Factors influencing fertility desires among married men in rural areas of Tanzania: Evidence from the Tanzania Demographic Health Survey report (TDHS)-2022

https://doi.org/10.51867/ajernet.7.1.69

Authors

  • Robert Ndobori Pauline Institute of Rural Development Planning (IRDP), Tanzania https://orcid.org/0009-0000-8956-5240
  • Hermas Asheri Dobogo Institute of Rural Development Planning (IRDP), Tanzania
  • Praise Mdendemi Institute of Rural Development Planning (IRDP), Tanzania

Keywords:

Family Size, Fertility Desire, Married Men, Rural Areas, Tanzania

Abstract

In Tanzania, high fertility rates continue to be a major significant obstacle to family welfare, public health, and socioeconomic growth, especially in rural areas, where currently married men still strongly desire large families. Understanding the determinants is essential for designing strategies to address the situation; research on specific drivers in rural areas is limited. This study aimed to assess the factors influencing fertility desires among married men in rural areas of Tanzania. Specifically, the study examines the prevalence of fertility desires among married men and explores the drivers of higher fertility rates in rural Tanzania. The study was guided by Becker’s economic theory of fertility. The study employed a cross-sectional research design using the 2022 Tanzania Demographic and Health Survey (TDHS) report data. A total of 3961 cases were analyzed to answer the study's questions. Both descriptive and inferential statistical analyses were used. The findings indicated that the fertility rate among married men in rural Tanzania is higher than among their urban counterparts. Such a high rate implies, among other effects, distorted family economic welfare, limited parental care leading to moral decay, increased maternal and child health problems, and greater pressure and depletion of resources. Men's desire for children is influenced by several factors, including age, education, knowledge of contraception, ideal number of children, number of living children, marital status, frequency of newspaper reading, and wealth index. Given the observed scenario, the study recommends that the government and non-governmental sectors establish comprehensive efforts to promote family planning and reproductive health for better utilization of available resources, encourage couple-based counseling at health facilities, and promote male contraceptive methods such as condoms and vasectomy.

Dimensions

Ahinkorah, B. O., Seidu, A. A., Budu, E., Agbaglo, E., Adu, C., Dickson, K. S., Ameyaw, E. K., Hagan, J. E., Jr., & Schack, T. (2021). Which factors predict fertility intentions of married men and women? Results from the 2012 Niger Demographic and Health Survey. PLoS ONE, 16(6), e0252281. https://doi.org/10.1371/journal.pone.0252281

Assefa, L., Shasho, Z., Kasaye, H. K., Tesa, E., Turi, E., & Fekadu, G. (2021). Men's involvement in family planning service utilization among married men in Kondala district, western Ethiopia: A community-based comparative cross-sectional study. Contraception and Reproductive Medicine, 6(1), 16.

https://doi.org/10.1186/s40834-021-00160-x

Becker, G. S. (1960). An economic analysis of fertility. In Demographic and economic change in developed countries (pp. 209-240). Columbia University Press.

Bishwajit, G., Tang, S., Yaya, S., Ide, S., Fu, H., Wang, M., & Feng, Z. (2017). Factors associated with male involvement in reproductive care in Bangladesh. BMC Public Health, 17, 1-8. https://doi.org/10.1186/s12889-016-3915-y

Brennan-Wilson, A., Marques, M., Coates, A., Amin, A., Garry, J., Tomlinson, M., Nyembezi, A., George, A., & Lohan, M. (2024). Masculinities and sexual and reproductive health and rights: A global research priority setting exercise. The Lancet Global Health, 12(5), e882-e890. https://doi.org/10.1016/s2214-109x(24)00053-6

Bueno, X., & Pardo, I. (2023). Gender-role attitudes and fertility ideals in Latin America. Journal of Population Research, 40(1), 2. https://doi.org/10.1007/s12546-023-09295-x

Caffe, S., Plesons, M., Camacho, A. V., Brumana, L., Abdool, S. N., Huaynoca, S., & Chandra-Mouli, V. (2017). Looking back and moving forward: Can we accelerate progress on adolescent pregnancy in the Americas? Reproductive Health, 14(1), 83. https://doi.org/10.1186/s12978-017-0345-y

Chauhan, B. G., Rawat, R., Tirkey, N. N., & Chauhan, S. K. (2021). Factors associated with fertility limiting intention and contraceptive use among currently married men in India. International Journal of Population Studies, 7(1), 1-22. https://doi.org/10.18063/ijps.v7i1.1232

Cheng, H., Luo, W., Si, S., Xin, X., Peng, Z., Zhou, H., & Yu, Y. (2022). Global trends in total fertility rate and its relation to national wealth, life expectancy and female education. BMC Public Health, 22, 1346. https://doi.org/10.1186/s12889-022-13656-1

Church, A. C., Ibitoye, M., Chettri, S., & Casterline, J. B. (2023). Traditional supports and contemporary disrupters of high fertility desires in sub-Saharan Africa: A scoping review. Reproductive Health, 20(1), 86.

https://doi.org/10.1186/s12978-023-01627-7

Cleland, J., Machiyama, K., & Casterline, J. B. (2020). Fertility preferences and subsequent childbearing in Africa and Asia: A synthesis of evidence from longitudinal studies in 28 populations. Studies in Family Planning, 54(3), 345-362. https://doi.org/10.1080/00324728.2019.1672880

De Jonge, C. J., Barratt, C. L. R., Aitken, R. J., Anderson, R. A., Baker, P., Chan, D. Y. L., Connolly, M. P., Eisenberg, M. L., Garrido, N., & Jørgensen, N. (2024). Current global status of male reproductive health. Human Reproduction Open, 2024(2), hoae017. https://doi.org/10.1093/hropen/hoae017

Dewi, R. K., Suryadarma, D., & Suryahadi, A. (2018). The impact of media on behaviour: Evidence from television coverage expansion and declining fertility in Indonesia. Development Policy Review, 36, O552-O563. https://doi.org/10.1111/dpr.12310

Economic Commission for Latin America and the Caribbean (ECLAC). (2025). Demographic Observatory 2025: Fertility trends in Latin America and the Caribbean. Santiago: ECLAC. https://www.cepal.org/en/publications/type/demographic-observatory-latin-america-and-caribbean-observatorio-demografico

Esteve, A., Pohl, M., Becca, F., Fang, H., Galeano, J., García-Román, J., & Turu, A. (2024). A global perspective on household size and composition, 1970-2020. Genus, 80(1), 2. https://doi.org/10.1186/s41118-024-00211-6

Fraser, B. (2020). Adolescent pregnancy in Latin America and the Caribbean. The Lancet Child & Adolescent Health, 4(5), 356-357. https://doi.org/10.1016/S2352-4642(20)30106-1

Friedrich, C., & Bujard, M. (2025). Intended, ideal, and actual fertility in 11 European countries: Evidence from the Generations and Gender Survey. Federal Institute for Population Research. https://doi.org/10.13140/RG.2.2.23942.28484

Herrera-Almanza, C., & McCarthy, A. S. (2025). Strategic responses to disparities in spousal desired fertility: Experimental evidence from rural Tanzania. IZA Discussion Paper, 18115.

https://doi.org/10.1007/s00148-025-01142-y

https://doi.org/10.2139/ssrn.5492811

Kiani, Z., Simbar, M., Rashidi, F., Zayeri, F., & Banaderakhsh, H. (2024). The quality of life of men experiencing infertility: A systematic review. BMC Public Health, 24(1), 1236. https://doi.org/10.1186/s12889-024-18758-6

Ling, J. E. S., & Tong, S. F. (2017). The roles of men in family planning-a study of married men at the UKM primary care clinic. Malaysian Family Physician, 12(1), 2. https://pubmed.ncbi.nlm.nih.gov/28503268/

Maina, N. (2017). Factors influencing couples' fertility preferences in Kenya (Doctoral dissertation, University of Nairobi).

Maqsood, K., Mehmood, T., Maqbool, H. H., Afzal, A., Maqbool, M. F., Fatima, M., & Khawar, M. B. (2025). Trends in male infertility burden in South Asia: A 30-year analysis. Frontiers in Reproductive Health, 7, 1697925. https://doi.org/10.3389/frph.2025.1697925

Mashara, J. N. (2016). Factors influencing fertility preferences of currently married men in Kenya. African Population Studies, 30. https://doi.org/10.11564/30-2-857

Matovu, J. K., Makumbi, F., Wanyenze, R. K., & Serwadda, D. (2017). Determinants of fertility desire among married or cohabiting individuals in Rakai, Uganda: A cross-sectional study. Reproductive Health, 14, 1. https://doi.org/10.1186/s12978-016-0272-3

Menashe-Oren, A., & Sánchez-Páez, D. A. (2023). Male fertility and internal migration in rural and urban Sub-Saharan Africa. European Journal of Population, 39(1), 10. https://doi.org/10.1007/s10680-023-09659-2

Ministry of Health, Community Development, Gender, Elderly, and Children (MoHCDGEC). (2021). National Road Map Strategic Plan to Accelerate Reduction of Maternal, Newborn, and Child Deaths 2016-2020. Government of Tanzania. https://moh.go.tz

Mwaisaka, J., Gonsalves, L., Thiongo, M., Waithaka, M., Sidha, H., Agwanda, A., Mukiira, C., & Gichangi, P. (2020). Exploring contraception myths and misconceptions among young men and women in Kwale County, Kenya. BMC Public Health, 20(1), 1694. https://doi.org/10.1186/s12889-020-09849-1

Namasivayam, A., Schluter, P. J., Namutamba, S., & Lovell, S. (2025). "A sweet in a polythene is not sweet": Men's perceptions of their roles and experiences with family planning in East Uganda. Culture, Health & Sexuality, 27(8), 963-978. https://doi.org/10.1080/13691058.2024.2406472

Nisén, J., Martikainen, P., Myrskylä, M., & Silventoinen, K. (2018). Education, other socioeconomic characteristics across the life course, and fertility among Finnish men. European Journal of Population, 34, 337-366. https://doi.org/10.1007/s10680-017-9430-8

Odusina, E. K., Ayotunde, T., Kunnuji, M., Ononokpono, D. N., Bishwajit, G., & Yaya, S. (2020). Fertility preferences among couples in Nigeria: A cross-sectional study. Reproductive Health, 17, 1-9. https://doi.org/10.1186/s12978-020-00940-9

Ololade, A. G., Babalola, B. I., Omotoso, K. O., Oyelade, O. O., & Ibrahim, E. A. (2023). Linkages between men's wealth status and the ideal number of children: A trend and multilevel analysis of survey data in Nigeria. PLOS Global Public Health, 3(3), e0001036. https://doi.org/10.1371/journal.pgph.0001036

Onofri, M., Berniell, I., Fernández, R., & Menduiña, A. (2026). Understanding Latin America's fertility decline: Age, education, and cohort dynamics. NBER Working Paper No. 34749.

https://doi.org/10.3386/w34749

Osuafor, G. N., Akokuwebe, M. E., & Idemudia, E. S. (2023). Male involvement in family planning decisions in Malawi and Tanzania: What are the determinants? International Journal of Environmental Research and Public Health, 20(6), 5053. https://doi.org/10.3390/ijerph20065053

Paudel, Y. R., & Acharya, K. (2018). Fertility limiting intention and contraceptive use among currently married men in Nepal: Evidence from Nepal Demographic and Health Survey 2016. BioMed Research International, 2018, 5970705. https://doi.org/10.1155/2018/5970705

Robards, J. (2022). National population projections: 2020 Based interim. Office for National Statistics. projections@ons.gov.uk

Saya, G. K., Premarajan, K. C., Roy, G., Sarkar, S., Kar, S. S., Ulaganeethi, R., & Olickal, J. J. (2021). Current fertility desire and its associated factors among currently married eligible couples in urban and rural areas of Puducherry, south India. African Health Sciences, 21(3), 1385-1395. https://doi.org/10.4314/ahs.v21i3.50

Statista. (2024). Demographics of Africa - statistics & facts. https://www.statista.com/topics/7928/demographics-of-africa/

Tanzania Demographic and Health Survey and Malaria Indicator Survey 2015-2016. (2016). National Bureau of Statistics and ICF International. https://dhsprogram.com/pubs/pdf/FR321/FR321.pdf

U.S. Agency for International Development (USAID). (2021). Family planning and reproductive health: Tanzania. https://www.usaid.gov/tanzania

UNFPA. (2025). The real fertility crisis: Ensuring rights and choices for all. State of World Population Report.

United Nations Economic and Social Commission for Asia and the Pacific (ESCAP). (2023). Asia-Pacific population and development report 2023 [Report]. https://www.unescap.org/kp/2023/asia-pacific-population-and-development-report-2023

Wangari, N. J. (2020). Determinants of fertility preferences among young married men in Gatanga Sub-County, Muranga County (Master's thesis, University of Nairobi). http://erepository.uonbi.ac.ke/handle/11295/154424

World Bank. (2023). Tanzania economic update: Addressing high fertility rates to unlock economic potential. World Bank Group. https://worldbank.org

World Population Prospect Review. (2024). Population projections for 2100. https://worldostats.com/population-by-country-2100-projection/

Worldometer. (2025). Regions in the world by population (2025). https://www.worldometers.info/world-population/population-by-region/

Worldostats. (2025). The 2025 population. https://worldostats.com

Yang, T., Lin, J., Yang, X., Li, C., & Xin, A. (2025). Burden of male infertility in Asia from 1990 to 2021 and prediction to 2040: A Global Burden of Disease Study. https://doi.org/10.21037/tau-2025-44

Published

2026-02-28

How to Cite

Pauline, R. N., Dobogo, H. A., & Mdendemi, P. (2026). Factors influencing fertility desires among married men in rural areas of Tanzania: Evidence from the Tanzania Demographic Health Survey report (TDHS)-2022. African Journal of Empirical Research, 7(1), 804–814. https://doi.org/10.51867/ajernet.7.1.69