Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia
Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using con...
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| creator | Tilahun, Tizta Coene, Gily Luchters, Stanley Kassahun, Wondwosen Leye, Els Temmerman, Marleen Degomme, Olivier |
| description | Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia.
Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis.
The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p |
| doi_str_mv | 10.1371/journal.pone.0061335 |
| format | Article |
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Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis.
The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR(women )= 2.77 vs. aOR(men) = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively.
The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0061335</identifier><identifier>PMID: 23637815</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abortion ; Adult ; Birth control ; Contraception ; Contraception - statistics & numerical data ; Contraceptives ; Couples ; Demographics ; Ethiopia ; Family planning ; Family Planning Services - statistics & numerical data ; Female ; Females ; Fertility ; Group dynamics ; Gynecology ; Health Knowledge, Attitudes, Practice ; Health surveys ; Humans ; Knowledge ; Male ; Maternal & child health ; Maternal mortality ; Medicine ; Men ; Mens health ; Obstetrics ; Oral contraceptives ; Physical training ; Pills ; Population ; Population studies ; Pregnancy ; Public health ; Qualitative analysis ; Regression analysis ; Reproductive health ; Rural areas ; Sampling designs ; Sex Factors ; Side effects ; Social and Behavioral Sciences ; Spouses - statistics & numerical data ; Surveys ; Surveys and Questionnaires ; Teaching methods ; Training ; Urban areas ; Wives ; Women</subject><ispartof>PloS one, 2013-04, Vol.8 (4), p.e61335-e61335</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Tilahun et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013 Tilahun et al 2013 Tilahun et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-c49aaf7dd54dd6f1d36628766474986c474b37773a56b50b4b5dec2547b2ff7f3</citedby><cites>FETCH-LOGICAL-c692t-c49aaf7dd54dd6f1d36628766474986c474b37773a56b50b4b5dec2547b2ff7f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3634055/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3634055/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23637815$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Baradaran, Hamid Reza</contributor><creatorcontrib>Tilahun, Tizta</creatorcontrib><creatorcontrib>Coene, Gily</creatorcontrib><creatorcontrib>Luchters, Stanley</creatorcontrib><creatorcontrib>Kassahun, Wondwosen</creatorcontrib><creatorcontrib>Leye, Els</creatorcontrib><creatorcontrib>Temmerman, Marleen</creatorcontrib><creatorcontrib>Degomme, Olivier</creatorcontrib><title>Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia.
Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis.
The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR(women )= 2.77 vs. aOR(men) = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively.
The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered.</description><subject>Abortion</subject><subject>Adult</subject><subject>Birth control</subject><subject>Contraception</subject><subject>Contraception - statistics & numerical data</subject><subject>Contraceptives</subject><subject>Couples</subject><subject>Demographics</subject><subject>Ethiopia</subject><subject>Family planning</subject><subject>Family Planning Services - statistics & numerical data</subject><subject>Female</subject><subject>Females</subject><subject>Fertility</subject><subject>Group dynamics</subject><subject>Gynecology</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health surveys</subject><subject>Humans</subject><subject>Knowledge</subject><subject>Male</subject><subject>Maternal & child health</subject><subject>Maternal mortality</subject><subject>Medicine</subject><subject>Men</subject><subject>Mens health</subject><subject>Obstetrics</subject><subject>Oral contraceptives</subject><subject>Physical training</subject><subject>Pills</subject><subject>Population</subject><subject>Population studies</subject><subject>Pregnancy</subject><subject>Public health</subject><subject>Qualitative analysis</subject><subject>Regression analysis</subject><subject>Reproductive health</subject><subject>Rural areas</subject><subject>Sampling designs</subject><subject>Sex Factors</subject><subject>Side effects</subject><subject>Social and Behavioral Sciences</subject><subject>Spouses - statistics & numerical data</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Teaching methods</subject><subject>Training</subject><subject>Urban areas</subject><subject>Wives</subject><subject>Women</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk8tu1DAUhiMEoqXwBggiISGQOkMS35INUlW1MKhSJW4LFliOLxkPjh1sB-jb4-mk1QR1gbJwbH_nPzefLHtaFssSkPLNxo3eMrMcnJXLosAlAOhedlg2oFrgqgD39_4PskchbIoCgRrjh9lBBTAgdYkOs-_nrNfmKh8Ms1bbLv9h3W8jRSePcxajjqOQObMiHzzjUfO06V3Ceua9liLnbhyMDLm2-Qfd9yz_lsI5zs_iWrtBs8fZA8VMkE-m9Sj7cn72-fT94uLy3er05GLBcVPFBYcNY4oIgaAQWJUCYFzVBGNIYFNjnpYWEEIAQ7hFRQtbJCSvECRtpRRR4Ch7vtMdjAt0Kk2gJYAYNbAhKBGrHSEc29DB65TBFXVM0-sD5zvKfErQSJo8NQDWJZGYQQirWhaoakuIgVCNauqk9XbyNra9FFza6JmZic5vrF7Tzv2iqeywQNtgXk0C3v0cZYi014FLk5og3Xgddw2bBkOY0Bf_oHdnN1EdSwloq1zyy7ei9ARuO10hABK1vINKn5C95qlxSqfzmcHrmUFiovwTOzaGQFefPv4_e_l1zr7cY9eSmbgOzoxROxvmINyB3LsQvFS3RS4Luh2Dm2rQ7RjQaQyS2bP9Bt0a3bx78BfftwDn</recordid><startdate>20130423</startdate><enddate>20130423</enddate><creator>Tilahun, Tizta</creator><creator>Coene, Gily</creator><creator>Luchters, Stanley</creator><creator>Kassahun, Wondwosen</creator><creator>Leye, Els</creator><creator>Temmerman, Marleen</creator><creator>Degomme, Olivier</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20130423</creationdate><title>Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia</title><author>Tilahun, Tizta ; Coene, Gily ; Luchters, Stanley ; Kassahun, Wondwosen ; Leye, Els ; Temmerman, Marleen ; Degomme, Olivier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-c49aaf7dd54dd6f1d36628766474986c474b37773a56b50b4b5dec2547b2ff7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abortion</topic><topic>Adult</topic><topic>Birth control</topic><topic>Contraception</topic><topic>Contraception - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tilahun, Tizta</au><au>Coene, Gily</au><au>Luchters, Stanley</au><au>Kassahun, Wondwosen</au><au>Leye, Els</au><au>Temmerman, Marleen</au><au>Degomme, Olivier</au><au>Baradaran, Hamid Reza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-04-23</date><risdate>2013</risdate><volume>8</volume><issue>4</issue><spage>e61335</spage><epage>e61335</epage><pages>e61335-e61335</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia.
Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis.
The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR(women )= 2.77 vs. aOR(men) = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively.
The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23637815</pmid><doi>10.1371/journal.pone.0061335</doi><tpages>e61335</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2013-04, Vol.8 (4), p.e61335-e61335 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1346594975 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Abortion Adult Birth control Contraception Contraception - statistics & numerical data Contraceptives Couples Demographics Ethiopia Family planning Family Planning Services - statistics & numerical data Female Females Fertility Group dynamics Gynecology Health Knowledge, Attitudes, Practice Health surveys Humans Knowledge Male Maternal & child health Maternal mortality Medicine Men Mens health Obstetrics Oral contraceptives Physical training Pills Population Population studies Pregnancy Public health Qualitative analysis Regression analysis Reproductive health Rural areas Sampling designs Sex Factors Side effects Social and Behavioral Sciences Spouses - statistics & numerical data Surveys Surveys and Questionnaires Teaching methods Training Urban areas Wives Women |
| title | Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T12%3A36%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Family%20planning%20knowledge,%20attitude%20and%20practice%20among%20married%20couples%20in%20Jimma%20Zone,%20Ethiopia&rft.jtitle=PloS%20one&rft.au=Tilahun,%20Tizta&rft.date=2013-04-23&rft.volume=8&rft.issue=4&rft.spage=e61335&rft.epage=e61335&rft.pages=e61335-e61335&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0061335&rft_dat=%3Cgale_plos_%3EA478152533%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1346594975&rft_id=info:pmid/23637815&rft_galeid=A478152533&rft_doaj_id=oai_doaj_org_article_377934817e6a44428e052b1463df9f98&rfr_iscdi=true |