Prevalence and determinants of contraceptive utilization among married women at Dabat Health and Demographic Surveillance System site, northwest Ethiopia

BMC Women's Health

Melkamu Birku¹  Temesgen Azmeraw¹  Zemichael Gizaw²  Mamo Wubeshet²  Tadesse Awoke Ayele³  Kindie Fentahun Muchie³  Yigzaw Kebede³  Abel Fekadu³  Kassahun Alemu³  Adino Tesfahun³  Getu Debalkie⁴  Gashaw Andargie Biks⁵  Geta Asrade Alemayehu⁵  Mezgebu Yitayal⁵  Terefe Derso⁶  Solomon Mekonnen Abebe⁶  Amare Tariku⁶  Nigusie Birhan Tebeje⁷  Zemene Tigabu⁸  Abebaw Gebeyehu⁹  Abebaw Addis Gelagay⁹ 

[1] Dabat Research Centre Health and Demographic Surveillance System, Institute of Public Health College of Medicine and Health Science, University of Gondar;Department of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Science, University of Gondar;Department of Epidemiology and Biostatistics, Institute of Public Health College of Medicine and Health Science, University of Gondar;Department of Health Education & Behavioural Science, Institute of Public Health College of Medicine and Health Science, University of Gondar;Department of Health Service Management and Health Economics, Institute of Public Health College of Medicine, University of Gondar;Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Science, University of Gondar;Department of Nursing, College of Medicine and Health Science, University of Gondar;Department of Paediatrics, School of Medicine, College of Medicine and Health Science, University of Gondar;Department of Reproductive Health, Institute of Public Health College of Medicine and Health Science, University of Gondar;

关键词: Contraceptive utilization;    Married women;    Dabat HDSS;    Northwest Ethiopia;   

DOI  :  10.1186/s12905-018-0611-3

来源: DOAJ

【 摘 要 】

Abstract Background Despite the enormous benefits of family planning services, the contraceptive utilization still remains low in Sub-Saharan Africa. There is regional variation in modern contraceptive utilization in Ethiopia. Therefore, this study was aimed to determine the prevalence of modern contraceptive utilization and determinants in Dabat demographic and health surveillance system site, northwest Ethiopia. Methods A re-census was carried out in Dabat Health and Demographic Surveillance System (HDSS) site from October to December 2014. Data of 8271 married women collected in the re-census was used. The outcome variable was current utilization of any modern contraceptive methods whereas socio demographic and economic variables were the potential determinants considered. Bi-variable and multivariable binary logistic regression along with odds ratio and 95% confidence interval were used to describe the strength of association. Results Prevalence of modern contraceptive utilization among married women in Dabat DHSS site was found to be 32.5% (95%CI: 31.5, 33.5%). After adjusting for covariates; the odds of using modern contraceptive were 2.35 times, 1.91 times, and 1.39 times higher among women of secondary and above educational level, urban residents, and women having six and above living children, respectively. Conclusion Modern contraceptive utilization was found to be very low. Effort has to be applied to improve women’s educational level that increases their understanding of reproductive health issues. It is also important to give special emphasis for rural residents, those aged 20–40 years, and those with six or more living children while serving for modern contraceptive methods.

【 授权许可】

Unknown