ArticleWomen's health (London, England)
"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.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Women's Experiences of Contraceptive Counseling for Informed Choice in Moshi Municipality, Tanzania: A Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Modern contraceptive use, associated factors and reasons for non-use among young lactating mothers in the context of free family planning services in the Kaya municipality setting, Burkina Faso.Journal of public health in Africa · 2026Article
- Perceived changes in mothers' outcomes following a pilot parenting program for couples with young children in Mwanza, Tanzania: A longitudinal qualitative study.PLOS global public health · 2026Article
- Advancing sexual and reproductive health and rights in Africa.Women's health (London, England)Article
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9 authors.
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Abstract
backgroundThere is an increasing emphasis on promoting women's autonomy in reproductive decision-making, particularly given global efforts to increase contraceptive access and uptake. Scales to quantify autonomy have inconsistently included the effect of external influences and focused primarily on influences of partners.
objectivesThis study aimed to gain greater depth in understanding how influences including and beyond a woman's partner affect her contraceptive decision-making, as well as how external influences can overlap and further complicate contraceptive decision-making.
designA phenomenological, qualitative study in which in-depth interviews were conducted in three phases from May 2021 to February 2022 with women living in northwest Tanzania who had varying histories of contraceptive use or non-use.
methodsOne-on-one, in-depth interviews were conducted in Swahili, the national language of Tanzania, by trained female interviewers. Interviews were digitally recorded, transcribed, translated into English, and independently coded by three investigators. Analysis was conducted using NVivo. The codes developed from the transcripts were grouped into overarching themes with supporting illustrative quotes.
resultsA total of 72 women were interviewed. Partners were the most influential in women's family planning decision-making, followed by friends, relatives, community religious leaders, and healthcare providers. Out of the 52 women with a partner who had ever used family planning, 76.9% had discussed their desire to use family planning with their partner and nearly all reported strong pressures to use or not to use family planning from partners, family, and friends. Rarely, participants stated that they were devoid of any influence.
conclusionIn rural Tanzania, women's decision-making about family planning was highly impacted by external influences, including not only partners but also family, friends, and community. Indicators of women's reproductive autonomy and measurements of interventions to promote contraceptive use should incorporate measures of these external influences.
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