The impact of demand factors, quality of care and access to facilities on contraceptive use in Tanzania
Journal of Biosocial Science
Department of Agricultural and Consumer Economics, University of Illinois, Urbana-Champaign, IL, United States; Economic and Social Research Foundation (ESRF), Dar es Salaam, Tanzania
The low contraceptive prevalence rate and the existence of unmet demand for family planning services present a challenge for parties involved in family planning research in Tanzania. The observed situation has been explained by the demand-side variables such as socioeconomic characteristics and cultural values that maintain the demand for large families. A small, but growing body of research is examining the effect of supply-side factors such as quality of care of family planning services on the demand for contraceptives. This paper analyses the demand and supply factors determining contraceptive use in Tanzania using the Tanzania Service Availability Survey (1996) and the Tanzania Demographic and Health Survey (1996) data sets. The results show that access to family planning services and quality of care of services are important determinants of contraceptive use in Tanzania even after controlling for demand-side factors. © 2005 Cambridge University Press.
article; contraception; cultural value; drug utilization; family; family planning; health care access; health care availability; health care facility; health care need; health care quality; health services research; health survey; human; multivariate analysis; prevalence; socioeconomics; Tanzania; adolescent; adult; family planning; female; health care delivery; male; qualitative research; statistical model; utilization review; contraceptive agent; Adolescent; Adult; Contraceptive Agents; Family Planning Services; Female; Health Services Accessibility; Humans; Male; Models, Statistical; Qualitative Research; Quality of Health Care; Tanzania