Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, EthiopiaReport as inadecuate




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Reproductive Health

, 11:13

First Online: 03 February 2014Received: 12 January 2013Accepted: 29 January 2014DOI: 10.1186-1742-4755-11-13

Cite this article as: Mohammed, A., Woldeyohannes, D., Feleke, A. et al. Reprod Health 2014 11: 13. doi:10.1186-1742-4755-11-13

Abstract

BackgroundEthiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and improve maternal health Millennium Development Goal 4 and 5. Therefore, this study aimed to assess the prevalence and determinants of modern contraceptive utilization among married women of reproductive age group.

MethodsA community based cross-sectional study was conducted from August 15 to September 1, 2010 among married women aged 15–49 years in Debre Birhan District. Multistage sampling technique was used to select a total of 851 study participants. A pre-tested structured questionnaire was used for gathering data. Bivariate and multivariate logistic regression analyses were performed using SPSS version 16.0 statistical package.

ResultsModern contraceptive prevalence rate among currently married women was 46.9%. Injectable contraceptives were the most frequently used methods 62.9%, followed by intrauterine device 16.8%, pills 14%, norplant 4.3%, male condom 1.2% and female sterilization 0.8%. Multiple logistic regression model revealed that the need for more children AOR 9.27, 95% CI 5.43-15.84, husband approve AOR 2.82, 95% CI 1.67-4.80, couple’s discussion about family planning issues AOR 7.32, 95% CI 3.60-14.86. Similarly, monthly family income and number of living children were significantly associated with the use of modern contraceptives.

ConclusionModern contraceptive use was high in the district. Couple’s discussion and husband approval of contraceptives use were significantly associated with the use of modern contraceptives. Therefore, district health office and concerned stakeholders should focus on couples to encourage communication and male involvement for family planning.

KeywordsModern contraceptives Contraceptive use Determinants Ethiopia AbbreviationsANRSAmhara National Regional State

CPRContraceptive prevalence rate

EDHSEthiopian demographic health survey

FGAEFamily guidance association of ethiopia

FPFamily planning

HEWHealth extension worker

IUCDIntrauterine contraceptive device

MDGMillennium development goal

NGONon-governmental organization

RHReproductive health

SDStandard deviation

WHOWorld Health Organization.

Electronic supplementary materialThe online version of this article doi:10.1186-1742-4755-11-13 contains supplementary material, which is available to authorized users.

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Author: Abdurahman Mohammed - Desalegn Woldeyohannes - Amsalu Feleke - Berihun Megabiaw

Source: https://link.springer.com/







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