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Use of modern contraceptives among advanced-level secondary school girls in the Rukwa Region, Tanzania, 2018

  • Otmar Massawa and Method Kazaura ORCID logo EMAIL logo
Published/Copyright: June 10, 2020
International Journal of Adolescent Medicine and Health
From the journal International Journal of Adolescent Medicine and Health Volume 33 Issue 6

Abstract

Objectives

To determine contraceptive uptake, reasons for non-use and predictors of use.

Methods

We conducted a cross-sectional study among girls in advanced-level secondary schools in the Rukwa region of Tanzania. Using probability proportional to size (PPS), we recruited a random sample of 660 girls out of 1447-targeted participants. A tool for data collection was a questionnaire. Data analyses included univariate analysis to describe study participants and Poisson regression analysis to assess the effect of independent factors to the dependent variable. A 5%-level of significance was used in multivariate analysis.

Results

More than 40% of the girls report being sexually active and only 25% reported current use of modern contraceptives. The main reported main method being use of male condoms (93%). Barriers for non-use of contraceptives included fear of side effects, fear of being perceived or labeled as promiscuous, inadequate knowledge about contraceptives and for religious reasons. The predictor for using modern contraceptives was attending class sessions about modern contraceptives.

Conclusions

Although girls in advanced-level secondary schools are sexually active, the use of modern contraceptives is still low. Girls report several barriers frustrating their intention to use contraceptives, mainly based on misconceptions and lack of knowledge.

Keywords: adolescent; advanced-level secondary school; contraceptives; Tanzania; unplanned pregnancy
Corresponding author: Method Kazaura, PhD, Department of Epidemiology/Biostatistics, Muhimbili University of Health and Allied Sciences, P. O. Box 65015, Dar es Salaam, Tanzania, Phone: +255 22 2150302, Fax: +255 22 2151238,

Acknowledgments

We thank advanced-level secondary school girls in the Rukwa Region who participated in our study for providing valuable information. We also thank Dr. Petra Clowes, the Continuous Quality Improvement (CQI) Director of Henry Jackson Foundation Medical Research International (HJFMRI) in Tanzania for the editorial work and her very constructive comments in the earlier version of the manuscript.

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Received: 2019-10-08
Accepted: 2019-12-01
Published Online: 2020-06-10

© 2020 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

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https://doi.org/10.1515/ijamh-2019-0211
Keywords for this article
adolescent; advanced-level secondary school; contraceptives; Tanzania; unplanned pregnancy

Articles in the same Issue

  1. Frontmatter
  2. Reviews
  3. Effective strategies to improve health worker performance in delivering adolescent-friendly sexual and reproductive health services
  4. Sleep disturbance and depression in adolescence: an integrative review of literature
  5. Multiple behavioural risk factors of non-communicable diseases among adolescents in four Caribbean countries: prevalence and correlates
  6. The post 16 gap: how do young people conceptualise PE? An exploration of the barriers to participation in physical education, physical activity and sport in senior school pupils
  7. The effect of cognitive behavior therapy on body image and self-esteem in female adolescents: a systematic review and meta-analysis
  8. Polycystic ovary syndrome and reproductive health of women: a curious association
  9. Correlation between obesity, gestational diabetes mellitus, and pregnancy outcomes: an overview
  10. Mindfulness and eudaimonic well-being: the mediating roles of rumination and emotion dysregulation
  11. Acute neurological conditions during pregnancy and their management: a review
  12. Depression and anxiety in women with polycystic ovarian syndrome: a literature survey
  13. Significance of sugar intake in young adults: a review
  14. Original Articles
  15. Prevalence and factors associated with smoking among Tunisian secondary school-adolescents
  16. Physical fitness and its association with overweight among early adolescents in Puducherry, Southern India
  17. Knowledge and awareness of individual sickle cell genotype among adolescents in a unity school in Southeast, Nigeria: a cross-sectional study
  18. Popular water pipe smoking, medical sciences students' awareness, perceptions, and motivations
  19. Investigation E-health literacy and correlates factors among Alborz medical sciences students: a cross sectional study
  20. Risk of eating disorders in university students: an international study in Hungary, Poland and Ukraine
  21. Prevalence and associated factors of oral and hand hygiene behaviour among adolescents in six Southeast Asian countries
  22. Assessment of academic performance of licensed athletes
  23. Gender-based differences in risk-taking behaviors among high school students in Southeast Iran
  24. Experience of sexual and gender minority youth when accessing health care in Turkey
  25. Use of modern contraceptives among advanced-level secondary school girls in the Rukwa Region, Tanzania, 2018
  26. The effect of poetry reading on self-concept of primary adolescents
  27. The association of acne and menstrual symptoms among young women (18–25 years) in Egypt: a population-based cross-sectional study
  28. Sexual risk behaviors and influencing factors among Muslim adolescents on southern border of Thailand
  29. Not just studies, but fitness can also get you the intelligence and the grades!!
  30. Effectiveness of a school-based intervention in Guatemala to increase knowledge of sexual and reproductive health
  31. Stressful life events and depressive symptoms among adolescents in Malaysia: the mediating role of maladaptive cognitive schema
  32. Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: results from national school surveys in 2015
  33. Utilization rate and factors influencing the use of HIV counseling and testing services among young females: a community-based study from Nigeria
  34. Pattern and quitting of tobacco smoking among Egyptian university students
  35. Association between parents and peer attachment with health locus of control: a cross-sectional study among Iranian adolescents
  36. Body dissatisfaction and its association with domains of physical activity and of sedentary behavior in a sample of 15,632 adolescents
  37. Effect of Bhramari pranayama practice on simple reaction time in healthy adolescents – a randomized control trial
  38. Short Communications
  39. Survey of school nurses’ experiences of providing counselling on sexual orientation to high school students in Japan
  40. Prevalence and correlates of fruit and vegetable consumption among adolescents in Laos
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