Quality, accessibility, and contraceptive use in rural Tanzania
Quality, accessibility, and contraceptive use in rural Tanzania
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DOI：
10.2307/2648132
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发表时间：
1999-02-01
期刊：
影响因子：
3.5
通讯作者：
Mancini, DJ
中科院分区：
文献类型：
--
作者：
Mroz, TA;Bollen, KA;Mancini, DJ
我们审查了举报人关于社区对计划生育设施的质量和可获得性的看法的报告与坦桑尼亚农村地区个人使用现代避孕药具的关系。利用关于个人一级避孕用具使用情况的信息和关于计划生育设施可获得性和质量的社区一级信息，我们采用了两种不同的统计程序来说明可获得性和质量对避孕用具使用的影响。这两个程序都将社区层面的变量视为设施特征的不完美指标，它们产生的影响几乎相同。我们发现，社区层面对计划生育机构质量的主观感知对社区成员避孕措施的使用有显著影响，而其他社区措施，如时间、距离和对可及性的主观感知，扣除控制变量后，直接影响很小且不显著。未来的研究揭示了社区层面和个人层面质量认知的决定因素，可能会为制定有效和高效的计划生育计划提供关键见解。
We examine how informants' reports on community perceptions of the quality and accessibility of family planning facilities 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. We find that a community-level, 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 efficient family planning programs.