“Women do what they want”: Islam and permanent contraception in Northern Tanzania

Based on fieldwork in Ugweno, Tanzania, this research explores a case that contradicts popular understandings and representations of Muslim African women—specifically with respect to reproduction and family planning. Building on case studies of women who articulate their motivations regarding contraceptive use in general, and sterilization in particular, I argue that religious (and, in this case, Islamic) values and reasoning are fashioned pragmatically. The study was based on in-depth, unstructured and open-ended interviews with 40 women (20 of whom had been sterilized), as well as men, religious leaders and hospital workers. Women (and men) in Ugweno construct reproductive lives that challenge overly deterministic understandings of the relationship between religion and contraceptive practices. It was found that perceptions of Islamic rules about family planning are inconsistent. Individuals are able to define their own approach by manipulating the rules and resisting them.