any intervention, and afterwards from six groups of church leaders who had attended the educational seminar.
resultsKey interpersonal influences included lack of support from husband/partner, family members, neighbours and church communities. Major intrapersonal factors impeding FP use were lack of medical knowledge and information, misconceptions, and perceived incompatibility of FP and Christian faith. Post-seminar, leaders reported renewed intrapersonal perspectives on FP and reported teaching these perspectives to community members.
conclusionsAddressing intrapersonal barriers to FP use for leaders led them to subsequently address both intrapersonal and interpersonal barriers in their church communities. This occurred primarily by increasing knowledge and support for FP in men, family members, neighbours and church communities.
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