Family planning use and associated factors among pastoralist community of afar region, eastern Ethiopia
Ethiopia is the second most populous country in Africa with a total fertility rate (TFR) of 4.8 children per a woman and contraceptive prevalence rate (CPR) of 29 %. The overall prevalence of modern family planning in a pastoralist community, like Afar region, is low (9.1 %). This study aimed to ass...
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Veröffentlicht in: | BMC women's health 2016-07, Vol.16 (1), p.39-39, Article 39 |
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creator | Alemayehu, Mussie Lemma, Hailemariam Abrha, Kidan Adama, Yohannes Fisseha, Girmatsion Yebyo, Henock Gebeye, Ejigu Negash, Kassahun Yousuf, Jemal Fantu, Tigist Gebregzabher, Tesfay Medhanyie, Araya Abrha |
description | Ethiopia is the second most populous country in Africa with a total fertility rate (TFR) of 4.8 children per a woman and contraceptive prevalence rate (CPR) of 29 %. The overall prevalence of modern family planning in a pastoralist community, like Afar region, is low (9.1 %). This study aimed to assess family planning utilization and associated factors among married women of Afar region, Eastern Ethiopia.
A community-based cross-sectional study was conducted from January 10-28, 2013 among 602 women. Multistage sampling technique was used to select the study participants. Descriptive and multiple variable logistic regression analyses were done to isolate independent predictors on utilization of family planning using SPSS 20.
The overall prevalence of family planning utilization in Afar region was 8.5 % (6.2-10.7). Majority of the women (92.2 %) had used injectable. The most common reasons mentioned in the non-use of family planning methods were religion-related (85.3 %), desire to have more children (75.3 %), and husband's objection (70.1 %). Women who had a positive attitude towards family planning utilization (AOR = 4.7, 95 % CI: 2.1, 10.3), owning radio (AOR = 1.8, 95 % CI: 1.02, 4.18), and literate (AOR = 4.4, 95 % CI: 1.80, 11.08) were more likely to use family planning methods as compared to their counterparts. The increase of monthly income was also associated with the likelihood of family planning methods utilization. The odds of using family planning methods were higher among those with monthly income of $27-$55.5 (AOR = 2. 0, 95 % CI: 1.9, 4.7) and > $55 (AOR = 4. 6, 95 % CI: 1.23-17.19) as compared to women with the lowest category of monthly income ($27 and less).
The low coverage of family planning in the region could be due to the influence of husband, religious and clan leader. Attitude of women towards family planning methods, possession of radio, monthly income, and educational status could influence family planning utilization. |
doi_str_mv | 10.1186/s12905-016-0321-7 |
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A community-based cross-sectional study was conducted from January 10-28, 2013 among 602 women. Multistage sampling technique was used to select the study participants. Descriptive and multiple variable logistic regression analyses were done to isolate independent predictors on utilization of family planning using SPSS 20.
The overall prevalence of family planning utilization in Afar region was 8.5 % (6.2-10.7). Majority of the women (92.2 %) had used injectable. The most common reasons mentioned in the non-use of family planning methods were religion-related (85.3 %), desire to have more children (75.3 %), and husband's objection (70.1 %). Women who had a positive attitude towards family planning utilization (AOR = 4.7, 95 % CI: 2.1, 10.3), owning radio (AOR = 1.8, 95 % CI: 1.02, 4.18), and literate (AOR = 4.4, 95 % CI: 1.80, 11.08) were more likely to use family planning methods as compared to their counterparts. The increase of monthly income was also associated with the likelihood of family planning methods utilization. The odds of using family planning methods were higher among those with monthly income of $27-$55.5 (AOR = 2. 0, 95 % CI: 1.9, 4.7) and > $55 (AOR = 4. 6, 95 % CI: 1.23-17.19) as compared to women with the lowest category of monthly income ($27 and less).
The low coverage of family planning in the region could be due to the influence of husband, religious and clan leader. Attitude of women towards family planning methods, possession of radio, monthly income, and educational status could influence family planning utilization.</description><identifier>ISSN: 1472-6874</identifier><identifier>EISSN: 1472-6874</identifier><identifier>DOI: 10.1186/s12905-016-0321-7</identifier><identifier>PMID: 27430275</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Adult ; Attitudes ; Child mortality ; Contraception Behavior - statistics & numerical data ; Contraceptives ; Cross-Sectional Studies ; Data collection ; Decision Making ; Demographic aspects ; Ethiopia ; Family planning ; Family Planning Services - statistics & numerical data ; Family Planning Services - utilization ; Female ; Fertility ; Health Knowledge, Attitudes, Practice ; Health Services Accessibility - standards ; Health Services Accessibility - statistics & numerical data ; Households ; Humans ; Income ; Methods ; Personal Autonomy ; Population ; Prevalence ; Questionnaires ; Sample size ; Sampling techniques ; Spouses - psychology ; Surveys and Questionnaires ; Womens health</subject><ispartof>BMC women's health, 2016-07, Vol.16 (1), p.39-39, Article 39</ispartof><rights>COPYRIGHT 2016 BioMed Central Ltd.</rights><rights>2016. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s). 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-78399c169929b1ac30f7f1076911aeb57754f80f7477e0b0b9eb9d2a98743f6a3</citedby><cites>FETCH-LOGICAL-c494t-78399c169929b1ac30f7f1076911aeb57754f80f7477e0b0b9eb9d2a98743f6a3</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/PMC4950765/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4950765/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27430275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alemayehu, Mussie</creatorcontrib><creatorcontrib>Lemma, Hailemariam</creatorcontrib><creatorcontrib>Abrha, Kidan</creatorcontrib><creatorcontrib>Adama, Yohannes</creatorcontrib><creatorcontrib>Fisseha, Girmatsion</creatorcontrib><creatorcontrib>Yebyo, Henock</creatorcontrib><creatorcontrib>Gebeye, Ejigu</creatorcontrib><creatorcontrib>Negash, Kassahun</creatorcontrib><creatorcontrib>Yousuf, Jemal</creatorcontrib><creatorcontrib>Fantu, Tigist</creatorcontrib><creatorcontrib>Gebregzabher, Tesfay</creatorcontrib><creatorcontrib>Medhanyie, Araya Abrha</creatorcontrib><title>Family planning use and associated factors among pastoralist community of afar region, eastern Ethiopia</title><title>BMC women's health</title><addtitle>BMC Womens Health</addtitle><description>Ethiopia is the second most populous country in Africa with a total fertility rate (TFR) of 4.8 children per a woman and contraceptive prevalence rate (CPR) of 29 %. The overall prevalence of modern family planning in a pastoralist community, like Afar region, is low (9.1 %). This study aimed to assess family planning utilization and associated factors among married women of Afar region, Eastern Ethiopia.
A community-based cross-sectional study was conducted from January 10-28, 2013 among 602 women. Multistage sampling technique was used to select the study participants. Descriptive and multiple variable logistic regression analyses were done to isolate independent predictors on utilization of family planning using SPSS 20.
The overall prevalence of family planning utilization in Afar region was 8.5 % (6.2-10.7). Majority of the women (92.2 %) had used injectable. The most common reasons mentioned in the non-use of family planning methods were religion-related (85.3 %), desire to have more children (75.3 %), and husband's objection (70.1 %). Women who had a positive attitude towards family planning utilization (AOR = 4.7, 95 % CI: 2.1, 10.3), owning radio (AOR = 1.8, 95 % CI: 1.02, 4.18), and literate (AOR = 4.4, 95 % CI: 1.80, 11.08) were more likely to use family planning methods as compared to their counterparts. The increase of monthly income was also associated with the likelihood of family planning methods utilization. The odds of using family planning methods were higher among those with monthly income of $27-$55.5 (AOR = 2. 0, 95 % CI: 1.9, 4.7) and > $55 (AOR = 4. 6, 95 % CI: 1.23-17.19) as compared to women with the lowest category of monthly income ($27 and less).
The low coverage of family planning in the region could be due to the influence of husband, religious and clan leader. Attitude of women towards family planning methods, possession of radio, monthly income, and educational status could influence family planning utilization.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Attitudes</subject><subject>Child mortality</subject><subject>Contraception Behavior - statistics & numerical data</subject><subject>Contraceptives</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Decision Making</subject><subject>Demographic aspects</subject><subject>Ethiopia</subject><subject>Family planning</subject><subject>Family Planning Services - statistics & numerical data</subject><subject>Family Planning Services - utilization</subject><subject>Female</subject><subject>Fertility</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Services Accessibility - standards</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Households</subject><subject>Humans</subject><subject>Income</subject><subject>Methods</subject><subject>Personal Autonomy</subject><subject>Population</subject><subject>Prevalence</subject><subject>Questionnaires</subject><subject>Sample size</subject><subject>Sampling techniques</subject><subject>Spouses - 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statistics & numerical data</topic><topic>Contraceptives</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Decision Making</topic><topic>Demographic aspects</topic><topic>Ethiopia</topic><topic>Family planning</topic><topic>Family Planning Services - statistics & numerical data</topic><topic>Family Planning Services - utilization</topic><topic>Female</topic><topic>Fertility</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Services Accessibility - standards</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Households</topic><topic>Humans</topic><topic>Income</topic><topic>Methods</topic><topic>Personal Autonomy</topic><topic>Population</topic><topic>Prevalence</topic><topic>Questionnaires</topic><topic>Sample size</topic><topic>Sampling techniques</topic><topic>Spouses - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alemayehu, Mussie</creatorcontrib><creatorcontrib>Lemma, Hailemariam</creatorcontrib><creatorcontrib>Abrha, Kidan</creatorcontrib><creatorcontrib>Adama, Yohannes</creatorcontrib><creatorcontrib>Fisseha, Girmatsion</creatorcontrib><creatorcontrib>Yebyo, Henock</creatorcontrib><creatorcontrib>Gebeye, Ejigu</creatorcontrib><creatorcontrib>Negash, Kassahun</creatorcontrib><creatorcontrib>Yousuf, Jemal</creatorcontrib><creatorcontrib>Fantu, Tigist</creatorcontrib><creatorcontrib>Gebregzabher, Tesfay</creatorcontrib><creatorcontrib>Medhanyie, Araya Abrha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>GenderWatch</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC women's health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alemayehu, Mussie</au><au>Lemma, Hailemariam</au><au>Abrha, Kidan</au><au>Adama, Yohannes</au><au>Fisseha, Girmatsion</au><au>Yebyo, Henock</au><au>Gebeye, Ejigu</au><au>Negash, Kassahun</au><au>Yousuf, Jemal</au><au>Fantu, Tigist</au><au>Gebregzabher, Tesfay</au><au>Medhanyie, Araya Abrha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Family planning use and associated factors among pastoralist community of afar region, eastern Ethiopia</atitle><jtitle>BMC women's health</jtitle><addtitle>BMC Womens Health</addtitle><date>2016-07-18</date><risdate>2016</risdate><volume>16</volume><issue>1</issue><spage>39</spage><epage>39</epage><pages>39-39</pages><artnum>39</artnum><issn>1472-6874</issn><eissn>1472-6874</eissn><abstract>Ethiopia is the second most populous country in Africa with a total fertility rate (TFR) of 4.8 children per a woman and contraceptive prevalence rate (CPR) of 29 %. The overall prevalence of modern family planning in a pastoralist community, like Afar region, is low (9.1 %). This study aimed to assess family planning utilization and associated factors among married women of Afar region, Eastern Ethiopia.
A community-based cross-sectional study was conducted from January 10-28, 2013 among 602 women. Multistage sampling technique was used to select the study participants. Descriptive and multiple variable logistic regression analyses were done to isolate independent predictors on utilization of family planning using SPSS 20.
The overall prevalence of family planning utilization in Afar region was 8.5 % (6.2-10.7). Majority of the women (92.2 %) had used injectable. The most common reasons mentioned in the non-use of family planning methods were religion-related (85.3 %), desire to have more children (75.3 %), and husband's objection (70.1 %). Women who had a positive attitude towards family planning utilization (AOR = 4.7, 95 % CI: 2.1, 10.3), owning radio (AOR = 1.8, 95 % CI: 1.02, 4.18), and literate (AOR = 4.4, 95 % CI: 1.80, 11.08) were more likely to use family planning methods as compared to their counterparts. The increase of monthly income was also associated with the likelihood of family planning methods utilization. The odds of using family planning methods were higher among those with monthly income of $27-$55.5 (AOR = 2. 0, 95 % CI: 1.9, 4.7) and > $55 (AOR = 4. 6, 95 % CI: 1.23-17.19) as compared to women with the lowest category of monthly income ($27 and less).
The low coverage of family planning in the region could be due to the influence of husband, religious and clan leader. Attitude of women towards family planning methods, possession of radio, monthly income, and educational status could influence family planning utilization.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>27430275</pmid><doi>10.1186/s12905-016-0321-7</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Attitudes Child mortality Contraception Behavior - statistics & numerical data Contraceptives Cross-Sectional Studies Data collection Decision Making Demographic aspects Ethiopia Family planning Family Planning Services - statistics & numerical data Family Planning Services - utilization Female Fertility Health Knowledge, Attitudes, Practice Health Services Accessibility - standards Health Services Accessibility - statistics & numerical data Households Humans Income Methods Personal Autonomy Population Prevalence Questionnaires Sample size Sampling techniques Spouses - psychology Surveys and Questionnaires Womens health |
title | Family planning use and associated factors among pastoralist community of afar region, eastern Ethiopia |
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