, Volume 36, Issue 1, pp 23–40 | Cite as

Quality, accessibility, and contraceptive use in rural tanzania

  • Thomas A. Mroz
  • Kenneth A. Bollen
  • Ilene S. Speizer
  • Dominic J. Mancini
Intervention programs and effects on reproductive behavior


We examine how informants’reports on community perceptions of the quality and accessibility offamily planningfacilities relate to the use of modern contraceptives by individuals in rural Tanzania. Using information on individual-level contraceptive use in conjunction with community-level information on the accessibility and quality of family planning facilities, we employ two distinct statistical procedures to illustrate the impacts of accessibility and quality on contraceptive use. Both procedures treat the community-level variables as imperfect indicators of characteristics of the facilities, and they yield nearly identical implications. Wefind that a communitylevel, subjective perception of a family planning facility s quality has a significant impact on community members’ contraceptive use whereas other community measures such as time, distance, and subjective perception of accessibility have trivial and insignificant direct impacts, net of the control variables. Future research that uncovers the determinants of perceptions of both community-level and individual-level quality could provide key insights for developing effective and efficientfamily planning programs.


Family Planning Travel Time Family Planning Service Family Plan Informant Report 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Population Association of America 1999

Authors and Affiliations

  • Thomas A. Mroz
    • 1
  • Kenneth A. Bollen
    • 2
  • Ilene S. Speizer
    • 3
  • Dominic J. Mancini
    • 2
  1. 1.Carolina Population CenterUniversity of North Carolina at Chapel HillChapel Hill
  2. 2.Carolina Population CenterUniversity of North Carolina at Chapel HillUSA
  3. 3.Department of International Health and DevelopmentTulane University School of Public Health and Tropical MedicineUSA

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