Predictors of mistimed, and unwanted pregnancies among women of childbearing age in Rufiji, Kilombero, and Ulanga districts of Tanzania

Reproductive Health

James F Phillips²  Ahmed Hingora⁴  Henry V Doctor¹  Kassimu Tani⁴  Mustafa Njozi³  Almamy Malick Kanté²  Amon Exavery⁴ 

[1] United Nations Office on Drugs and Crime, United Nations House, Abuja, Nigeria;Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, USA;Jhpiego, Dar es Salaam, Tanzania;Ifakara Health Institute, Plot 463, Kiko Avenue, Mikocheni, P.O Box 78373, Dar es Salaam, Tanzania

关键词: Tanzania;    Ulanga;    Kilombero;    Rufiji;    Characteristics;    Women;    Unwanted pregnancy;    Mistimed pregnancy;   

Others  :  1146030
DOI  :  10.1186/1742-4755-11-63

 received in 2013-11-22, accepted in 2014-08-02,  发布年份 2014

【 摘 要 】

Background

While unintended pregnancies pose a serious threat to the health and well-being of families globally, characteristics of Tanzanian women who conceive unintentionally are rarely documented. This analysis identifies factors associated with unintended pregnancies—both mistimed and unwanted—in three rural districts of Tanzania.

Methods

A cross-sectional survey of 2,183 random households was conducted in three Tanzanian districts of Rufiji, Kilombero, and Ulanga in 2011 to assess women’s health behavior and service utilization patterns. These households produced 3,127 women age 15+ years from which 2,199 gravid women aged 15–49 were selected for the current analysis. Unintended pregnancies were identified as either mistimed (wanted later) or unwanted (not wanted at all). Correlates of mistimed, and unwanted pregnancies were identified through Chi-squared tests to assess associations and multinomial logistic regression for multivariate analysis.

Results

Mean age of the participants was 32.1 years. While 54.1% of the participants reported that their most recent pregnancy was intended, 32.5% indicated their most recent pregnancy as mistimed and 13.4% as unwanted. Multivariate analysis revealed that young age (<20 years), and single marital status were significant predictors of both mistimed and unwanted pregnancies. Lack of inter-partner communication about family planning increased the risk of mistimed pregnancy significantly, and multi-gravidity was shown to significantly increase the risk of unwanted pregnancy.

Conclusions

About one half of women in Rufiji, Kilombero, and Ulanga districts of Tanzania conceive unintentionally. Women, especially the most vulnerable should be empowered to avoid pregnancy at their own will and discretion.

【 授权许可】

   
2014 Exavery et al.; licensee BioMed Central Ltd.

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