Mroz T A, Bollen K A, Speizer I S, Mancini D J
Carolina Population Center, University of North Carolina at Chapel Hill 27516-3997, USA.
Demography. 1999 Feb;36(1):23-40.
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.
我们研究了信息提供者关于社区对计划生育设施质量和可及性的看法的报告，与坦桑尼亚农村地区个人对现代避孕方法的使用之间的关系。我们将个人层面的避孕使用信息与社区层面关于计划生育设施可及性和质量的信息相结合，采用两种不同的统计程序来说明可及性和质量对避孕使用的影响。这两种程序都将社区层面的变量视为设施特征的不完美指标，并且它们产生的影响几乎相同。我们发现，社区层面对于计划生育设施质量的主观认知，对社区成员的避孕使用有重大影响，而其他社区指标，如时间、距离以及对可及性的主观认知，在扣除控制变量后，仅有微不足道且不显著的直接影响。未来揭示社区层面和个人层面质量认知的决定因素的研究，可能为制定有效且高效的计划生育项目提供关键见解。
