ArticleBMC women's health2023
Barriers to using postpartum family planning among women in Zanzibar, Tanzania.
Article in BMC women's health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 13 citations in OpenAlex.
- Examining fertility preferences and spousal communication on contraceptive uptake among postpartum mothers in selected facilities in Abuja, Nigeria.Contraception and reproductive medicine · 2026Article
- Attitudes and Perceptions of Health Workers Towards Immediate Postpartum Family Planning at Soroti Regional Referral Hospital: A Qualitative Study.Open access journal of contraception · 2026Article
- Exploring care quality in midwifery clinical practice settings in Ghana - a qualitative study.BMC medical education · 2025Article
- Expanding access to postpartum contraception.Current opinion in obstetrics & gynecology · 2024Review
- Using Theory of Planned Behaviour to Assess the Determinants of Uptake of Modern Family Planning among Women of Reproductive Age in Rural Settings of Morogoro, Tanzania; A Cross-Sectional Study.The East African health research journal · 2024Article
- Factors affecting the provision of high-quality postnatal care services in Zanzibar: a qualitative study.BMC pregnancy and childbirth · 2023Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective family planning is associated with substantial benefits, including reductions in maternal and neonatal mortality due to the avoidance of unintended pregnancies, and contributions to spacing, timing, and limiting births. However, in Zanzibar, Tanzania, the utilization of modern contraceptive methods is low. This study therefore aimed to identify barriers to using postpartum family planning among women in Zanzibar.
methodsFive focus group discussions were conducted with 24 women who gave birth in the maternity unit at a reference hospital in Zanzibar during the first quarter of 2022. The discussions took place in Swahili, were performed with the assistance of an interview guide, and were audio recorded, transcribed in Swahili, and translated to English. Data were analysed with qualitative content analysis using an inductive approach.
resultsBarriers to using postpartum family planning in Zanzibar could be summarized in three generic categories. Inadequate knowledge about postpartum family planning is expressed in the subcategories: inadequate knowledge about contraceptive methods and their mode of action, insufficient quality of family planning services, and belief in traditional and natural medicine for family planning. Perceived risks of modern contraceptive methods are described in the subcategories: fear of being harmed, and fear of irregular bleeding. Limited power in one's own decision about contraceptive use consist of the subcategories: the need to involve the husband, and opposition and lack of interest from the husband.
conclusionsThe participants' current knowledge of postpartum family planning was insufficient to either overcome the fear of side-effects or to understand which side-effects were real and likely to happen. The woman's power in her own decision-making around her sexual reproductive rights is of critical importance. Given the barriers identified in this study, the findings call for increased knowledge about family planning methods and their mode of action, and involvement of the husband throughout pregnancy, childbirth, and the postpartum period in postpartum family planning education and counselling, in Zanzibar and in similar settings.
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