ArticleTherapeutic advances in reproductive health
Factors associated with modern contraceptive utilization among postpartum adolescent girls and young women in rural Mara, Tanzania: facility-based cross-sectional study.
Article in Therapeutic advances in reproductive health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Modern contraceptives are effective in preventing unintended pregnancies, which may consequently reduce the risk of unsafe abortions. However, their use among adolescent girls and young women (AGYW) in Tanzania remains low. Despite various national strategies, the fertility rate in the Mara region remains high at 6.1. Objectives: The first objective of this study was to determine the prevalence of modern contraceptive use among postpartum AGYW in rural Mara, Tanzania. The second objective was to identify factors influencing modern contraceptive use among postpartum AGYW. Design: An analytical cross-sectional study was conducted to assess modern contraceptive use among postpartum AGYW in rural Mara, Tanzania. Methods: A random multistage sampling technique was used to select 614 AGYW aged 15-24 years from rural Mara. Data were collected from January 5 to February 27, 2024, using a structured Swahili questionnaire. Analysis was performed using SPSS version 27.0, employing descriptive statistics, bivariate analysis to examine associations between categorical variables, and multivariate logistic regression to identify predictors of contraceptive use ( Results: Modern contraceptive use was reported by 21.7% (95% CI: 18.5%-25.0%) of postpartum AGYW. Women who had primary education were 4.83 times more likely to use contraceptives than those with no or incomplete primary education (AOR = 4.83, 95% CI: 2.61-8.91, Conclusion: Modern contraceptive use among AGYW remains low. Education level, wealth status, and number of children significantly influence uptake, highlighting the need for targeted interventions to improve access and informed choice.
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