Abstract
BackgroundIn Ethiopia, people with disabilities face socioeconomic disadvantages and they have a limited access to sexual and reproductive health information including family planning service. At present, however, there is a scarcity of research on the association between disability and family planning, and only limited data is available for disabled people in Ethiopia. Hence, this study assessed the level of knowledge, attitude, and practice of family planning and associated factors among disabled persons in North-shewa zone, Amhara regional state, Ethiopia.MethodsA cross-sectional survey was conducted from June to October 2019. A total of 397 study participants were interviewed using a structured and pre-tested questionnaire. A multistage systematic sampling technique was employed to select study participants. Data were entered into Epi data and exported into Statistical Package for the Social Sciences (SPSS) version 21 for analysis. Logistic regression was performed to analyze the data. A significant association was declared at a p-value of less than 0.05.ResultsForty-six percent of study participants were knowledgeable about family planning methods. The injectable was the most known method of modern contraception (74.8%) while withdrawal (18.1%) was the least known traditional family planning method. Fifty-five percent of our study participants had a good attitude about family planning methods and one-fourth (24.5%) of disabled persons currently utilized any method of family planning. Those having a good knowledge of family planning were 1.6 times more likely to utilize family planning methods than those having poor knowledge of family planning methods (AOR = 1.61, CI = 1.27, 16.24). Moreover, participants who completed college education were 7 times more likely to have a good knowledge of family planning methods than uneducated participants (AOR = 7.23; 95% CI = 2.28, 22.06).ConclusionsIn this study, the knowledge, attitude, and practice of disabled people about family planning methods were relatively low. Due attention should be given to ensure that disabled people are well informed about family planning methods through information, education, and communication activities.
Highlights
Planning (FP) is an effective way of controlling fertility within a human rights framework by giving couples the ability to have their desired family size [1, 2]
There is a scarcity of research on the association between disability and family planning, and only limited data is available for disabled people in Ethiopia
Study design, setting and period A cross-sectional survey was conducted from June to October 2019 in the North-shewa zone, Amhara regional state, Ethiopia
Summary
Planning (FP) is an effective way of controlling fertility within a human rights framework by giving couples the ability to have their desired family size [1, 2]. Disabled people may be subjected to unsafe abortion due to longstanding stigmatization [11] They have poorer health outcomes than non-disabled people as a result of less access to reproductive health information. Healthcare services lack sign language interpreters and other information formats such as Braille, audio, or plain language which can provide advice on sexual health-related issues including FP methods [12]. They were often unable to access community meetings about FP services [13]. In Ethiopia, people with disabilities face socioeconomic disadvantages and they have a limited access to sexual and reproductive health information including family planning service. This study assessed the level of knowledge, attitude, and practice of family planning and associated factors among disabled persons in North-shewa zone, Amhara regional state, Ethiopia
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