Low contraceptive utilization among young married women is associated with perceived social norms and belief in contraceptive myths in rural Ethiopia

Introduction Despite the increasingly wider availability of contraceptives and the high levels of unmet need for family planning in rural Ethiopia, contraceptive utilization among young married women is low. Studies on associated factors in Ethiopia so far have been focused on individual factors with little emphasis on socio-cultural factors. This study aimed to assess the association between contraceptive utilization and socio-cultural factors among young married women in Eastern Ethiopia. Methods A community-based survey was conducted among young married women aged 14–24 years. A total of 3039 women were interviewed by trained data collectors using a structured questionnaire. Adjusted Odds Ratio (AOR) with 95% Confidence Intervals (CI) was used to identify factors associated with contraceptive utilization using multivariable logistic regression analysis. Results The current contraceptive prevalence rate was 14.1% (95% CI: 12.8–15.5). Perceived social approval (AOR = 1.90; 95% CI = 1.60–2.30) and perception of friends’ contraceptive practice (AOR = 1.34; 95% CI: 1.20–1.54) were significantly and positively associated with contraceptive utilization. On the contrary, increased score of belief in contraceptive myths was significantly and negatively associated with contraceptive use (AOR = 0.60; 95% CI: 0.49–0.73). Moreover, recent exposure to family planning information (AOR = 1.67; 95% CI: 1.22–2.28), ever-mother (AOR = 9.68; 95% CI: 4.47–20.90), and secondary and above education level (AOR = 1.90; 95% CI: 1.38–2.70) were significantly associated with higher odds of contraceptive utilization. Conclusion Only about one-in-seven young married women were using contraceptive methods. Socio-cultural factors significantly influence young married women’s contraceptive utilization. Interventions to address social norms and pervasive myths and misconceptions could increase the use of contraceptive methods in young married women.

Download Full-text

Disparities in Long-Acting Reversible Contraceptive Utilization among Married Women in Ethiopia: Findings of the Ethiopian Demographic and Health Survey

International Journal of Reproductive Medicine ◽

10.1155/2020/3430975 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Biniyam Tadesse Haile ◽

Yohannes Ejigu Tsehay

Keyword(s):

Family Planning ◽

Health Survey ◽

Associated Factors ◽

Married Women ◽

Demographic And Health Survey ◽

Contraceptive Methods ◽

Contraceptive Utilization ◽

Planning Methods ◽

Long Acting ◽

Family Planning Methods

Background. Long-acting contraceptive methods, subdermal implants, and intrauterine devices are reliable, safe, and cost-effective family planning methods. However, these methods are not widely used in Ethiopia despite government effort to increase access. The study is aimed at assessing the rate of utilization of long-acting contraceptive methods among married women and associated factors. Method. We analyzed the 2016 Ethiopian Demographic and Health Survey dataset. A total of 2045 married women of reproductive age group, who were using any modern contraceptive method at the time of the survey, were included in the study. Descriptive statistics were computed to characterize the study participants. Bivariate and multivariable logistic regression analyses were performed to identify associated factors, reporting odds ratios (ORs) and 95% confidence intervals (95% CIs). Result. The multivariable analyses showed that women educational status, parity, religion, previous history of abortion, desire for more child, and region where the respondents reside were significantly the factors that determine the utilization of long-acting contraceptive. There is a significant regional disparity in long-acting contraceptive utilization. Compared to women residing in Tigray region, those who live in other regions (Afar-Somali, Oromia, Amhara, Benishangul Gumz-Gambela, and Southern Nations Nationalities and People) have low likelihood of using long-acting contraceptive methods. Conclusion. Utilization of long-acting family planning method is low in Ethiopia. There is a significant regional disparity in utilizing these methods. Policy makers should promote culture-sensitive and tailored interventions to improve the utilization of long-acting family planning methods.

Download Full-text

Unmet need for family planning and associated factors among married women attending anti-retroviral treatment clinics in Dire Dawa City, Eastern Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0250297 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0250297

Author(s):

Hiwot Dejene ◽

Muluemebet Abera ◽

Afework Tadele

Keyword(s):

Decision Making ◽

Family Planning ◽

Associated Factors ◽

Unmet Need ◽

Married Women ◽

Hiv Positive ◽

Cross Sectional ◽

Eastern Ethiopia ◽

Hiv Positive Women ◽

Dire Dawa

Background Unmet need for family planning is a measure of the gap between women’s contraceptive behavior and their fertility desires. It should be measured among different population groups to effectively implement public health interventions. Thus, this study aimed to determine the magnitude of unmet need for family planning and associated factors among HIV- positive women in Dire Dawa city Anti-retroviral treatment (ART) clinics, Eastern Ethiopia. Methods We carried out a facility-based cross-sectional study (March-June 2020) among 409 married women aged 15–49 on ART, using systematic random sampling. A face-to-face interview was done using a structured questionnaire. Bivariable and multivariable logistic regression was done to identify factors associated with unmet need for family planning. Results Overall, 33% [95% confidence interval (CI): 28.9–37.9] of the respondents had unmet need for family planning. Woman’s residing in a rural area (adjusted odds ratio (AOR): 2.41 [95% CI: 1.24–4.67]), woman’s not attained formal education (AOR: 4.14 [95% CI: 1.73–9.93]) and attaining primary education (AOR: 2.97 [95% CI: 1.54–5.74]), poor knowledge (AOR: 2.87 [95% CI: 1.52–5.40]), and unfavorable attitude towards family planning (AOR: 2.21 [95% CI: 1.12–4.34]), clients not satisfied with family planning service (AOR: 6.34 [95% CI: 3.31–12.15]), the woman not having decision making power on family planning (AOR:3.97 [95% CI: 2.14–7.38]) and not getting family planning counseling in ART clinics (AOR: 2.87 [95% CI: 1.54–5.35]) were positively associated with having unmet need for family planning. Conclusion This study indicates there a high unmet need for family planning among married HIV-positive women. Factors like a place of residence, educational status of women, knowledge and attitude towards family planning, client satisfaction with FP service, women decision-making power, and FP counseling service in ART. Therefore, we recommend that the concerned bodies should collaborate with ART clinics to design interventions that enhance access to family planning programs to combat the high unmet need for family planning among HIV-positive women.

Download Full-text

Unmet need for family planning and associated factors among currently married women of reproductive age in Bishoftu town, Eastern Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0260972 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0260972

Author(s):

Megersa Girma Garo ◽

Sileshi Garoma Abe ◽

Worku Dugasa Girsha ◽

Dawit Wolde Daka

Keyword(s):

Family Planning ◽

Statistical Significance ◽

Unmet Need ◽

Married Women ◽

Reproductive Age ◽

Outcome Variable ◽

Family Planning Services ◽

Rapid Urbanization ◽

Eastern Ethiopia ◽

Factors Associated

Background Unmet family planning is one of the common causes for low contraceptive prevalence rates in developing countries, including Ethiopia. Rapid urbanization had profound effect on population health, however, little is known about the unmet need of family planning in settings where there was increased industrializations and internal migrations in Ethiopia. This study aims to determine the unmet need for family planning services among currently married women and identify factors associated with it in Bishoftu town, Eastern Ethiopia. Methods Community-based cross-sectional study was conducted from 1st January to 28th February, 2021 among 847 randomly sampled currently married women of the reproductive age group. Data were collected using semi structured interviewer administered questionnaire. Multivariate logistic regression was used to identify factors associated with the outcome variable and a 95% confidence interval was used to declare the presence of statistical significance associations. Results Eight hundred twenty-eight women were participated in the study. The prevalence of unmet need for family planning among currently married women was 26% [95% CI: 23,29]. Maternal age [AOR, 3.00, 95% CI:1.51–5.95], educational status [AOR, 2.49, 95% CI:1.22–5.07], occupational status of self-employee [AOR, 1.98, 95% CI:1.15–3.39] and housewife [AOR, 1.78, 95% CI:1.02–3.12], being visited by health care provider in the last 12 months [AOR, 1.81, 95% CI: 1.26–2.60] and desired number of children less than two [AOR, 1.53, 95% CI:1.01–2.30] were significantly associated with unmet need for family planning. Conclusions Unmet need for family planning was higher in the study area compared with the United Nations sphere standard of unmet need for family planning and the national average, and slightly lower than the regional average. Socio-demographic, economic, and health institution factors were determinants of the unmet need for family planning in the study area. Therefore, health education and behaviour change communication related to family planning services should be strengthened and access to family planning services should be improved.

Download Full-text

Role of husband’s attitude towards the usage of contraceptives for unmet need of family planning among married women of reproductive age in Pakistan

BMC Women s Health ◽

10.1186/s12905-021-01314-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Muhammad Farhan Asif ◽

Zahid Pervaiz ◽

Jawad Rahim Afridi ◽

Ghulam Abid ◽

Zohra S. Lassi

Keyword(s):

Family Planning ◽

Unmet Need ◽

Wealth Quintile ◽

Married Women ◽

Reproductive Age ◽

Women Of Reproductive Age ◽

Family Planning Programs ◽

Contraception Use ◽

Wide Range

Abstract Background Family planning services deliver a wide range of benefits to the well-being of females and the community. It can curtail the risk of maternal and neonatal mortality through the reduction in abortions and pregnancies. The government of Pakistan has been struggling to convince people about the usefulness of family planning programs. However, different factors related to social norms, values, and culture are important to determine the success of these programs. One such factor is the patriarchal structure of Pakistani society where most of the household decisions are made by men. The objective of this research is to examine the role of the husband’s attitude towards the usage of contraceptives for the unmet need of family planning (UMNFP) among married women of reproductive age (MWRA) in Pakistan. Method The dataset of Pakistan Demographic and Health Survey 2017–18 is utilized to examine the role of the husband’s attitude towards the usage of contraceptives in UMNFP among MWRA in Pakistan. Results The UMNFP was considerably lower among MWRA between 40 years and above compared to women 15–19 years. The odds of UMNFP were higher among women and men who were educated up to the primary level compared to those with no education. Odds of UMNFP were higher among women from the poor wealth quintile compared to the poorest wealth quintile; similarly, it was significantly lower among women who were from the richer and the richest wealth quintile compared to the poorest wealth quintile. The odds of UMNFP were lower among women who were employed compared to those who were not employed. Lastly, the odds of UMNFP were higher among women whose husbands opposed to using contraceptives, who perceived that there was a religious prohibition for such use and when a decision on the contraception use was solely made by the husband. Conclusions Husband’s attitude towards the usage of contraceptives is an important predictor of UMNFP. Liaising with the community and religious leaders to persuade people particularly men about the usefulness of family planning programs and encouraging men to understand their women’s say in using contraceptives should be encouraged.

Download Full-text

Unmet Need for Family Planning and Associated Factors among Currently Married Women in Misha District, Southern Ethiopia: A Cross Sectional Study

Journal of Women s Health Care ◽

10.4172/2167-0420.1000165 ◽

2014 ◽

Vol 03 (04) ◽

Cited By ~ 3

Author(s):

Kelemu Chafo

Keyword(s):

Family Planning ◽

Associated Factors ◽

Unmet Need ◽

Cross Sectional Study ◽

Married Women ◽

Southern Ethiopia ◽

Sectional Study ◽

Cross Sectional

Download Full-text

Knowledge, attitude and practice of family planning among married women of reproductive age in a VDC of eastern Nepal

Journal of Chitwan Medical College ◽

10.3126/jcmc.v6i1.16655 ◽

2017 ◽

Vol 6 (1) ◽

pp. 48-53 ◽

Cited By ~ 3

Author(s):

S Uprety ◽

I S Poudel ◽

A Ghimire ◽

M Poudel ◽

S Bhattrai ◽

...

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Descriptive Analysis ◽

Married Women ◽

Reproductive Age ◽

Modern Contraceptive ◽

Contraceptive Methods ◽

Cross Sectional ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the fertility of any population, is Contraceptive. Contraceptive use varies by age. Nepal over the past 15 years show an impressive increase in the use of modern contraceptive methods from 26 percent in 1996 to 43 percent in 2011. Objectives of the is to assess the knowledge, attitude regarding family planning and the practice of contraceptives among the married women of Dhabi VDC of Eastern Nepal. A descriptive cross-sectional observational study was done in Dhabi VDC. Total of 300 married women age 15-49 sample were taken from family planning center situated in Dhabi. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5 software to obtain frequencies and percentages. Out of 300 interviewed women, the mean age was 27.94 years, 98% had heard about Family planning method. Radio was the main Source of family planning information. Regarding the usage of contraceptive methods, about 79.3% had ever used and 63.3 had current using some sort of contraception, among the method used Injectables were the commonly used methods About 71% of married women other child in the further. Despite the knowledge of all family planning methods majority of the women used Injectables. Easily accessible and easily to use were the main reasons for choosing Injectables methods.

Download Full-text

Factors Associated with Unmet Need for Family Planning among Married Reproductive Age Women in Toke Kutaye District, Oromia, Ethiopia

International Journal of Reproductive Medicine ◽

10.1155/2021/5514498 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Abebe Tadesse G/Meskel ◽

Habtamu Oljira Desta ◽

Elias Teferi Bala

Keyword(s):

Family Planning ◽

Maternal Education ◽

Health Workers ◽

Unmet Need ◽

Married Women ◽

Reproductive Age ◽

Cross Sectional ◽

Factors Associated ◽

Reproductive Age Women ◽

Living Children

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.

Download Full-text

Influence of Sociodemographic Factors on the Utilization of Contraceptive Methods Among the Married Women of Jowai Town, West Jaintia Hills District, Meghalaya

The Oriental Anthropologist: A Bi-annual International Journal of the Science of Man ◽

10.1177/0972558x20913726 ◽

2020 ◽

Vol 20 (1) ◽

pp. 181-193

Author(s):

Merry C. Passah

Keyword(s):

Family Planning ◽

Sociodemographic Factors ◽

Married Women ◽

Family Type ◽

Contraceptive Methods ◽

Live Births ◽

Age At Marriage ◽

Planning Methods ◽

Jaintia Hills ◽

Family Planning Methods

Family planning refers to the practices that help individuals or couples avoid unwanted births, regulate the intervals between pregnancies, and determine the number of children in the family. The present study was undertaken to know the extent of knowledge, attitude, and adoption of family planning methods among the married women of Jowai town, West Jaintia Hills District, Meghalaya. An attempt has also been made to find out the sociodemographic factors influencing the use of contraceptive methods among the studied population. The information on awareness as well as the use of contraceptives was collected from 719 married women of the reproductive age group 15–49 years using a structured scheduled. Among the women in Jowai town, the knowledge of family planning methods is widespread. In addition, a majority of the women have a favorable attitude towards family planning. However, there exists a gap between the knowledge and the practice of contraceptive methods among the women of Jowai town. Ingesting an oral contraceptive pill is the most preferred contraceptive method among the women. Contraceptive use among women is seen to be positively correlated with educational level and income (significant at p < 0.01), and negatively correlated with current age, age at marriage, number of live births, and family type (significant at p < 0.01). Bivariate analysis substantiates the role of women’s education, household income, current age, age at marriage, number of live births, and family type in influencing the utilization of contraceptive methods.

Download Full-text