Abstract
BackgroundIn spite of the massive spending and extensive family-planning promotion, many poor people in the third world remain reluctant to use modern contraceptive method. Mostly when they use modern contraceptives, their continuation rates are often low. Reproductive health can improve women’s nutrition; in return better nutrition can improve reproductive health. Thus addressing the connection between nutrition and reproductive health is critical to ensure population growth that does not overwhelm world resources.MethodsA community based cross-sectional study was conducted from March 15–30, 2014 in Soddo Zuria Woreda, Southern Ethiopia. A total of 651 currently married women of reproductive age group were selected using multistage sampling. Probability proportional to the size allocation method was employed to determine the number of households. Multivariable logistic regression was used to assess the association between family planning use and food security status after adjusting for other covariates.ResultsUse of modern contraceptive method was significantly low among food insecure women (29.7 %) compared to those who were food secure (52.0 %), (P < 0.001). Women from food secure households were nearly twice likely to use modern contraceptive methods (AOR: 1.69 (CI: 1.03, 2.66)). Similarly, those who had antenatal care (ANC) visit (AOR: 4.56 (CI: 2.45, 7.05)); exposure to media (AOR: 4.92 (CI: 1.84, 13.79)) and those who discussed about contraceptive methods with their partner (AOR: 3.07 (CI: 1.86, 5.22)) were more likely to use modern contraceptive methods. Conversely, women who delivered their last child at home were less likely to use modern contraceptive methods (AOR: 0.08 (CI: 0.03, 0.13)).ConclusionFood insecurity is negatively associated with modern contraceptive method use. Thus food insecurity should be considered as one of the barriers in designing family planning services and needs special arrangement.
Highlights
In spite of the massive spending and extensive family-planning promotion, many poor people in the third world remain reluctant to use modern contraceptive method
The prevalence of household food insecurity was 60.5 % (Table 1). Regarding their reproductive health experiences, 15.6 % of food secure mothers and 18.7 % of food insecure mothers reported to have at least one experience of unintended pregnancy and this is relatively lower when compared with national level which is 25 %
Regarding antenatal care (ANC) follow up 72.4 % of food secure mothers and 56.7 % of food insecure have ANC visit for their last pregnancy
Summary
In spite of the massive spending and extensive family-planning promotion, many poor people in the third world remain reluctant to use modern contraceptive method. When they use modern contraceptives, their continuation rates are often low. At the beginning of twenty-first century, world population was estimated to be almost 6.1 billion. According to the United Nation (UN) projection, the world’s population will reach 11 billion by 2020. This continued world population growth has become an urgent global problem. There are an estimated 80 million unintended pregnancies, and 42 million of these pregnancies end in abortion.
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