Communication, knowledge, social network and family planning utilization among couples in Mwanza, Tanzania

Idda H. Mosha, Ruerd Ruben

Abstract

Family planning utilization in Tanzania is low. This study was cross sectional. It examined family planning use and socio demographic variables, social networks, knowledge and communication among the couples, whereby a stratified sample of 440 women of reproductive age (18-49), married or cohabiting was studied in Mwanza, Tanzania. A structured questionnaire with questions on knowledge, communication among the couples and practice of family planning was used. Descriptive statistics and Logistic regression were used to identify factors associated with family planning (FP) use at four levels. The findings showed that majority (73.2%) of respondents have not used family planning. Wealth was positive related to FP use (p=.000, OR = 3.696, and 95% C.I = 1.936 lower and upper 7.055). Religion was associated with FP use (p=.002, OR =2.802, 95% C.I = 1.476 lower and 5.321 upper), communication and FP use were significantly associated, (p=.000, OR = 0.323 and 95% C.I = 0.215) lower and  upper = 0.483),   social network and FP use  (p=.000, OR = 2.162 and 95% C.I = 1.495 lower and  upper =3.125)  and knowledge  and FP use(p=.000 , OR = 2.224 and  95% C.I = 1.509 lower and  upper =3.278).  Wealth showed a significant association with FP use (p=.001, OR = 1.897, 95% C.I = 0.817 lower and 4.404).Urban area was positively associated with FP use (p= .000, OR = 0.008 and 95% C.I = 0.001 lower and upper =0.09), semi urban was significant at (p= .004, OR = 3.733 and C.I = 1.513 lower and upper =9.211). Information, education and communication materials and to promote family planning in Tanzania should designed and promoted. (Afr J Reprod Health 2013; 17[3]: 57-69).

 

Résumé

Contexte: L'utilisation de la planification familiale en Tanzanie est faible. Il s’agit d’une étude  transversale. Elle a examiné l'utilisation de la planification familiale et les variables sociodémographiques, les réseaux sociaux, la connaissance et la communication chez les couples, selon laquelle un échantillon stratifié de 440 femmes en âge de procréer (18-49 ans), mariés ou vivant en concubinage a été étudié  à Mwanza, en Tanzanie. Un questionnaire structuré avec des questions qui portaient sur la connaissance, la communication chez les couples et la pratique de la planification familiale a été utilisée. L’on s’est servi des statistiques descriptives  et de régression logistique pour identifier les facteurs associés à l’utilisation  de la planification Familiale (PF)  à quatre niveaux. Les résultats ont montré que la majorité (73,2%) des interviewés n'ont pas utilisé la planification familiale. La richesse était lié positivement à l'utilisation de la PF (p = .000, OR = 3.696, et IC 95% = 1,936 inférieure et supérieure 7,055). La religion a été associée à l'utilisation de la PF (p = .002, OR = 2,802, IC à 95% = 1,476 inférieure et supérieure 5,321),  la communication et  l’utilisation de la PF étaient significativement associées, (p = .000, OR = 0,323 et 95% CI = 0,215)   inférieur et  supérieure = 0,483), le réseau social et l’utilisation de la PF ( p = .000, OR = 2,162 et CI à 95% = 1,495 inférieure et supérieure = 3,125) et la connaissance et l'utilisation de la PF  (p = .000, OR = 2,224 et 95% CI = 1,509  inférieure et supérieure = 3,278).  La richesse a montré une association significative avec l’utilisation de la PF (p = .001, OR = 1,897, 95% CI = 0,817 inférieur et 4,404). Le milieu  urbain était positivement associé à l'utilisation de la PF (p =, 000, OR = 0,008 et 95% CI = 0,001 inférieure et supérieure = 0,09), le milieu semi urbain était significatif  à (p =, 004, OR = 3,733 et CI = 1,513 inférieure et supérieure = 9,211). Il faut concevoir des matériels d'information, d'éducation et de communication et pour promouvoir la planification familiale en Tanzanie. (Afr J Reprod Health 2013; 17[3]: 57-69).

 

Keywords: Family planning, communication and social network 

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