Quality, accessibility, and contraceptive use in rural Tanzania.

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  • Author(s): Mroz TA;Mroz TA; Bollen KA; Speizer IS; Mancini DJ
  • Source:
    Demography [Demography] 1999 Feb; Vol. 36 (1), pp. 23-40.
  • Publication Type:
    Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Duke University Press Country of Publication: United States NLM ID: 0226703 Publication Model: Print Cited Medium: Print ISSN: 0070-3370 (Print) Linking ISSN: 00703370 NLM ISO Abbreviation: Demography Subsets: MEDLINE
    • Publication Information:
      Publication: 2021- : Durham, NC : Duke University Press
      Original Publication: Washington, etc., Population Assn. of America.
    • Subject Terms:
      Attitude to Health* ; Health Knowledge, Attitudes, Practice* ; Quality of Health Care*; Contraception Behavior/*statistics & numerical data ; Family Planning Services/*standards ; Health Services Accessibility/*standards ; Rural Health Services/*standards; Adolescent ; Adult ; Contraception Behavior/psychology ; Factor Analysis, Statistical ; Female ; Humans ; Male ; Middle Aged ; Regression Analysis ; Surveys and Questionnaires ; Tanzania
    • Abstract:
      We examine how informants' reports on community perceptions of the quality and accessibility of family planning facilities relate to the use of modern contraceptives by individuals in rural Tanzania. Using information on individual-level contraceptive use in conjunction with community-level information on the accessibility and quality of family planning facilities, we employ two distinct statistical procedures to illustrate the impacts of accessibility and quality on contraceptive use. Both procedures treat the community-level variables as imperfect indicators of characteristics of the facilities, and they yield nearly identical implications. We find that a community-level, subjective perception of a family planning facility's quality has a significant impact on community members' contraceptive use whereas other community measures such as time, distance, and subjective perception of accessibility have trivial and insignificant direct impacts, net of the control variables. Future research that uncovers the determinants of perceptions of both community-level and individual-level quality could provide key insights for developing effective and efficient family planning programs.
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    • Grant Information:
      R01 HD29551 United States HD NICHD NIH HHS
    • Publication Date:
      Date Created: 19990226 Date Completed: 19990423 Latest Revision: 20181113
    • Publication Date:
      20221213
    • Accession Number:
      10036591