Abstract
BackgroundEthiopia is among countries with low contraceptive usage prevalence rate and resulted in high total fertility rate and unwanted pregnancy which intern affects the maternal and child health status. This study aimed to investigate the major factors that affect the number of modern contraceptive users at service delivery point in Ethiopia.MethodsThe Performance Monitoring and Accountability2020/Ethiopia data collected between March and April 2016 at round-4 from 461 eligible service delivery points were in this study. The weighted log-linear negative binomial model applied to analyze the service delivery point’s data.ResultsFifty percent of service delivery points in Ethiopia given service for 61 modern contraceptive users with the interquartile range of 0.62. The expected log number of modern contraceptive users at rural was 1.05 (95% Wald CI: − 1.42 to − 0.68) lower than the expected log number of modern contraceptive users at urban. In addition, the expected log count of modern contraceptive users at others facility type was 0.58 lower than the expected log count of modern contraceptive users at the health center. The numbers of nurses/midwives were affecting the number of modern contraceptive users. Since, the incidence rate of modern contraceptive users increased by one due to an additional nurse in the delivery point.ConclusionAmong different factors considered in this study, residence, region, facility type, the number of days per week family planning offered, the number of nurses/midwives and number of medical assistants were to be associated with the number of modern contraceptive users. Thus, the Government of Ethiopia would take immediate steps to address causes of the number of modern contraceptive users in Ethiopia.
Highlights
Ethiopia is among countries with low contraceptive usage prevalence rate and resulted in high total fertility rate and unwanted pregnancy which intern affects the maternal and child health status
This study aimed to investigate the major factors that affect the number of modern contraceptive users at service delivery point in Ethiopia
Among different factors considered in this study, residence, region, facility type, the number of days per week family planning offered, the number of nurses/midwives and number of medical assistants were found to be associated factors for the number of modern contraceptive users in Ethiopia
Summary
Ethiopia is among countries with low contraceptive usage prevalence rate and resulted in high total fertility rate and unwanted pregnancy which intern affects the maternal and child health status. About 25% of women who would like to postpone their birth by 2 years do not currently use a contraceptive method This need could be met by improving contraceptive knowledge and the supply of reproductive health services so that women can better plan their families [3]. For fertilities to fall to those low levels, increases the use of modern contraceptive methods and family planning service delivery points play a significant contribution especially in less developed countries including Ethiopia. Ethiopia is among countries with low contraceptive prevalence rate, with only 36% [4] This resulted in high total fertility rate and unwanted pregnancy which intern affects the maternal and child health status [8]
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