Rural women are more likely to use long acting contraceptive in Tigray region, Northern Ethiopia: a comparative community-based cross sectional study

BMC Women's Health

Research Article

Alem Desta¹  Henock Yebyo¹  Mussie Alemayehu²  Aster Kalayu³  Hailay Gebremichael⁴  Tesfalem Hagos⁴ 

[1] Department of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia;Department of Public Health, Mekelle University, College of Health Sciences, Mekelle, Ethiopia;JSI/L10K, Tigray region branch, Tigray, Ethiopia;School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia;JSI/L10K, Tigray region branch, Tigray, Ethiopia;School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia;

关键词: Family Planning;    Adjusted Odds Ratio;    Married Woman;    Acting Contraceptive;    Contraceptive Method;   

DOI  :  10.1186/s12905-015-0229-7

 received in 2014-10-27, accepted in 2015-08-21,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundIn the latest report of Ethiopian Demographic and Health Survey (EDHS) 2011, the maternal mortality ratio (MMR) was estimated at 676/100,000 live births, with total fertility rate at 4.8 and contraceptive prevalence rate at 29 %. Knowledge and utilization of long acting contraceptive in the Tigray region are low. This study aims at comparing and identifying factors related to the utilization of long acting contraceptive in urban versus rural settings of Ethiopia.MethodsA comparative community-based cross-sectional study, comprised of quantitative and qualitative methods, was conducted among 1035 married women in Wukro (urban area) and Kilteawlaelo district (rural area) in March, 2013. Stratified sampling technique was employed to approach the study participants. Data were analyzed using SPSS version 20. Multiple logistic regression analysis was used to identify the respective effect of independent predictors on utilization of long acting contraceptive.ResultsThe proportion of long acting contraceptive use among the respondents was 19.9 % in the town of Wukro and 37.8 % in the district of Kilteawlaelo. Implanon was the most common type of contraceptive used in both districts, urban (75 %) and rural (94 %). The odds of using the long acting contraceptive method were three times higher among married women in the rural areas as compared with the urban women [AOR = 3. 30; 95 %, CI:2.17, 5.04]. No or limited support from male partners was an obstacle to using long acting contraceptive method [AOR = 0. 24, 95 of CI: 0.13, 0.44]. Moreover, married women whose partner did not permit them to use long acting contraceptive [AOR = 0. 47, 95 % of CI: 0.24, 0.92] and women who attended primary education [AOR = 0.24, 95 %, CI: 0.13, 0.44] were significantly associated with long acting contraceptive use.ConclusionOverall, the proportion of long acting contraceptive use has found to be low. Rural women were more likely to use long acting contraceptives as compared to urban women. Moreover, educational status and the partner’s permission to use contraception could influence the utilization of long acting contraceptives.

【 授权许可】

CC BY   
© Alemayehu et al. 2015