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Trends and Drivers of Unmet Need for Family Planning in Currently Married Tanzanian Women between 1999 and 2016

The current study investigated the trends and factors associated with the unmet need for family planning (FP) for limiting and spacing births among married Tanzanian women between 1999 and 2016. The study used Tanzania Demographic and Health Survey (TDHS) data for the years 1999 (N = 2653), 2004–200...

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Autores principales: Rwabilimbo, Abdon Gregory, Ahmed, Kedir Y., Mshokela, Jackline Boniphace, Arora, Amit, Ogbo, Felix Akpojene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915218/
https://www.ncbi.nlm.nih.gov/pubmed/36767627
http://dx.doi.org/10.3390/ijerph20032262
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author Rwabilimbo, Abdon Gregory
Ahmed, Kedir Y.
Mshokela, Jackline Boniphace
Arora, Amit
Ogbo, Felix Akpojene
author_facet Rwabilimbo, Abdon Gregory
Ahmed, Kedir Y.
Mshokela, Jackline Boniphace
Arora, Amit
Ogbo, Felix Akpojene
author_sort Rwabilimbo, Abdon Gregory
collection PubMed
description The current study investigated the trends and factors associated with the unmet need for family planning (FP) for limiting and spacing births among married Tanzanian women between 1999 and 2016. The study used Tanzania Demographic and Health Survey (TDHS) data for the years 1999 (N = 2653), 2004–2005 (N = 2950), 2010 (N = 6412), and 2015–2016 (N = 8210). Trends in the unmet need for FP were estimated over the study period. Multivariable multinomial logistic regression models were used to investigate the association between community-level, predisposing, enabling, and need factors with the unmet need for FP in Tanzania. The results showed no significant change in percentage of married women with an unmet need for birth spacing between 1999 and 2016. The proportion of married women with an unmet need for limiting births decreased from 9.5% (95% confidence interval (CI): 7.9%, 10.6%) in 1999 to 6.6% (95% CI: 5.9%, 7.3%) in 2016. Residing in a rural area, parity between 1–4 and 5+, visiting a health facility for any health services within twelve months, and planning to have more children (after two years and/or undecided) were factors positively associated with the unmet need for FP-spacing. Women with parity of 5+ were more likely to experience an unmet need for FP-limiting. Women’s age between 25–34 and 35–49 years, women’s employment status, watching television, women’s autonomy of not being involved in household decisions, and planning to have more children were factors associated with lower odds of having an unmet need for FP-spacing. Women’s age between 25–34 years, watching television, autonomy, and planning to have more children were factors with lower odds of having an unmet need for FP-limiting. Improving FP uptake among married Tanzanian women can reduce the unmet need for FP. Therefore, reducing unmet needs for FP is attainable if government policies and interventions can target women residing in rural areas and other modifiable risk factors, such as parity, health facility visits, planning to having more children, employment, watching television, and women’s autonomy.
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spelling pubmed-99152182023-02-11 Trends and Drivers of Unmet Need for Family Planning in Currently Married Tanzanian Women between 1999 and 2016 Rwabilimbo, Abdon Gregory Ahmed, Kedir Y. Mshokela, Jackline Boniphace Arora, Amit Ogbo, Felix Akpojene Int J Environ Res Public Health Article The current study investigated the trends and factors associated with the unmet need for family planning (FP) for limiting and spacing births among married Tanzanian women between 1999 and 2016. The study used Tanzania Demographic and Health Survey (TDHS) data for the years 1999 (N = 2653), 2004–2005 (N = 2950), 2010 (N = 6412), and 2015–2016 (N = 8210). Trends in the unmet need for FP were estimated over the study period. Multivariable multinomial logistic regression models were used to investigate the association between community-level, predisposing, enabling, and need factors with the unmet need for FP in Tanzania. The results showed no significant change in percentage of married women with an unmet need for birth spacing between 1999 and 2016. The proportion of married women with an unmet need for limiting births decreased from 9.5% (95% confidence interval (CI): 7.9%, 10.6%) in 1999 to 6.6% (95% CI: 5.9%, 7.3%) in 2016. Residing in a rural area, parity between 1–4 and 5+, visiting a health facility for any health services within twelve months, and planning to have more children (after two years and/or undecided) were factors positively associated with the unmet need for FP-spacing. Women with parity of 5+ were more likely to experience an unmet need for FP-limiting. Women’s age between 25–34 and 35–49 years, women’s employment status, watching television, women’s autonomy of not being involved in household decisions, and planning to have more children were factors associated with lower odds of having an unmet need for FP-spacing. Women’s age between 25–34 years, watching television, autonomy, and planning to have more children were factors with lower odds of having an unmet need for FP-limiting. Improving FP uptake among married Tanzanian women can reduce the unmet need for FP. Therefore, reducing unmet needs for FP is attainable if government policies and interventions can target women residing in rural areas and other modifiable risk factors, such as parity, health facility visits, planning to having more children, employment, watching television, and women’s autonomy. MDPI 2023-01-27 /pmc/articles/PMC9915218/ /pubmed/36767627 http://dx.doi.org/10.3390/ijerph20032262 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rwabilimbo, Abdon Gregory
Ahmed, Kedir Y.
Mshokela, Jackline Boniphace
Arora, Amit
Ogbo, Felix Akpojene
Trends and Drivers of Unmet Need for Family Planning in Currently Married Tanzanian Women between 1999 and 2016
title Trends and Drivers of Unmet Need for Family Planning in Currently Married Tanzanian Women between 1999 and 2016
title_full Trends and Drivers of Unmet Need for Family Planning in Currently Married Tanzanian Women between 1999 and 2016
title_fullStr Trends and Drivers of Unmet Need for Family Planning in Currently Married Tanzanian Women between 1999 and 2016
title_full_unstemmed Trends and Drivers of Unmet Need for Family Planning in Currently Married Tanzanian Women between 1999 and 2016
title_short Trends and Drivers of Unmet Need for Family Planning in Currently Married Tanzanian Women between 1999 and 2016
title_sort trends and drivers of unmet need for family planning in currently married tanzanian women between 1999 and 2016
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915218/
https://www.ncbi.nlm.nih.gov/pubmed/36767627
http://dx.doi.org/10.3390/ijerph20032262
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