Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia

Reproductive Health

Berihun Megabiaw³  Amsalu Feleke²  Desalegn Woldeyohannes¹  Abdurahman Mohammed⁴ 

[1] Department of Public Health, School of Medicine and Health Sciences, Addis Ababa Science and Technology University, Addis Ababa, Ethiopia;Department of Health Service Management, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Nursing, College of Medicine and Health Sciences, Debre Birhan University, Debre Birhan, Ethiopia

关键词: Ethiopia;    Determinants;    Contraceptive use;    Modern contraceptives;   

Others  :  804988
DOI  :  10.1186/1742-4755-11-13

 received in 2013-01-12, accepted in 2014-01-29,  发布年份 2014

【 摘 要 】

Background

Ethiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and improve maternal health (Millennium Development Goal 4 and 5). Therefore, this study aimed to assess the prevalence and determinants of modern contraceptive utilization among married women of reproductive age group.

Methods

A community based cross-sectional study was conducted from August 15 to September 1, 2010 among married women aged 15–49 years in Debre Birhan District. Multistage sampling technique was used to select a total of 851 study participants. A pre-tested structured questionnaire was used for gathering data. Bivariate and multivariate logistic regression analyses were performed using SPSS version 16.0 statistical package.

Results

Modern contraceptive prevalence rate among currently married women was 46.9%. Injectable contraceptives were the most frequently used methods (62.9%), followed by intrauterine device (16.8%), pills (14%), norplant (4.3%), male condom (1.2%) and female sterilization (0.8%). Multiple logistic regression model revealed that the need for more children (AOR 9.27, 95% CI 5.43-15.84), husband approve (AOR 2.82, 95% CI 1.67-4.80), couple’s discussion about family planning issues (AOR 7.32, 95% CI 3.60-14.86). Similarly, monthly family income and number of living children were significantly associated with the use of modern contraceptives.

Conclusion

Modern contraceptive use was high in the district. Couple’s discussion and husband approval of contraceptives use were significantly associated with the use of modern contraceptives. Therefore, district health office and concerned stakeholders should focus on couples to encourage communication and male involvement for family planning.

【 授权许可】

   
2014 Mohammed et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Population Reference Bureau: World population data sheet. 2011. [http://www.prb.org/pdf11/2011population-data-sheet_eng.pdf webcite]
• [2]Central Statistical Agency: ICF International: Ethiopian Demographic and Health Survey. Addis Ababa, Ethiopia, Calverton, Maryland, USA: Central Statistical Agency and ORC Macro; 2006. [http://www.etharc.org/amhara/Asset/Dowloadables/DHS%202005%20Ethiopia.pdf webcite]
• [3]United Nations (UN): World Contraceptive Use 2007. New York: UN Department of Economic and Social Affairs, Population Division; 2008.
• [4]Korra A: Community based family planning services: a performance assessment of the jimma FPCBD project. Ethiop J Health Dev 1997, 11(1):17-22.
• [5]Hailemariam A, Mekbib T, Fantahun M: Family Planning in Ethiopia. In Epidemiology and Ecology of Health and Disease in Ethiopia. Edited by Berhane Y, Hailemariam D, Kloos H. Addis Ababa: Shama Books; 2006:267-285.
• [6]Mostafa K, Aynul I: Contraceptive Use: socioeconomic correlates and method choices in rural Bangladesh. Asia Pac J Public Health 2010, 22(4):436-450.
• [7]Timothy C, Nelson W, Tom K: Contraceptive Use among women of reproductive Age in Kenya’s city slums. Int J Bus Soc Sci 2011, 2(1):22-43.
• [8]Lwelamira J, Mnyamagola G, Msaki MM: Knowledge, attitude and practice (KAP) towards modern contraceptives among married women of reproductive Age in mpwapwa district, central Tanzania. Curr Res J Soc Sci 2012, 4(3):235-245.
• [9]World Health Organization (WHO): Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2000. Geneva: WHO; 2004.
• [10]Mekonnen W, Worku A: Determinants of low family planning use and high unmet need in butajira district. South central Ethiopia. Reprod Health 2011, 8:37. BioMed Central Full Text
• [11]Ali S, Rozi S, Mahmood M: Prevalence and factors associated with practice of modern contraceptive methods among currently married women in district naushahro feroze Karachi Pakistan. JPMA 2004, 54:461-465.
• [12]Ibnouf A, Van Den Born H, Maarse J: Utilization of family planning services by married Sudanese women of reproductive age. East Mediterr Health J 2007, 13(6):1372-1381.
• [13]Olugbenga-Bello A, Abodunrin O, Adeomi A: Contraceptive practices among women in rural communities in south-western Nigeria. Glob J Med Res 2011, 11(2):1.
• [14]Beekle A, Mccabe C: Awareness and determinants of family planning practice in Jimma, Ethiopia. Int Nurs Rev 2006, 53:269-276.
• [15]Kebede Y: Contraceptive prevalence in dembia district, northwest Ethiopia. Ethiop J Health Dev 2006, 20(1):32-38.
• [16]Stephenson R, Hennink M: Barriers to family planning service use among the urban poor in Pakistan. [Opportunities and choices working paper number 2 February 2004] [http://www.socstats.soton.ac.uk/choices/Pakistan%20barriers%20WP2.PDF webcite]
• [17]Haile A, Enqueselassie F: Influence of women’s autonomy on couple’s contraception use in Jimma town Ethiopia. Ethiop J Health Dev 2006, 20(3):145-151.
• [18]Mon M, Liabsuetrakul T: Factors influencing married youths’ decisions on contraceptive use in a rural area of Myanmar, Thailand. Southeast Asian J Trop Med Public Health 2009, 40(5):1057-1064.
• [19]Federal Democratic Republic of Ethiopia population and census commission: Summary and Statistical Report of the 2007 Population and Housing Census Results. Addis Ababa, Ethiopia; 2008.
• [20]Biruk T, Assefa H, Georges R: The prevalence of Covert use of contraceptives in Nazareth/Adama town. Eur J Contracept Reprod Health Care 2008, 13(2):63.
• [21]Mulu W, Tilahun H: Modeling trends of health and health related indicators in Ethiopia (1995–2008): a time-series study. Bio-Med Cent Health Res Policy Syst 2009, 7:29-46. BioMed Central Full Text
• [22]Pandey S, Karki S, Pradhan A: Practice of contraceptives. J Inst Med 2009, 31(3):3-9.
• [23]Abraham W, Adamu A, Deresse D: The involvement of Men in family planning an application of Tran-theoretical model in wolaita soddo town south Ethiopia. Asian J Med Sci 2010, 2(2):44-50.
• [24]Mekonnen A, Sophie A, Dramaix M, Bantayehu A: Factors affecting continuity and success of community–based reproductive health service program in rural community of northeast Ethiopia. East Afr Med J 2008, 85(10):478-499.