The effects of family planning type and prevalent use on fertility and under-five mortality in Tanzania.
2012-05
Loading...
View/Download File
Persistent link to this item
Statistics
View StatisticsJournal Title
Journal ISSN
Volume Title
Title
The effects of family planning type and prevalent use on fertility and under-five mortality in Tanzania.
Authors
Published Date
2012-05
Publisher
Type
Thesis or Dissertation
Abstract
Current projections estimate that the population of Tanzania will triple by 2050, reaching 110 million. Voluntary family planning (FP) is the best strategy to curb population growth. However, contraception availability varies across regions. This study accounts for the regional context in which contraceptive choices -- and reproductive outcomes -- occur. Its research question, then, is: what is the effect of the regional context on total fertility rate and under-five mortality rate?
This study employs the 2010 Tanzania Demographics and Health Survey (DHS), a representative probability sample of 10,139 women ages 15 to 49. To mimic randomization, regions are matched on education, wealth, and urban-rural status, and assumed to be exchangeable save for their exposure to an FP method. The region-level independent effect of a specific FP method on total fertility rate and under-five mortality rate is calculated for different types of FP methods (i.e., oral contraceptives, injectables, condoms, sterilization, traditional methods). Also, population projections are re-calculated for incremental prevalence of each method.
Only permanent methods significantly reduce the total fertility rate, with an average causal effect of -1.59 children (-2.55, -0.65). Indeed, they alone guarantee the end of reproductive events. No method significantly reduces under-five mortality. Population growth trends would be most impacted by oral contraceptives (from 40 million in 2010 to 33 million in 2025 if prevalence increases by 19%), followed by injectables (42 million in 2025 with 19% prevalence increase). This difference is due to continued use of oral contraceptives through a woman's twenties and thirties, while injectables are mostly used by women in their twenties. These results suggest that sterilization immediately impacts on a region's total fertility rate. However, long-term investments in oral and injectable contraceptives will have a significant impact reducing population growth, and should be given funding priority.
Description
University of Minnesota Ph.D. dissertation. May 2012. Major: Epidemiology. Advisor: J. Michael Oakes, PhD. 1 computer file (PDF): viii, 197 pages, appendix A.
Related to
Replaces
License
Collections
Series/Report Number
Funding information
Isbn identifier
Doi identifier
Previously Published Citation
Other identifiers
Suggested citation
Ghiselli, Margherita Emilia. (2012). The effects of family planning type and prevalent use on fertility and under-five mortality in Tanzania.. Retrieved from the University Digital Conservancy, https://hdl.handle.net/11299/128739.
Content distributed via the University Digital Conservancy may be subject to additional license and use restrictions applied by the depositor. By using these files, users agree to the Terms of Use. Materials in the UDC may contain content that is disturbing and/or harmful. For more information, please see our statement on harmful content in digital repositories.