Online Program

Partner approval and intention to use contraception among women presenting for post-abortion care at mnazi mmoja hospital, zanzibar

Monday, November 4, 2013

Allahna Esber, MSPH, College of Public Health, Division of Epidemiology, The Ohio State University, Columbus, OH
Context: Contraceptive use is low in Zanzibar, with only 12.4% of married women reporting current use of a modern method of contraception. Unintended pregnancies are common in a setting of low contraceptive prevalence and while the majority of women carry unintended pregnancies to term, abortion is widespread in Tanzania. The aim of this analysis is to examine factors influencing contraceptive use among women seeking post-abortion care in Zanzibar. Specifically, the analysis focuses on the association between partner approval of contraception and a woman's intention to use contraception in the future. Methods: Data on 194 women from the “Zanzibar Contraception and Consequences of Unwanted Pregnancy: Post-abortion Care Survey” were analyzed using logistic regression modeling to assess the effect of partner approval of contraception on a woman's intention to use contraception in the future. Results: Among women seeking post-abortion care in Zanzibar, partner's disapproval of contraception reduced the odds of future intention to use contraception by 95% (CI 0.020, 0.118). No other variables, including age, education, relationship type, sexual relationship power, previous use of family planning, current number of children and desired number of additional children were found to have a significant association with a woman's future intention to use contraception. Conclusions: Our study demonstrates that partner approval or disapproval of contraception plays a significant role in a woman's intention to use contraception. Public health and educational efforts to increase contraceptive use should include men and be targeted to both the male and female partners.

Learning Areas:

Provision of health care to the public
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
Evaluate if partner approval of family planning influences intention to use among women seeking post-abortion care in Zanzibar. Identify other predictors of contraceptive use.

Keyword(s): Contraception, Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I received my MSPH degree in population, family and reproductive health and gained a background in family planning policies and issues. I also developed this paper under the close supervision of faculty at the Ohio State University with expertise in the field.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.