Abstract
A community based comparative cross-sectional study design was employed to assess the mutual consent of women about family planning use in urban and rural villages of Gedeo zone. Two-thirds (67.4%) of women made joint decision on contraceptive use, varying between urban (70.9%) and rural (63.4%) settings. This difference was statistically significant where women in urban setup had a 41% (AOR, 1.41; 95% CI (1.15, 2.01) added chance of making joint decision than the rural counterpart. In both settings, attitude towards contraceptive method was an independent predictor of joint contraceptive decision (AOR = 2.85) in urban and (AOR = 2.81) rural women. Contrarily, different factors were found to be associated with joint contraceptive decision in either setup. In urban, having better knowledge about contraceptive methods (AOR = 2.9) and having lower age difference (AOR = 2.2) were found to be strong predictors of joint decision on contraceptive use, while having too many children (AOR = 2.2) and paternal support (AOR = 7.1) in rural setups. Lower level of joint decision making on contraceptive use was reported in both setups. Factors associated with joint decision varied between the two setups, except for attitude towards contraceptive methods. Future family planning program should address sociocultural, knowledge and attitude factors.
Highlights
Population increase is a continuous burning issue globally, with statistical figure of 7.3 billion in 2015 which is expected to increase to 9.8 billion by 2050 [1]
The role and influence of husbands need to be taken into account when developing family planning services and programs [22, 26]
This result was in line with the 2011 Ethiopian Demographic Health Survey report and a study conducted in Southern Ethiopia [4, 28]
Summary
Population increase is a continuous burning issue globally, with statistical figure of 7.3 billion in 2015 which is expected to increase to 9.8 billion by 2050 [1]. In Ethiopia, 2 million people are added to the existing population annually and reached 98.1 million by 2015. The expected population of Ethiopia by mid-2030 and 2050 will be 130.5 million and 165.1 million, respectively [1, 2]. In Ethiopia, contraceptive prevalence rate (CPR) slightly increased from 29% and 34% in 2011 to 42% and 39.8% in 2014 among married women across the nation and Southern Nations and Nationality People Region (SNNPR), respectively. Women’s decision on family planning use has multiple benefits to the family and community at large. Reports suggested that women’s participation in family planning decision has to influence their reproductive health, overall health, and family balance [11,12,13,14]. Different studies revealed that women who are involved in any decisionmaking process are more likely to control their fertility by using contraceptives [9, 15,16,17,18]
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