Quality, accessibility, and contraceptive use in rural Tanzania.

Link to Document:
ja-99-02

Author(s): Mroz TA, Bollen KA, Speizer IS, Mancini DJ

Year: 1999

Abstract:
Authors examine how informants' reports on community perceptions of the quality and accessibility of family planning facilities relate to the use of modern contraceptives by individuals in rural Tanzania. Using information on individual level contraceptive use in conjunction with community-level information on the accessibility and quality on contraceptive use. Both procedures treat the community-level variables as imperfect indicators of characteristics of the facilities, and they yield nearly identical implications. Authors find that a community-level, subjective perception of a family planning facility's quality has a significant impact on community members' contraceptive use whereas other community measures such as time, distance, and subjective perception of accessibility have trivial and insignificant direct impacts, net of the control variables. Future research that uncovers the determinants of perceptions of both community-level and individual-level quality could provide key insights for developing effective and efficient family planning programs.