Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016.
Unintended pregnancy at a young age can lead to poor reproductive health, social and economic outcomes. The high rate of unintended teenage pregnancies in Tanzania is indicative of inadequate availability and uptake of modern contraception. Determining trends and determinants of unmet need for moder...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0000695&type=printable |
| _version_ | 1797315885810057216 |
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| author | Sophia Adam Kagoye Ola Jahanpour Octavian Aron Ngoda Joseph Obure Michael Johnson Mahande Jenny Renju |
| author_facet | Sophia Adam Kagoye Ola Jahanpour Octavian Aron Ngoda Joseph Obure Michael Johnson Mahande Jenny Renju |
| author_sort | Sophia Adam Kagoye |
| collection | DOAJ |
| description | Unintended pregnancy at a young age can lead to poor reproductive health, social and economic outcomes. The high rate of unintended teenage pregnancies in Tanzania is indicative of inadequate availability and uptake of modern contraception. Determining trends and determinants of unmet need for modern contraception among adolescent girls and young women (AGYW) in Tanzania will help address the burden of unintended pregnancies. An analytical cross-sectional study design was conducted using secondary data from three consecutive Tanzania Demographic and Health Surveys (TDHS) 2004/05, 2010 and 2015/6 among AGYW in need of modern contraception. Data analysis considered the complex survey design. Poisson regression model was used to determine factors associated with unmet need for modern contraception. We observed a steady decline in unmet need for modern contraception among sexually active AGYW in need of modern contraception from 31.8% in 2004/05 to 27.5% in 2015/16 survey. In the multivariable analysis, higher prevalence of unmet need for modern contraception was observed among adolescents, participants with at least one live birth, from poor wealth tertile, and those sexually active during the past four weeks compared to their counterparts. Despite declining levels, the unmet need for modern contraception among AGYW in Tanzania remains high. AGYW under 19 years, those from poor households, and those who are postpartum are most at risk. Greater efforts in empowering and educating AGYW at risk on their reproductive health rights and needs will further the uptake of modern contraceptive use, reduce the rates of unintended pregnancies, lower the adolescent fertility rate as a result lower unmet need for modern contraception. |
| first_indexed | 2024-03-08T03:10:20Z |
| format | Article |
| id | doaj.art-ebdf505f860743288a479a1c007abb96 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-08T03:10:20Z |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-ebdf505f860743288a479a1c007abb962024-02-13T06:00:15ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-0141e000069510.1371/journal.pgph.0000695Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016.Sophia Adam KagoyeOla JahanpourOctavian Aron NgodaJoseph ObureMichael Johnson MahandeJenny RenjuUnintended pregnancy at a young age can lead to poor reproductive health, social and economic outcomes. The high rate of unintended teenage pregnancies in Tanzania is indicative of inadequate availability and uptake of modern contraception. Determining trends and determinants of unmet need for modern contraception among adolescent girls and young women (AGYW) in Tanzania will help address the burden of unintended pregnancies. An analytical cross-sectional study design was conducted using secondary data from three consecutive Tanzania Demographic and Health Surveys (TDHS) 2004/05, 2010 and 2015/6 among AGYW in need of modern contraception. Data analysis considered the complex survey design. Poisson regression model was used to determine factors associated with unmet need for modern contraception. We observed a steady decline in unmet need for modern contraception among sexually active AGYW in need of modern contraception from 31.8% in 2004/05 to 27.5% in 2015/16 survey. In the multivariable analysis, higher prevalence of unmet need for modern contraception was observed among adolescents, participants with at least one live birth, from poor wealth tertile, and those sexually active during the past four weeks compared to their counterparts. Despite declining levels, the unmet need for modern contraception among AGYW in Tanzania remains high. AGYW under 19 years, those from poor households, and those who are postpartum are most at risk. Greater efforts in empowering and educating AGYW at risk on their reproductive health rights and needs will further the uptake of modern contraceptive use, reduce the rates of unintended pregnancies, lower the adolescent fertility rate as a result lower unmet need for modern contraception.https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0000695&type=printable |
| spellingShingle | Sophia Adam Kagoye Ola Jahanpour Octavian Aron Ngoda Joseph Obure Michael Johnson Mahande Jenny Renju Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016. PLOS Global Public Health |
| title | Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016. |
| title_full | Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016. |
| title_fullStr | Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016. |
| title_full_unstemmed | Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016. |
| title_short | Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016. |
| title_sort | trends and determinants of unmet need for modern contraception among adolescent girls and young women in tanzania 2004 2016 |
| url | https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0000695&type=printable |
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