The authors declare that they have no competing interests.
TT, AS, DW carried out the research from conception to the write up of the final draft of the article. All authors read and approved the final manuscript.
TT is Lecturer of Reproductive and Maternal Health, Department of Nursing and Midwifery, College of Medical and Health Sciences, Wollega University, Ethiopia.
AS is Lecturer of Reproductive Health, Department of Public Health, College of Medical and Health Sciences, Wollega University, Ethiopia.
DW is assistant Professor of Reproductive Health, Department of Public Health, College of Medical and Health Sciences, Wollega University, Ethiopia.
In Ethiopia, the prevalence of modern contraceptive use is very low (27 %) and the percentage of those with unmet needs for family planning is 25 %. The current study identified factors associated with the utilization of modern contraceptive methods among married women in Western Ethiopia.
A community based, cross-sectional study was employed from April 10 to April 25, 2014, among married women of reproductive age in Nekemte Town. A multi-stage sampling procedure was used to select 1003 study participants. A pretested structured questionnaire was used to collect data, and data collectors who had completed high school were involved in the data collection process. A bivariate, multivariable logistic regression model was fit, and statistical significance was determined with a 95 % confidence level.
The overall utilization rate of modern contraceptives in this study was 71.9 %. The most common form of modern contraceptives used was injectable (60.3 %). Age (AOR = 2.00, 95 % CI = 1.35–2.98), women’s educational level (AOR = 2.50, 95 % CI = 1.62–3.84), monthly income (AOR = 2.26, 95 % CI = 1.24–4.10), respondent’s fertility (AOR = 2.60, 95 % CI = 1.48–4.56), fertility-related decision (AOR = 3.70, 95 % CI = 2.45–5.58), and having radio (AOR = 1.93, 95 % CI = 1.37–2.71) showed significant positive associations with the utilization of modern contraceptive methods.
The findings showed that women’s empowerment, fertility-related discussions among couples, and the availability of the media were important factors that influenced the use of modern contraceptives. Thus, policymakers and implementers should work on those factors to increase the utilization of modern contraceptive methods.
Population Reference Bureau: Family Planning Saves Lives. 4th edition 2009. Available at: http://www.prb.org/pdf09/familyplanningsaveslives.pdf Accessed: June, 2014.
United nation (UN). Millennium project public choices, private decisions. Sexual and reproductive health and the millennium development goals. New York: United Nations Development Programme; 2006.
Littleton-Gibbs LY, Engebretson JC. Maternal, neonatal and women’s health nursing. 4th ed. New York: Cengage Learning; 2004. p. 310–3.
World Health Organization (WHO): Update on family planning in sub-Saharan Africa. In Repositioning Family Planning. Guideline for Advocacy Action 2010. http://www.prb.org/Publications/Reports/2008/familyplanningadvocacytoolkit.aspx (accessed 5 May, 2014)
Ross JA, Winfrey WL. Unmet need for contraception in the developing world and the former Soviet Union: an updated estimate. Int Fam Plan Prospect. 2002;28:138–43. CrossRef
Singh S, Sedgh G, Hussain R: Levels and trends in unintended pregnancy worldwide. In paper presented at the annual meeting of the Population Association of America, Detroit, MI, USA, April 30th–May 2nd. 2009.
Central Statistical Agency. Ethiopia and ORC Macro: Ethiopia Demographic and Health Survey (EDHS) 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro; 2012.
Qazi H, Hashmi A, Raza S, Soomro J, Ghauri A. Contraceptive methods and factors associated with modern contraceptive in use in Karachi, Pakistan. J Family Reproductive Health. 2010;4(1):41–6.
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 Cur. Res J Soc Sci. 2012;4(3):235–45.
Mekonnen W, Worku A. Determinants of low family planning use and high unmet need in Butajira District, South Central Ethiopia. Reproductive Health J. 2011;8:37. CrossRef
Federal democratic republic of Ethiopia (FDRE). The 2007 population and housing census of Ethiopia, results for Oromia region part V. Addis Ababa: Statistical Report on Population and Household size of Kebeles; 2010.
Mohammed A, Woldeyohannes D, Feleke A, Megabiaw B. Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia. Reproductive Health J. 2014;11:13. CrossRef
Ibnouf A, Van den H, Maarse J. Utilization of family planning services by married Sudanese women of reproductive age. East Mediterr Health J. 2007;13(6):1372–81. PubMed
Eko E, Osonwa O, Osuchukwu C, Offiong A. Prevalence of contraceptive use among women of reproductive age in Calabar Metropolis, Sothern Nigeria. Int J Humanities Social Sci Invention. 2013;2(6):27–34.
Gizat M, Alemayehu L, Besufekad A. Assessments of patterns and determinants of contraceptive Use among females of reproductive age in Kelala Town, Northern Ethiopia. Experiment J. 2014;22(1):1503–10.
Rakibul M I, Gunnar T. Family planning knowledge and current use of contraception among the Mru indigenous women in Bangladesh: a multivariate analysis; Open Access Journal of Contraception 2012;3:9–16.
Adanu RM, Seffah JD, Hill AG, Darko R, Duda RB, Anarfi JK. Contraceptive use by women in Accra, Ghana: results from the 2003 Accra women’s health survey. Afr J Reprod Health. 2009;13(1):123–33. PubMed
Gwatkin D, Rutstein S, Johnson K, Suliman E, Wagstaff A, Amouzou A. Socio-economic differences in health, nutrition and population within developing countries. Washington, DC: World Bank; 2007.
Ali S, White FM. Family planning practices among currently married women in Khairpur District, Sindh, Pakistan. J Coll Physicians Surg Pak. 2005;15:422–5. PubMed
Mutombo N, Bakibinga P. The effect of joint contraceptive decisions on the use of Injectables, Long –Acting and Permanent Methods among married female (15–49) contraceptive users in Zambia: a cross – sectional study. Reproductive Health journal 2014;11(51):1-8.
Population reference Bureau: family planning worldwide data sheet 2013. Available: http://www.prb.org/Publications/Datasheets/2013/family-planning-worldwide-2013.aspx.
Tadesse M, Teklie H, Yazew G, Gebreselassie T. Women’s Empowerment as a Determinant of Contraceptive Use in Ethiopia. Further Analysis of the 2011 Demographic and Health Survey. DHS Further Analysis Reports No. 82. Calverton, Maryland, USA: ICF International 2013.
- Predictors of modern contraceptive methods use among married women of reproductive age groups in Western Ethiopia: a community based cross-sectional study
Alemu Sufa Melka
- BioMed Central
Neu im Fachgebiet Gynäkologie und Geburtshilfe
Meistgelesene Bücher aus dem Fachgebiet
e.Med Kampagnen-Visual, Mail Icon II