Factors Influencing the Uptake of Modern Contraceptives among Women in Tanzania: A survey of Public Health Facilities in Dodoma City Council

Abstract

Abstract Background: Tanzania has a relatively high unmet need and low use of family planning methods. Thirty- eight per cent of reproductive-aged women currently use modern contraceptive methods, and 22% have an unmet need for family planning. Objectives: To determine the factors influencing the uptake of modern contraceptives among women attending public health facilities in Dodoma City Council. Methods An analytical cross-sectional study using a quantitative approach was conducted among 362 women of reproductive age who attended public health facilities in Dodoma City and 32 healthcare workers. The participants were selected using simple random sampling. Data was collected from 6 September to 15 October 2021. A structured questionnaire was used. Data was analyzed using descriptive and inferential statistics at the 0.05 level of significance. The strength of association was determined using a logistic regression model. Results Of the 362 participants, 46.6% were between 24 and 34 years old. Most (60.2%) were married, and 48.9% had completed secondary education. About a third (32.6%) had a monthly income of 300,000 to 399,999 TZS. A statistically significant association at 0.05 was observed between uptake of contraceptives and education (p = 0.043), marital status (p = 0.024), partner’s support (p = 0.001), awareness, preference, and satisfaction (p = 0.000). Conclusion The study revealed that education, marital status, awareness, preference, and satisfaction of the respondents have a positive significant effect on the uptake of modern contraceptives.