Evidence map›Paper›PMID 33572305›Full record

ArticleInternational journal of environmental research and public health2021

Family Planning Uptake in Kagera and Mara Regions in Tanzania: A Cross-Sectional Community Survey.

Joseph Massenga, Rita Noronha, Bayoum Awadhi, Dunstan Bishanga, Oliva Safari, Lusekelo Njonge, Young-Mi Kim, Jos van Roosmalen, Thomas van den Akker

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Joseph MassengaJhpiego Tanzania, Dar es Salaam 9170, Tanzania.
Rita NoronhaJhpiego Tanzania, Dar es Salaam 9170, Tanzania.
Bayoum AwadhiJhpiego Tanzania, Dar es Salaam 9170, Tanzania.
Dunstan BishangaSchool of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam 35855, Tanzania.ORCID 0000-0001-5970-6604
Oliva SafariMedical Teams International Kibondo, Dar es Salaam 47401, Tanzania.
Lusekelo NjongeJhpiego Tanzania, Dar es Salaam 9170, Tanzania.
Young-Mi KimJhpiego, Baltimore, MD 21231, USA.
Jos van RoosmalenAthena Institute, Vrije Universiteit, 1081HV Amsterdam, Noord-Holland, The Netherlands.ORCID 0000-0002-6746-3259
Thomas van den AkkerAthena Institute, Vrije Universiteit, 1081HV Amsterdam, Noord-Holland, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Tanzania, 27.1% of all women of reproductive age are currently using modern contraception and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania. The survey, which collected information beyond that collected in the Tanzania Demographic Health Survey, used a two-stage, stratified-cluster sampling design, conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15-49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. A total of 393 (33.2%) women used family planning methods and 929 (79%) required prior approval from their partners. Participation of men in utilization of maternal health care was low, where 680 (57.8%) women responded that their partners accompanied them to at least one antenatal care (ANC) counselling visit and 120 (10%) responded that their partners participated in family planning counselling. Women who did not want to disclose whether they had discussed family planning with their partners, strikingly had the highest percentage of using family planning methods after birth. Factors independently associated with family planning uptake included: having discussed family planning with the partner (aOR 3.22; 95% CI 1.99-5.21), having been counselled on family planning during antenatal care (aOR 2.68; 95% CI 1.78-4.05), having discussed family planning with a community health worker (CHW) (aOR 4.59; 95% CI 2.53-8.33) and with a facility health care worker (aOR 1.93; 95% CI 1.29-2.90), having primary or higher educational level (aOR 1.66; 95% CI 1.01-2.273), and being in union (aOR 1.86; 95% CI 1.02-3.42). Educational interaction with community and facility health workers, as well as having a supportive partner as facilitator increased uptake of family planning. This needs to be prioritized in regions with similar socio-cultural norms in Tanzania and beyond.

Indexed as

Family Planning ServicesPrenatal CareAdolescentAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedPregnancySurveys and QuestionnairesTanzaniaYoung Adultantenatal carechildbirthcommunity health workerfacility health care workerfamily planningmale partner

Identifiers

PMID33572305
PMCPMC7916100

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.