Family planning and resilience: associations found in a Population, Health, and Environment (PHE) project in Western Tanzania.

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Bibliographic Details
Title: Family planning and resilience: associations found in a Population, Health, and Environment (PHE) project in Western Tanzania.
Authors: Hardee, Karen1 karen.hardee@hardeeassociates.com, Patterson, Kristen P.2, Schenck-Fontaine, Anika3, Hess, Sebastiaan4, Leisher, Craig5, Mutunga, Clive6, Margoluis, Cheryl7, Honzak, Cara7
Source: Population & Environment. Dec2018, Vol. 40 Issue 2, p204-238. 35p. 1 Diagram, 7 Charts.
Subject Terms: *Climate change, *Environmental sciences, *Public health, Family planning, Ecological resilience, Socioeconomic factors
Abstract: Using 2016 household survey data from Tanzania, we define and measure resilience within the context of Population, Health, and Environment programming and quantify the link between resilience and family planning. We created a multicomponent model using confirmatory factor analysis in a structural equation modeling context. Factor loadings for eight defined latent factors of resilience were statistically significant (p < 0.001). We created a factor called "FP-MCH" reflecting awareness, attitudes, and access to family planning (FP) and health care services and use of maternal and child health care (MCH) facilities. Analysis, with controls, shows that a 1 standard deviation (SD) increase in FP/MCH was associated with a 0.68 SD increase in resilience (p < 0.01), suggesting that the association between FP/MCH and resilience is robust across a range of factors. Analyses showed that the association between FP/MCH is broadly related to the construct of resilience and not through any single component. This study supports the importance of including FP/MCH as part of integrated projects to enhance resilience. [ABSTRACT FROM AUTHOR]
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Abstract:Using 2016 household survey data from Tanzania, we define and measure resilience within the context of Population, Health, and Environment programming and quantify the link between resilience and family planning. We created a multicomponent model using confirmatory factor analysis in a structural equation modeling context. Factor loadings for eight defined latent factors of resilience were statistically significant (p < 0.001). We created a factor called "FP-MCH" reflecting awareness, attitudes, and access to family planning (FP) and health care services and use of maternal and child health care (MCH) facilities. Analysis, with controls, shows that a 1 standard deviation (SD) increase in FP/MCH was associated with a 0.68 SD increase in resilience (p < 0.01), suggesting that the association between FP/MCH and resilience is robust across a range of factors. Analyses showed that the association between FP/MCH is broadly related to the construct of resilience and not through any single component. This study supports the importance of including FP/MCH as part of integrated projects to enhance resilience. [ABSTRACT FROM AUTHOR]
ISSN:01990039
DOI:10.1007/s11111-018-0310-x