Contraceptive prevalence rate and associated factors among reproductive age women in four emerging regions of Ethiopia: a mixed method study

Contraception and Reproductive Medicine

Feiruz Surur¹  Delayehu Bekele¹  Balkachew Nigatu¹  Munir Kassa²  Yonas Abesha³  Tewodros Getinet⁴  Alula Teklu⁵  Merhawi Gebremedhin⁶  Berhe Gebremichael⁶ 

[1] Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia;Federal Ministry of Health, Ministry’s Office, Addis Ababa, Ethiopia;Private Consultancy Practice, Addis Ababa, Ethiopia;Public Health Department, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia;Research Office, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia;School of Public Health, Haramaya University, Harar, Ethiopia;

关键词: Contraceptive prevalence rate;    Emerging regions;    Ethiopia;    Reproductive age women;   

DOI  :  10.1186/s40834-021-00162-9

来源: Springer

【 摘 要 】

BackgroundEthiopia is the second most populous country in Africa, known for its high fertility and low contraceptive use. The magnitude of contraceptive use in the emerging regions of the country is below the national average. However, there is a paucity of evidence regarding the reasons for low contraceptive use in these regions. Therefore, this study aimed to assess contraceptive use and associated factors in the emerging regions of Ethiopia.MethodsFor the quantitative part, a community based cross-sectional study was conducted among 2891 reproductive age women who were selected by multistage sampling technique. Data were collected face to face using an open data kit software, and STATA version 14 was used for data analysis. Frequencies, percentages, summary measures and tables were used to summarize and present the data. Bivariable and multivariable logistic regression analyses were performed to identify factors associated with contraceptive use, by computing odds ratio with 95% confidence interval. Level of significance was considered at p-value < 0.05. For the qualitative part, phenomenological study was conducted among 252 health care workers and community members who were selected purposely. The data were collected by focused group discussions, in-depth interviews and key informant interviews. The data were audio-recorded in the local languages, and then translated to English verbatim. NVivo version 11 was used to analyze the data through a thematic analysis method.ResultsThe overall contraceptive prevalence rate was 22.2%; with 11.7, 38.6, 25.5 and 8.8% for Afar, Benshangul Gumuz, Gambela and Somali Regions, respectively. Age, religion, education, marital status, family size, ideal children, knowledge and attitude were significantly associated with contraceptive use. Additionally, the qualitative study identified three themes as barriers to contraceptive use: individual, health care system and sociocultural factors.ConclusionsContraceptive prevalence rate was low in this study compared to the national average. Age, religion, education, marital status, family size, ideal children, knowledge and attitude were significantly associated with contraceptive use. From the qualitative aspect, individual, health care system and sociocultural factors were identified as barriers to contraceptive use. Therefore, the emerging regions of Ethiopia need special focus in increasing contraceptive use through behavioral influence/change.

【 授权许可】

CC BY