Conference abstract

Trends and factors associated with modern contraceptive use among sexually active female youths in Tanzania

Pan African Medical Journal - Conference Proceedings. 2024:21(48).29 Apr 2024.
doi: 10.11604/pamj-cp.2024.21.48.2378
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Contraceptive use, female sexually active youths
Oral presentation

Trends and factors associated with modern contraceptive use among sexually active female youths in Tanzania

Farida Ollomy1,&, Sia E. Msuya1,2, Jim Todd3, Sylvia Meku4, Ednah L. Samwel1, Innocent B. Mboya1,2,5

1Institute of Public Health, Department of Epidemiology and Applied Biostatistics, Kilimanjaro Christian Medical University College (KCMUCo), P.O. Box 2240, Moshi Tanzania, 2Institute of Public Health, Department of Community Medicine Kilimanjaro Christian Medical University College (KCMUCo), P.O. Box 2240, Moshi Tanzania, 3Dept of Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, United Kingdom, 4National Bureau of Statistics (NBS), P.O. Box 2683, Dodoma, Tanzania, 5Department of Translational Medicine, Lund University, P.O. Box 50332, 202 13 Malmö, Sweden

&Corresponding author

Introduction: unintended pregnancies among female youth remain a public health concern associated with adverse health, educational, social, and economic outcomes. High youth fertility rates and unintended pregnancies reflect the low uptake of modern contraception and adverse reproductive health outcomes. This study aimed to assess the trends and factors associated with modern contraceptive use among female youth in Tanzania.

Methods: we conducted a secondary analysis of data for 8659 sexually active female youth aged 15-24 years from four consecutive demographic and health surveys (DHS) in Tanzania: 2004, 2010, 2015/16, and 2022. While accounting for the complex survey design inherent in the DHS surveys, we used the Poisson regression models to determine factors associated with modern contraceptive use.

Results: an increase in modern contraceptive use among female youth was observed from 24.6% in 2004 to 32.1% in 2022. Modern contraceptive use was positively associated with secondary and higher education levels, having at least one live birth or more, and sexual activity in the past month before the survey.

Conclusion: modern contraceptive use among female youth has been increasing at a slow pace in Tanzania from 2004 to 2022. It is crucial for public health policies to address issues like health care providers’ attitudes, which could be among the barriers to the use of modern contraception by female youth, to maintain increasing trends of modern contraceptive use.