scholarly journals Geographical variation and factor associated with modern contraceptive utilization among Young married women aged between 15-24 years: Spatial and multilevel analysis of EDHS 2016.

2020 ◽  
Author(s):  
Kedir Abdu Yesuf ◽  
Ayesheshim Muluneh Kassa ◽  
Eueail Teferi Asrese

Abstract Introduction: Despite increase in trend of modern contraceptive use in worldwide it was still low in developing country. In Ethiopia modern contraceptive utilization among young married women was low which shows gaps between women reproductive desire to avoid pregnancy and contraceptive behavior. This study showsvaration in modern contraceptive utilization and factor associated with it among young merried age group between 15-24 years in Ethiopia.Objective: The aim of the study was to assess the geographical varation of modern contraceptive utilization and associated factor among young married women aged between 15- 24 year in Ethiopia. Methods:In this study cross-sectional study design was conducted using Ethiopia demographic and health survey 2016 data. The sample size was 2298 young married women aged between 15-24 years.Geographical variation assessed by Spatial analysis using spatial autocorrelation Moran’s I, Gettis-OrdGi* and spatial scan statics to identify significant clusters of modern contraceptive utilization among young married women. Determinant factor for modern contraceptive use were analyzed using a two level-mixed-effects logistic regression model which include both the individual and community level factors.Result: In Ethiopia, prevalence of modern contraceptive utilization among young married women age group between 15-24 years was 36.7 %. Geographical varaition asessed by spatial scan statistics identified primary clusters of modern contraceptive utilization were all zone of Amhara, Addis Ababa and Shewa. In other hand,Gettis-OrdGi* analysisindicated zone 1 of Afar region, Borena zone of Oromia region and all zone of Somalia regions were low prevalencespot region. In this study religion, respondent working status, number of living children, husband desire more children, region, community mas media exposure and community educational level were statically significant variables for modern contraceptive utilization among young married women.Conclusions: There is low prevalence of modern contraceptive utilization among young married women and it was varied across zone of Ethiopia. High and low prevalence spot area, most likely cluster, community and individual level factor associated with modern contraceptive utilization is identified which is important to prioritize family planning strategythat focus particularly for young population segment. Therefore, exerting much effort on all of this area is supreme important as it has significant public health contributions.

2020 ◽  
Author(s):  
Kedir Abdu Yesuf ◽  
Ayesheshim Kassa Muluneh ◽  
Eueail Teferi Asrese

Abstract Introduction: Despite increase in trend of contraceptive utilization in worldwide it was still low in developing country. In Ethiopia modern contraceptive utilization among young married women was low which shows gaps between women reproductive desire to avoid pregnancy and contraceptive behavior. This study shows varation in modern contraceptive utilization and factor associated with it among young merried age group between 15-24 years in Ethiopia. Objective: The aim of the study was to assess the geographical varation of modern contraceptive utilization and associated factor among young married women aged between 15- 24 year in Ethiopia. Methods: Cross-sectional study design was applied using Ethiopia demographic and health survey 2016 data. The sample size was 2298 young married women aged between 15-24 years. Spatial analysis was done using spatial autocorrelation Moran’s I, Gettis-OrdGi* and spatial scan statics to identify significant clusters of modern contraceptive utilization. The data were analyzed using a two level-mixed-effects logistic regression model to determine the individual and community level factors associated with modern contraceptive utilization.Result: In Ethiopia, prevalence of modern contraceptive utilization among young married women age group 15-24 years was 36.7 %. Spatial scan statistics identified primary clusters of modern contraceptive utilization were all zone of Amhara, Addis Ababa and Shewa. In other hand, Gettis-OrdGi* analysis indicated zone 1 of Afar region, Borena zone of Oromia region and all zone of Somalia regions were low prevalence spot region. In this study religion, respondent working status, partner occupation, number of living children, husband desire more children, region, community mas media exposure and community educational level were statically significant variables for modern contraceptive utilization among young married women.Conclusions: There is low prevalence of modern contraceptive utilization and it was varied across zone of Ethiopia. High and low prevalence spot area, most likely cluster, community and individual level factor associated with modern contraceptive utilization is identified which is important to prioritize family planning strategy. Therefore, exerting much effort on this area is supreme important as it has significant public health contributions.


2020 ◽  
Author(s):  
Kedir Abdu Yesuf ◽  
Aysheshum Muluneh ◽  
Eueail Teferi Asrese

Abstract Introduction: Despite increase in trend of contraceptive utilization in worldwide it was still low in developing country. In Ethiopia modern contraceptive utilization among young married women was low which shows gaps between women reproductive desire to avoid pregnancy and contraceptive behavior. This study shows varation in modern contraceptive utilization and factor associated with it among young merried age group between 15-24 years in Ethiopia. Objective: The aim of the study was to assess the geographical varation of modern contraceptive utilization and associated factor among young married women aged between 15- 24 year in Ethiopia. Methods: Cross-sectional study design was applied using Ethiopia demographic and health survey 2016 data. The sample size was 2298 young married women aged between 15-24 years. Spatial analysis was done using spatial autocorrelation Moran’s I, Gettis-OrdGi* and spatial scan statics to identify significant clusters of modern contraceptive utilization. The data were analyzed using a two level-mixed-effects logistic regression model to determine the individual and community level factors associated with modern contraceptive utilization.Result: In Ethiopia, prevalence of modern contraceptive utilization among young married women age group 15-24 years was 36.7 %. Spatial scan statistics identified primary clusters of modern contraceptive utilization were all zone of Amhara, Addis Ababa and Shewa. In other hand, Gettis-OrdGi* analysis indicated zone 1 of Afar region, Borena zone of Oromia region and all zone of Somalia regions were low prevalence spot region. In this study religion, wealth index, religious, health facility visits within 12 months, husband desire more children, perception of distance from health facility, region, Community access to health services and community educational level were statically significant variables for modern contraceptive utilization.Conclusions: There is low prevalence of modern contraceptive utilization and it was varied across zone of Ethiopia. High and low prevalence spot area, most likely cluster, community and individual level factor associated with modern contraceptive utilization is identified which is important to prioritize family planning strategy. Therefore, exerting much effort on this area is supreme important as it has significant public health contributions.


Author(s):  
Kedir Abdu Yesuf ◽  
Atrsaw Dessie Liyew ◽  
Amare Kassie Bezabih

<p class="abstract"><strong>Background:</strong> More than one billion of world population was adolescent age group. Adolescents are high risk of unwanted pregnancy related to pregnancy is preventable. This complication can be prevented by use of family planning method. One of the challenges to use family planning was lack of information about contraceptive. This study was investigated mass media impact on use of modern contraceptive among adolescent in Ethiopia, 2016 E. C.</p><p class="abstract"><strong>Methods:</strong> This study conducted based on EDHS (Ethiopia demographic health survey) 2016 data which was cross-sectional study design. Sample size for this study was 588 adolescent married women that completed interview in EDHS 2016. Mass media impact on modern contraceptive use were analyzed using propensity score matching. Recursive biprobit probit model was used to determine factor associated with mass media exposure on modern contraceptive utilization.</p><p class="abstract"><strong>Results:</strong> In Ethiopia about 31.8% of adolescent married women currently used modern contraceptive. Expose to family planning message had 16.8%, 13.2%, 17% and 21.9% point higher modern contraceptive use than unexposed to mass media message. In this study significant factor affected modern contraceptive use included residence, wealth index, radio message, exposed to TV message, magazine message and exposure to mass media message family planning.</p><p class="abstract"><strong>Conclusions:</strong> This study shows magnitude of contraceptive utilization was low and it might be due to lack of information about family planning. Therefore, policy maker and concerned body should consider dissemination family of planning information by mass media.</p>


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037532
Author(s):  
Teketo Kassaw Tegegne ◽  
Catherine Chojenta ◽  
Peta Michelle Forder ◽  
Theodros Getachew ◽  
Roger Smith ◽  
...  

ObjectiveTo assess spatial variations in modern contraceptive use and to identify factors associated with it among married women in Ethiopia.DesignCross-sectional analysis of population-based and health facility data.SettingEthiopia Demographic and Health Survey data linked to Service Provision Assessment data.Population8473 married women and 1020 facilities that reported providing family planning services.MethodsA linked secondary data analysis of population and health facility data was carried out. Both multilevel and spatial analyses were conducted to identify key determinants of women’s use of modern contraceptive and spatial clustering of modern contraceptive use.Main outcome measureModern contraceptive use.ResultsAbout 24% of the variation in the use of modern contraception was accounted for by location. A one-unit increase in the mean score of health facilities’ readiness to provide short-term modern contraceptives in a typical region was associated with a 20-fold increase in the odds of modern contraceptive use (adjusted OR (AOR) 20.49, 95% CI 1.44 to 29.54). In the spatial analysis, it was found that Addis Ababa and the Amhara region had high clusters of modern contraceptive use rates. On the other hand, low rates of contraceptive use were clustered in the Afar and Somali regions.ConclusionThere were significant variations in the use of modern contraceptives across the different regions of Ethiopia. Therefore, regions with low contraceptive rates and high fertility rates should be targeted for scaling up and tailoring of services to the culture and lifestyles of the population of those regions.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Betregiorgis Zegeye ◽  
Bright Opoku Ahinkorah ◽  
Dina Idriss-Wheeler ◽  
Comfort Z. Olorunsaiye ◽  
Nicholas Kofi Adjei ◽  
...  

Abstract Background Utilization of modern contraceptives is still low in low-and middle-income countries, although fertility and population growth rates are high. In Senegal, modern contraceptive utilization is low, with few studies focusing on its associated factors. This study examined modern contraceptive use and its associated factors among married women in Senegal. Methods Data from the 2017 Continuous Demographic and Health Survey (C-DHS) on 11,394 married women was analysed. We examined the associations between the demographic and socioeconomic characteristics of women and their partners and modern contraceptive use using multilevel logistic regression models. Adjusted odds ratios with 95% confidence intervals (CI) were estimated. Results The utilization of modern contraceptives among married women was 26.3%. Individual level factors associated with modern contraceptive use were women’s age (45–49 years-aOR = 0.44, 0.30–0.63), women’s educational level (higher-aOR = 1.88, 1.28–2.76) husband’s educational level (higher-aOR = 1.43, 1.10–1.85)), number of living children (5 or more children-aOR = 33.14, 19.20–57.22), ideal number of children (2 children-aOR = 1.95, 1.13–3.35), desire to have more children (wants no more-aOR = 2.46, 2.06–2.94), ethnicity (Diola-aOR = 0.70, 0.50–0.99), media exposure (yes-aOR = 1.44, 1.16–1.79)), wealth index (richer-aOR = 1.31, 1.03–1.67) and decision making power of women (decision making two-aOR = 1.20, 1.02–1.41). Whereas, region (Matam-aOR = 0.35, 0.23–0.53), place of residence (rural-aOR = 0.76, 0.63–0.93), community literacy level (high-aOR = 1.31, 1.01–1.71) and community knowledge level of modern contraceptives (high-aOR = 1.37, 1.13–1.67) were found as significant community level factors. Conclusions The findings indicate that both individual and community level factors are significantly associated with modern contraceptive use among married women in Senegal. Interventions should focus on enhancing literacy levels of women, their husbands and communities. Furthermore, strengthening awareness and attitude towards family planning should be given priority, especially in rural areas and regions with low resources.


2020 ◽  
Author(s):  
Betregiorgis Hailu Zegeye ◽  
Gashaw Woldeamanuel Garedew ◽  
Wassie Negash ◽  
Balkew Tegegn Asegidew

Abstract Background: Maternal mortality is unacceptability high in Sub-Saharan-African countries including Angola. Despite family planning is one of the vital intervention to reduce maternal death, the coverage of modern contraceptive use in Angola is extremely low and there is a paucity of evidence regarding current factors associated with contraceptive use in Angola. Therefore, this study aimed at investigating predictors of contraceptive use among married women in Angola using nationally representative data.Methods: The data were extracted from 2015/16 Angola Multiple Indicator and Health Survey for this study and approximately 8,033 married women aged 15 - 49 years were participated. Bivariate and multivariate logistic regression were performed using STATA version 14 software to identify the predictors, and p-value less than 0.05 was considered as statistically significant.Results: The coverage of modern contraceptive use among married women was 8.9%. Maternal age, women’s educational level, maternal occupation, place of residence, media exposure, number of living children, desire for more children and subnational region were main predictors for modern contraceptive use.Conclusion: Modern contraceptive use among married women in Angola was very low. Married women who were educated, wealthiest, exposed for media, who had living children, interested to have child after 2 years and those who were not interested to have at all were more likely to use contraceptive. Therefore, the government of Angola and other concerned bodies need to emphasize in empowering women through education and economy as well as dissemination of contraceptive related information through media especially for women’s living in rural settings.


2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Nabamallika Dehingia ◽  
Anvita Dixit ◽  
Sarah Averbach ◽  
Vikas Choudhry ◽  
Arnab Dey ◽  
...  

Abstract Background We examine the association between the quality of family planning (FP) counseling received in past 24 months, and current modern contraceptive use, initiation, and continuation, among a sample of women in rural Uttar Pradesh, India. Methods This study included data from a longitudinal study with two rounds of representative household survey (2014 and 2016), with currently married women of age 15–49 years; the analysis excluded women who were already using a permanent method of contraceptive during the first round of survey and who reported discontinuation because they wanted to be pregnant (N = 1398). We measured quality of FP counseling using four items on whether women were informed of advantages and disadvantages of different methods, were told of method(s) that are appropriate for them, whether their questions were answered, and whether they perceived the counseling to be helpful. Positive responses to every item was categorized as higher quality counseling, vs lower quality counseling for positive response to less than four items. Outcome variables included modern contraceptive use during the second round of survey, and a variable categorizing women based on their contraceptive use behavior during the two rounds: continued-users, new-users, discontinued-users, and non-users. Results Around 22% had received any FP counseling; only 4% received higher-quality counseling. Those who received lower-quality FP counseling had 2.42x the odds of reporting current use of any modern contraceptive method (95% CI: 1.56–3.76), and those who received higher quality FP counseling at 4.14x the odds of reporting modern contraceptive use (95% CI: 1.72–9.99), as compared to women reporting no FP counseling. Women receiving higher-quality counseling also had higher likelihood of continued use (ARRR 5.93; 95% CI: 1.97–17.83), as well as new use or initiation (ARRR: 4.2; 95% CI: 1.44–12.35) of modern contraceptives. Receipt of lower-quality counseling also showed statistically significant associations with continued and new use of modern contraceptives, but the effect sizes were smaller than those for higher-quality counseling. Conclusions Findings suggest the value of FP counseling. With a patient-centered approach to counseling, continued use of modern contraceptives can be supported among married women of reproductive age. Unfortunately, FP counseling, particularly higher-quality FP counseling remains rare.


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