Abstract
Background. Ethiopia is one of the Sub-Saharan African countries with a high unmet need for contraceptives. Contraception is a good indicator of the extent to which couples have access to reproductive health services. A study on contraceptives can provide overall direction by helping to identify the obstacles in society and weaknesses in services that need to be overcome. However, little is known in Amhara region context. Therefore, this analysis was aimed to assess modern contraceptive use and influencing factors in the Amhara regional state of Ethiopia. Methods. We used secondary data analysis of the regional representative sample of women aged 15–49 years from the 2016 Ethiopian Demography and Health Survey (EDHS). A total of 2207 married reproductive-age women (15–49 years) selected using a two-stage stratified cluster sampling technique were included in this analysis. Both descriptive and logistic regression analyses were performed using STATA V.14. A 95% confidence interval was used to declare statistical significance. Results. Modern contraceptive use among married reproductive-age women was 51.3% (95% CI: 47.0–55.6). Being from households with rich wealth index (AOR = 1.6; 95% CI: 1.1–2.5), a secondary or higher level of education (AOR = 3.0; 95% CI: 1.4–6.2), and desire to space (AOR = 2.6; 95% CI: 1.9–3.7) or want no more child (AOR = 2.4; 95% CI: 1.6–3.5) were found positively associated with modern contraceptive use. On the other hand, modern contraceptive use was negatively associated with women aged 35–49 years (AOR = 0.7; 95% CI: 0.5–0.9). Conclusion. Modern contraceptive use was relatively high in the Amhara region. The odds of modern contraceptive use were higher among women with secondary or more educational levels. Women from households with rich wealth index and those who want to delay or avoid pregnancy had also more odds of using modern contraceptives. Therefore, strengthening women’s and community education could improve modern contraceptive use. Moreover, more emphasis should be given for income generation activities.
Highlights
Ethiopia is one of the Sub-Saharan African countries with a high unmet need for contraceptives
Some studies in the Amhara region showed that contraceptive use is public health problem [20, 21], but studies about factors affecting MC use among married or in-union women are limited. e objective of this study, was to assess modern contraceptive use and its associated factors among married nonpregnant reproductive-age women in the Amhara region
We used secondary community-based cross-sectional regional representative 2016 Ethiopian Demography and Health Survey (EDHS) data collected through a two-stage stratified cluster sampling technique from January 18, 2016, to June 27, 2016. e survey was implemented by the Central Statistical Agency (CSA) at the request of the Federal Minister of Health (FMOH) [15]
Summary
Planning (FP), defined as the ability of individuals and couples to have the number of children when they want, is a proven strategy to reduce maternal and child morbidity and mortality [1, 2]. FP service is one of the 16 packages in this program [11] Using this and other programs, the health sector transformation plan planned to increase the contraceptive prevalence rate (CPR) to 55% and reduce the unmet need to 10% by the end of 2020 at national and regional levels [12]. Regardless of these efforts, MC use is low and unmet need is high in Ethiopia. E objective of this study, was to assess modern contraceptive use and its associated factors among married nonpregnant reproductive-age women in the Amhara region Some studies in the Amhara region showed that contraceptive use is public health problem [20, 21], but studies about factors affecting MC use among married or in-union women are limited. e objective of this study, was to assess modern contraceptive use and its associated factors among married nonpregnant reproductive-age women in the Amhara region
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