Family Planning in Tanzania

Although there has been a steady increase in contraceptive use in Tanzania, the country’s total fertility rate remains high at 5.4 children per woman, with a contraceptive prevalence rate (CPR) of 27% (TDHS, 2010). Childbearing in Tanzania begins early: 55% of women have given birth by age 20 and 88% by age 25. Unmet need for family planning is high, as the majority of married women want to space or limit their number of children: 44% of currently married women want to delay their next birth for two or more years, and 26% do not want any more children. Short-acting methods remain the most commonly used forms of family planning: currently married women are most likely to use injectables (11%) or pills (7%), whereas sexually active unmarried women prefer male condoms (16%) and injectables (15%). Some of the key barriers to uptake of family planning include fear of side effects, concerns about delayed return to fertility, and disapproval of FP by influencers, such as sexual partners, and religious institutions.

With this in mind, the revitalized campaign was developed under the leadership of the Tanzania Ministry of Health and Social Welfare Reproductive Child Health Section, in collaboration with several implementing partners.