Determinants of unmet need for family planning among currently married women in Dangila town administration, Awi Zone, Amhara regional state; a cross sectional study.

Ewnetu Genet,Gedefaw Abeje,Tadese Ejigu

doi:10.1186/s12978-015-0038-3

Ewnetu Genet, Gedefaw Abeje + Show 1 more

Open Access

https://doi.org/10.1186/s12978-015-0038-3

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Abstract

BackgroundUnmet need for family planning is a major problem of developing countries. Evidences about unmet need for family planning and associated factors are not enough in Dangila town. Therefore, this study was done to assess the magnitude and determinants of unmet need for family planning among currently married women in Dangila town.MethodologyCommunity based cross sectional study design was used to collect data from a total of 551 currently married women from February to March 2014. Data were collected using pretested structured interviewer administered questionnaire after written consent was obtained from respondents. Collected data were edited, coded, and entered to SPSS version 16.0. Bivariate and multivariable logistic regression analyses were done to identify determinants of unmet need for family planning.ResultsThis study revealed that 17.4 % of married women had unmet need for family planning. In this study, women who were housewife/farmers were about 7 [OR = 6.81 (1.91–24.29)] times more likely to have unmet need compared to employed women. Women who were not counseled about family planning by health workers [OR = 6.76 (3.17–14.42)], women whose partner had non-supportive attitude for family planning use [OR = 3.34 (1.26–8.90)] and rural women [OR = 17.65 (4.35–71.67)] were also more likely to have unmet need for family planning. About 33 %, 32 %, 23.5 % and 11.8 % of women mentioned less perceived risk of pregnancy due to breast feeding, fear of side effects, partner opposition and religious prohibition respectively as reasons for not using contraceptives at the time of interview.ConclusionsThe level of unmet need for family planning in the study area is still high compared to the target set (10 %) in the national family planning guide plan of Ethiopia to be achieved by the end of 2015. Therefore, it is important to strengthen counseling and partner involvement in Dangila town to reduce unmet need for family planning.

Highlights

Unmet need for family planning is a major problem of developing countries
This study revealed that 17.4 % of married women had unmet need for family planning
Women who were not counseled about family planning by health workers [OR = 6.76 (3.17–14.42)], women whose partner had non-supportive attitude for family planning use [OR = 3.34 (1.26–8.90)] and rural women [OR = 17.65 (4.35–71.67)] were more likely to have unmet need for family planning

Summary

Introduction

Unmet need for family planning is a major problem of developing countries. Evidences about unmet need for family planning and associated factors are not enough in Dangila town. This study was done to assess the magnitude and determinants of unmet need for family planning among currently married women in Dangila town. Unintended pregnancy related to unmet need is a worldwide problem that affects women and their families and societies at large. Serving all women in developing countries who currently have an unmet need for modern methods would prevent an additional 54 million unintended pregnancies, including 21 million unplanned births, 26 million abortions (of which 16 million would be unsafe) and seven million miscarriages; this would prevent 79,000 maternal deaths and 1.1 million infant deaths [4]. In sub-Saharan Africa, 25 % of women of reproductive age who are married or in union have an unmet need for family planning [5]

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