Exploring the Contraceptive Use Histories and Decision-Making Processes of First-Time Parents in Western Tanzania (Report)

Cover of TZ Contraceptives report


In 2018, the Evidence to Action (E2A) Project and Pathfinder International Tanzania—through the Tuungane Project, an integrated population, health, and environment (PHE) project in Western Tanzania—launched a new program component focusing on first-time parents (FTPs).

In March 2020, nearly two years after the start of the FTP intervention, E2A and Pathfinder Tanzania, in collaboration with a local research consultant, followed up with FTM program participants and their husbands/partners to better understand contraceptive use and method choice at the time of the intervention and in the time since activities concluded. This study seeks to better understand how and why FTPs use FP so that implementers can design effective programs that support young women and men at this time in their reproductive lives.


The specific study objectives:

  •  Explore contraceptive histories of FTMs, both new and continuing users, who adopted short-acting family planning methods and long-acting reversible contraceptives (LARCs).
  •  Explore facilitating factors for family planning uptake among FTMs/FTPs who participated in the program.
  •  Understand decision-making processes regarding family planning use among FTMs/FTPs who participated in the program.
  •  Understand factors associated with family planning method continuation/discontinuation/switching.
  •  Understand the role of partners/husbands in the FTMs’ decision-making processes regarding family planning use, including method choice and method continuation/discontinuation/switching.
  •  Explore FTMs’ experiences accessing family planning methods.
  •  Understand future contraceptive needs and intentions to use contraception.

Although the study focused on a very specific subset of first-time parents (FTPs)—young FTMs who participated in an FP-focused program specifically designed for FTPs, and who used a modern contraceptive method during the intervention period—their experiences provide important insights into the different factors that shaped their family planning understanding, attitudes, communication, decision making, and action.