A Qualitative Exploration of Perceptions and Experiences of Adolescent Girls and Young Women on Modern Contraceptive Methods Use in Malinyi District, Morogoro, Tanzania

Abstract

Background: Despite the existence of plans and strategies for providing family planning methods in Tanzania, the uptake rate of modern contraceptives among Adolescent Girls and Young Women (AGYW) in Tanzania remains low. The fertility rate is 112 per 1000; only 15.2% of adolescents are using Modern Contraceptives Methods (MCMs) in Tanzania. Modern contraceptive use is one of the important interventions to reduce the burden of adolescent pregnancy which is as high as 22% in the country. However, little is known regarding AGYW’s perceptions and experiences with MCMs.
Objective: To explore the perceptions and experiences of AGYW with MCMs use in the Malinyi district of Morogoro, Tanzania.
Materials and Methods: This was a qualitative phenomenology study. Purposive sampling was used to select 19 study participants. An in-depth interview guide was used to collect data. Data were transcribed verbatim. A thematic data analysis approach was used to analyze data.
Results: Two major themes that emerged from the findings were experiences and perceptions of AGYW on MCM use. On the experiences of MCMs, the study findings revealed that AGYW have limited knowledge and awareness about modern contraceptive methods; some of them acknowledged the benefits of modern contraceptive methods in preventing unintended pregnancies, providing a sense of empowerment, and enabling them to pursue their life goals. On perceptions of MCM use some of the study participants shared challenges encountered, including side effects, social influence, cultural and religious beliefs, myths and misconceptions that contribute to the perceptions and use of MCMs.
Conclusion and recommendation: Healthcare providers at the health facilities should continue educating AGYW on the importance of using MCMs.