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Master Thesis

Husband-wife communication on fertility and contraception in Tanzania: the case of Bagamoyo district, Coast region

Abstract : This study on Couple Communication aimed at examining the extent to which spouses talk about their future fertility and the measures they take to effect such desires. When communication at household level is inadequate or non-existent, the couples most likely end up having unplanned pregnancies, (hence unplanned births), covert adoption of contraception methods and insufficient provision of basic prerequisites to the unplanned family by compromising the health of the mother, father and children. Where couples communicate, they easily know each others attitudes toward family planning and contraceptive use. Communication allows the spouses to voice their concerns about reproductive health and make joint decisions. The above viewpoints show how important the spousal communication for healthier families. The study was prompted by the need to examine the role of husbands in regulating fertility and how population planners can build on such role to promote use of contraception.
Four measurements of communication, that is, approval of contraception, ideal number of children, discussion on family planning and influence on the next childbearing, were studied in order to show the relationship between communication and contraception use. The assumption was that communication and contraception use have impact on childbearing behaviour. Descriptive analysis was used to identify existence of couple communication by relating it to the demographic and socio-economic characteristics of spouses. The independent variables used to indicate extent of couple communication were education, number of living children, place of residence and type of marriage.
The study findings demonstrated that 65% of the couples under study talk to their spouses about family planning and childbearing with more wives than husbands reporting discussion. Moreover, both couples desire fairly large families of more than five children (46%) and a large percent of both husbands (92%) and wives (96%) approve the use of family planning methods. Furthermore, both spouses, that is 53% of husbands and 46% of wives maintain that husbands have major decision-making power on the next childbearing. Knowledge and use of traditional and modern family planning methods was relatively high for the spouses with husbands reporting a slightly higher use (66%) than their wives (62%). The number of living children, age and education had a strong influence on determining couple communication.
The study came out with a conclusive statement that couples have similar perception, attitudes and desires toward family planning and fertility. It was then recommended that family planning programmes and research should aim at promoting the observed couple communication and that high rate of husbands' approval of contraception should be used as a base for championing inter-spousal communication.
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Master Thesis
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  • HAL Id : dumas-01262657, version 1

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Datius Kananura Rweyemamu. Husband-wife communication on fertility and contraception in Tanzania: the case of Bagamoyo district, Coast region. Demography. 1999. ⟨dumas-01262657⟩

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