Family Planning Decisions, Perceptions and Gender Dynamics among Couples in Mwanza, Tanzania: A Qualitative Study.

Contraceptive use is low in developing countries which are still largely driven by male dominated culture and patriarchal values. This study explored family planning (FP) decisions, perceptions and gender dynamics among couples in Mwanza region of Tanzania. Twelve focus group discussions and six in-depth interviews were used to collect information from married or cohabiting males and females aged 18-49. The participants were purposively selected. Qualitative methods were used to explore family planning decisions, perceptions and gender dynamics among couples. A guide with questions related to family planning perceptions, decisions and gender dynamics was used. The discussions and interviews were tape-recorded, transcribed verbatim and analyzed manually and subjected to content analysis. Four themes emerged during the study. First, "risks and costs" which refer to the side effects of FP methods and the treatment of side -effects as well as the costs inherit in being labeled as an unfaithful spouse. Second, "male involvement" as men showed little interest in participating in family planning issues. However, the same men were mentioned as key decision-makers even on the number of children a couple should have and the child spacing of these children. Third, "gender relations and communication" as participants indicated that few women participated in decision-making on family planning and the number of children to have. Fourth, "urban-rural differences", life in rural favoring having more children than urban areas therefore, the value of children depended on the place of residence. Family Planning programs should adapt the promotion of communication as well as joint decision-making on FP among couples as a strategy aimed at enhancing FP use

A Closer Look at the Second Demographic Transition in the US: Evidence of Bidirectionality from a Cohort Perspective (1982–2006)

Second demographic transition (SDT) theory posits that increased individualism and secularization have contributed to low fertility in Europe, but very little work has directly tested the salience of SDT theory to fertility trends in the U.S. Using longitudinal data from a nationally representative cohort of women who were followed throughout their reproductive years (NLSY79), this study examines the role of several key indicators of the second demographic transition (secularization, egalitarianism, religious affiliation, and female participation in the labor market) on fertility behavior over time (1982–2006). Analyses employ Poisson estimation, logistic regression, and cross-lagged structural equation models to observe unidirectional and bidirectional relationships over the reproductive life course. Findings lend support to the relevance of SDT theory in the U.S. but also provide evidence of "American bipolarity" which distinguishes the U.S. from the European case. Furthermore, analyses document the reciprocal nature of these relationships over time which has implications for how we understand these associations at the individual-level