Work

Association between interspousal communication on family planning and contraceptive use: a cross-sectional study in Temeke municipality, Tanzania

Year: 2026

Type: article

Abstract: Introduction: Interspousal communication is a key determinant of contraceptive use. In Tanzania, where fertility rates remain high, the extent to which spousal dialogue influences the adoption of family planning (FP) methods remains underexplored. This study examined the association between interspousal communication and contraceptive use among couples in Temeke Municipality. Methods: A cross-sectional study was conducted in Temeke, Tanzania, involving 342 married couples aged 18-49 years. Participants were selected using two-stage cluster random sampling. Data on FP use and interspousal communication were collected via structured questionnaires and analysed using STATA V.18. We examined crude associations using bivariate logistic regression and an adjusted analysis using a multivariable logistic regression model. Results: The prevalence of FP use among women was 88%. Overall, 78.9% of couples had concordant reports indicating that both spouses independently confirmed discussing FP with each other. In multivariable analysis, couples who engaged in FP discussions were significantly more likely to use contraceptives (adjusted OR=15.2, 95% CI 5.87 to 39.49, p<0.001). Other significant predictors included the number of children and exposure to FP programmes. Education and employment status were not independently associated with FP use after adjustment. Conclusions: Interspousal communication is associated with contraceptive use among couples in Tanzania. These findings highlight the significance of incorporating couple-based communication strategies into reproductive health programmes. Interventions that encourage open dialogue between spouses could enhance contraceptive uptake and facilitate informed decision-making regarding reproductive health.

Source: BMJ Public Health

DOI: 10.1136/bmjph-2025-004004

Authors: Agbert Timotheo Mshubilo, Rose Upor, Christopher Hariri Mbotwa, Bernard Ngowi

Institution: University of Dar es Salaam

Language: English

Topic: Reproductive Health and Contraception

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: University of Dar es Salaam