Browsing by Author "Ezekiel, Mangi J"

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    Factors associated with uptake of postpartum family planning services in Dodoma City Council, Tanzania: A cross-section study
    (National Insititute of Medical Research (NIMR), 2022-06-13) Ezekiel, Mangi J; Akwary, Elibariki R; Mbotwa, Christopher; Mosha, Idda H
    Background: Postpartum family planning is very essential to mothers’ health. However, its utilization remains low in developing countries. Objective: To determine the proportion and factors associated with uptake of PPFP services in Dodoma Tanzania. Methods: A cross-sectional study employing a quantitative approach was conducted among women who gave birth one year before the study period (June 2020) in Dodoma city council. A two-stage sampling technique was employed to recruit a total number of 209 participants. An interviewer-administered questionnaire was used to collect data. Data were entered and cleaned using Epi Info 7 and later exported to and analyzed using SPSS version 25.0. Bivariate and multiple logistic regression models were employed during data analysis. Odds ratios with 95% confidence intervals were computed to identify factors associated with postpartum family planning. Results: Majority (53.6%) of women used contraceptives within one year after delivery. Three factors were significantly associated with the uptake of postpartum family planning. Lower odds for uptake of PPFP were found among self-employed women (AOR: 0.5, 95% CI 0.25–0.74) and unemployed women (AOR: 0.2, 95% CI 0.05–0.31) when compared with employed women. Using community health fund insurance (AOR: 2.4, 95% CI 1.09–6.42) and National Health Insurance Fund (AOR: 2.7, 95% CI 1.54–5.99) as a mode of payments for health had higher odds for uptake of PPFP compared to cash mode. Women with an adequate number of antenatal care visits had higher odds (AOR: 2.9, 95% CI 1.24–6.89) of uptake of PPFP compared to women with an inadequate number of antenatal care visits. Conclusion: The uptake of PPFP among women was not adequate and was associated with being employed, being covered by health insurance and adequate antenatal care visits. More interventions are needed to enhance PPFP use among women.
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    Predictors of condom use among unmarried sexually active women of Reproductive age in Tanzania
    (National Insititute of Medical Research (NIMR), 2022-08-10) Mbotwa, Christopher H; Moshi, Fabiola V; Mosha, Idda H; Kibona, Shadrack E; Ezekiel, Mangi J; Kazaura, Method R
    Background: Condom is one of the methods for prevention against Human Immunodeficiency Virus and other Sexually Transmitted Infections. It is also considered an effective method for preventing unwanted pregnancies. Despite the several interventions that have been put to promote condom use, still, a large proportion of women do not use condoms during sexual intercourse. Objectives: This study aimed at determining predictors of condom use among unmarried sexually active women of reproductive age in Tanzania. Methods: This study used secondary data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey (2015-16 TDHS-MIS). It involved unmarried sexually active women aged 15-49 years. Multiple binary logistic regression was used to determine predictors for condom use at last sexual intercourse. Results: Overall, a lower proportion (31.1%) of unmarried sexually active women used condoms at last sexual intercourse. The odds of using condoms during last sexual intercourse were lower for older women (aOR=0.67 and aOR=0.65 for women aged 20-24 and 25+ years respectively). Women who reported higher age (18+ years) at first sex had higher odds (aOR=1.65) of using condoms compared to those who started having sex before 15 years old. Women from rich households (aOR=1.5) and those owning phones (aOR=1.44) had higher odds using condoms at their last sexual intercourse. Also, higher odds of using condoms were observed for women in the Southern, South West highlands, and Eastern zones compared to the Central zone. Conclusion: The level of condom use among unmarried women in Tanzania is very low and varies by age, age at sex intercourse, household wealth index status, ownership of a phone and domicile zones. Targeted interventions are needed to promote condom use among unmarried women to mitigate the risk of HIV and unintended pregnancies.
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    Predictors of condom use among unmarried sexually active women of reproductive age in Tanzania
    (National Institute of Medical Research, 2022-08) Mbotwa, Christopher H; Moshi, Fabiola V; Mosha, Idda H; Kibona, Shadrack E; Ezekiel, Mangi J; Kazaura, Method R
    Background: Condom is one of the methods for prevention against Human Immunodeficiency Virus and other Sexually Transmitted Infections. It is also considered an effective method for preventing unwanted pregnancies. Despite the several interventions that have been put to promote condom use, still, a large proportion of women do not use condoms during sexual intercourse. Objectives: This study aimed at determining predictors of condom use among unmarried sexually active women of reproductive age in Tanzania. Methods: This study used secondary data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey (2015-16 TDHS-MIS). It involved unmarried sexually active women aged 15-49 years. Multiple binary logistic regression was used to determine predictors for condom use at last sexual intercourse. Results: Overall, a lower proportion (31.1%) of unmarried sexually active women used condoms at last sexual intercourse. The odds of using condoms during last sexual intercourse were lower for older women (aOR=0.67 and aOR=0.65 for women aged 20-24 and 25+ years respectively). Women who reported higher age (18+ years) at first sex had higher odds (aOR=1.65) of using condoms compared to those who started having sex before 15 years old. Women from rich households (aOR=1.5) and those owning phones (aOR=1.44) had higher odds using condoms at their last sexual intercourse. Also, higher odds of using condoms were observed for women in the Southern, South West highlands, and Eastern zones compared to the Central zone. Conclusion: The level of condom use among unmarried women in Tanzania is very low and varies by age, age at sex intercourse, household wealth index status, ownership of a phone and domicile zones. Targeted interventions are needed to promote condom use among unmarried women to mitigate the risk of HIV and unintended pregnancies.