ArticleBMJ open2020
Barriers to uptake of reproductive information and contraceptives in rural Tanzania: an intersectionality informed qualitative enquiry.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 10 citations in OpenAlex.
- Feasibility, Acceptability, and Preliminary Outcomes of Participatory Contraceptive and Sexual and Reproductive Health Stigma-Reduction Workshops for Adolescent Girls and Young Women in Tanzania: A Mixed-Methods Pilot Study.Health promotion practice · 2026Article
- Unintended Pregnancy Among Tanzanian Women: Prevalence and Risk Factors From the 2022 Demographic and Health Survey.Health science reports · 2026Article
- Perception and experiences of having children and contraceptive use among women in low-income groups: a qualitative study.Archives of gynecology and obstetrics · 2025Article
- Provider-imposed restrictions on contraceptive use in Western Kenya.Contraception · 2025Article
- Intersectionality in nursing research: A scoping review.International journal of nursing studies advances · 2023Article
- "The phone number tells us good things we didn't know before." Use of interactive voice response calling for improving knowledge and uptake of family planning methods among Maasai in Tanzania.PLOS digital health · 2023Article
- Article
- Association of Male Partners' Gender-Equitable Attitudes and Behaviors with Young Mothers' Postpartum Family Planning and Maternal Health Outcomes in Kinshasa, DRC.International journal of environmental research and public health · 2022Article
- Health providers' perspectives on contraceptive use in rural Northwest Tanzania: A qualitative study.Contraception: X · 2022Article
- "Women's health (London, England)Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAccess to reproductive information and contraception (RIC) continues to be a critical unmet need in Tanzania and impedes the realisation of reproductive health rights. This study examined key sources of RIC and the factors influencing their uptake by women in Mbeya region of Tanzania.
settingThis qualitative study was undertaken in a rural ward in a district in the south of the Mbeya region
participantsIn-depth interviews were undertaken with 48 women users and 2 nurses working in a public health facility, and focus group discussions with 16 home-based care workers in the district. Participants were recruited through a local non-governmental organisation (NGO) in the region, and via snowball sampling. All interactions were recorded, translated and transcribed and sought to identify the available resources and barriers in using them.
resultsParticipants reported six main sources of reproductive information and contraceptives: public health facilities, NGO mobile clinics, other women, Mganga wa Asili (witchdoctors/traditional doctors) and Duka la Dawa (pharmacy). Women users and healthcare workers identified a range of individual (age, marital status and geography) and health system-wide factors shaping women's reproductive choices and preventing uptake of contraceptives. The study also revealed structural factors such as gender, ethnicity, indigeneity as key determinants of access and health seeking, placing women from Sukuma and Maasai communities is the most disadvantageous position. Historical social disadvantage, patriarchal social controls and the pressure to preserve sociocultural traditions that women experience in the Maasai and Sukuma tribes underpin their disconnect from mainstream services.
conclusionWomen's reproductive choices and their uptake of contraceptives are shaped by the interaction of a range of individual, household, institutional and structural factors. An intersectional lens enables examination of the ways in which these factors interact and mutually constitute disadvantage and privilege.
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