Abstract
BackgroundEthiopia 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.MethodsA 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.ResultsThe 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).ConclusionThe 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.
Highlights
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 %
Ethiopia has articulated in its population policy and health sector development program (HSDP IV) to achieve a TFR of 4.0 and a CPR of 66 % by 2015 [8]
Sample size and sampling technique To determine the sample size, a single population proportion formula was used with the assumption of 9.1 % Family planning (FP) utilization in the region from the Ethiopia Demography and Health Survey (EDHS) 2011 report [7]
Summary
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 %. As more than half of the people in Africa are Alemayehu et al BMC Women's Health (2016) 16:39 younger than 25 years old, unmet need is expected to increase as these individuals enter their reproductive years [4]. In this region the current prevalence of contraceptive use would have to triple by 2015 in order to satisfy existing demand for FP [5, 6]. The people are underserved in all forms of healthcare, and its health status is not well documented [9]
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