TY - JOUR
T1 - Prevalence and determinants of contraceptive utilization among married women at Dabat Health and Demographic Surveillance System site, northwest Ethiopia
AU - Alemayehu, Geta Asrade
AU - Fekadu, Abel
AU - Yitayal, Mezgebu
AU - Kebede, Yigzaw
AU - Abebe, Solomon Mekonnen
AU - Ayele, Tadesse Awoke
AU - Gizaw, Zemichael
AU - Wubeshet, Mamo
AU - Muchie, Kindie Fentahun
AU - Gelagay, Abebaw Addis
AU - Azmeraw, Temesgen
AU - Birku, Melkamu
AU - Alemu, Kassahun
AU - Tariku, Amare
AU - Derso, Terefe
AU - Tesfahun, Adino
AU - Tebeje, Nigusie Birhan
AU - Tigabu, Zemene
AU - Gebeyehu, Abebaw
AU - Debalkie, Getu
AU - Biks, Gashaw Andargie
N1 - Funding Information:
This study was supported by the Centers for Disease Control and Prevention (CDC) through Ethiopian Public Health Association (EPHA) in accordance with the EPHA-CDC Cooperative Agreement No. NU22GGH001039–04-00 and University of Gondar. However, the funders do not have any role in the design of the study, collection, analysis and interpretation of data and in writing the manuscript. Hence, the findings and conclusion in this study do not necessarily represent the official position of the supporters.
Publisher Copyright:
© 2018 The Author(s).
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2018/7/3
Y1 - 2018/7/3
N2 - Background: Despite the enormous benefits of family planning services, the contraceptive utilization still remains low in Sub-Saharan Africa. There is regional variation in modern contraceptive utilization in Ethiopia. Therefore, this study was aimed to determine the prevalence of modern contraceptive utilization and determinants in Dabat demographic and health surveillance system site, northwest Ethiopia. Methods: A re-census was carried out in Dabat Health and Demographic Surveillance System (HDSS) site from October to December 2014. Data of 8271 married women collected in the re-census was used. The outcome variable was current utilization of any modern contraceptive methods whereas socio demographic and economic variables were the potential determinants considered. Bi-variable and multivariable binary logistic regression along with odds ratio and 95% confidence interval were used to describe the strength of association. Results: Prevalence of modern contraceptive utilization among married women in Dabat DHSS site was found to be 32.5% (95%CI: 31.5, 33.5%). After adjusting for covariates; the odds of using modern contraceptive were 2.35 times, 1.91 times, and 1.39 times higher among women of secondary and above educational level, urban residents, and women having six and above living children, respectively. Conclusion: Modern contraceptive utilization was found to be very low. Effort has to be applied to improve women's educational level that increases their understanding of reproductive health issues. It is also important to give special emphasis for rural residents, those aged 20-40 years, and those with six or more living children while serving for modern contraceptive methods.
AB - Background: Despite the enormous benefits of family planning services, the contraceptive utilization still remains low in Sub-Saharan Africa. There is regional variation in modern contraceptive utilization in Ethiopia. Therefore, this study was aimed to determine the prevalence of modern contraceptive utilization and determinants in Dabat demographic and health surveillance system site, northwest Ethiopia. Methods: A re-census was carried out in Dabat Health and Demographic Surveillance System (HDSS) site from October to December 2014. Data of 8271 married women collected in the re-census was used. The outcome variable was current utilization of any modern contraceptive methods whereas socio demographic and economic variables were the potential determinants considered. Bi-variable and multivariable binary logistic regression along with odds ratio and 95% confidence interval were used to describe the strength of association. Results: Prevalence of modern contraceptive utilization among married women in Dabat DHSS site was found to be 32.5% (95%CI: 31.5, 33.5%). After adjusting for covariates; the odds of using modern contraceptive were 2.35 times, 1.91 times, and 1.39 times higher among women of secondary and above educational level, urban residents, and women having six and above living children, respectively. Conclusion: Modern contraceptive utilization was found to be very low. Effort has to be applied to improve women's educational level that increases their understanding of reproductive health issues. It is also important to give special emphasis for rural residents, those aged 20-40 years, and those with six or more living children while serving for modern contraceptive methods.
KW - Contraceptive utilization
KW - Dabat HDSS
KW - Married women
KW - Northwest Ethiopia
UR - http://www.scopus.com/inward/record.url?scp=85049425862&partnerID=8YFLogxK
U2 - 10.1186/s12905-018-0611-3
DO - 10.1186/s12905-018-0611-3
M3 - Article
C2 - 29970089
AN - SCOPUS:85049425862
VL - 18
SP - 1
EP - 7
JO - BMC Women's Health
JF - BMC Women's Health
SN - 1472-6874
IS - 1
M1 - 118
ER -