This study has explored how quality issues in delivering family planning services (supply side), and attitudinal and behavioural issues of the potential users (demand side) merge together to influence adoption of family planning methods. The subject was explored by blending Bruce’s (1990) quality of care of family planning services framework with an access framework with five determinants of decisions to use and sustain family planning services (availability, accessibility, affordability, adequacy, and acceptability of the services). Two districts, Misungwi and Ukerewe in Mwanza region, one of the regions with the lowest contraceptive prevalence rates, were used as case studies. Data were collected from providers of health services, clients of family planning services, and men and women non-users in catchment areas of the sampled health facilities
Related Articles
Bargaining Strategies in recent tax reforms in Tanzania
The authors’ motivation for this research and so this Working Paper was on their conceptualisation of revenue bargaining as it hones in on political dynamics whereby the interests and power of members of government and of different revenue providers take center stage. A political settlement approach that conceptualises political dynamics fitting both democratic and non-democratic […]
The Demand and Supply of Political Campaign Financing in Tanzania and Uganda During the 2010s
Campaign financing is defined as money and other resources used by parties and candidates during primary, parliamentary, or presidential elections to secure nomination and election to political office. In this paper, we develop a demand-supply framework for analysing and understanding such financing in newly democratising poor countries, exemplified by Tanzania and Uganda. Like other African […]
Designing for differences:
aligning incentives in Tanzania’s skills sector
Since the introduction of the Skills Development Levy (SDL) in Tanzania, the financing of skills training has been contested. The private sector has raised concerns about the size of the levy and the usefulness of training provided by VET centres, and has accused the government of misallocation and misuse of the raised levy. Lack of […]
Productivity premia and firm heterogeneity in Eastern Africa
The gap between national export premium and foreign-ownership premium is stronger in manufacturing firms as opposed to service sectors. Moreover, we find clear and strong productivity premia in size, training programmes and level of development in the manufacturing firms. In the services sector, these premia are always smaller and only significant for medium-sized firms. There […]