BackgroundIn Ethiopia, the prevalence of modern contraceptive use is very low (27 %) and the percentage of those with unmet needs for family planning is 25 %. The current study identified factors associated with the utilization of modern contraceptive methods among married women in Western Ethiopia.MethodsA community based, cross-sectional study was employed from April 10 to April 25, 2014, among married women of reproductive age in Nekemte Town. A multi-stage sampling procedure was used to select 1003 study participants. A pretested structured questionnaire was used to collect data, and data collectors who had completed high school were involved in the data collection process. A bivariate, multivariable logistic regression model was fit, and statistical significance was determined with a 95 % confidence level.ResultThe overall utilization rate of modern contraceptives in this study was 71.9 %. The most common form of modern contraceptives used was injectable (60.3 %). Age (AOR = 2.00, 95 % CI = 1.35–2.98), women’s educational level (AOR = 2.50, 95 % CI = 1.62–3.84), monthly income (AOR = 2.26, 95 % CI = 1.24–4.10), respondent’s fertility (AOR = 2.60, 95 % CI = 1.48–4.56), fertility-related decision (AOR = 3.70, 95 % CI = 2.45–5.58), and having radio (AOR = 1.93, 95 % CI = 1.37–2.71) showed significant positive associations with the utilization of modern contraceptive methods.ConclusionsThe findings showed that women’s empowerment, fertility-related discussions among couples, and the availability of the media were important factors that influenced the use of modern contraceptives. Thus, policymakers and implementers should work on those factors to increase the utilization of modern contraceptive methods.

Background Gender-based violence is a public health issue. The prevalence of gender-based violence is high in Sub-Saharan Africa. Therefore, this study aims to produce an overall summary estimate on the prevalence of gender-based violence according to different types and its risk factors among female youths in educational institutions of Sub-Saharan Africa. Methods Studies published in English between 2000 and 2017 were identified by searching electronic databases such as MEDLINE, CINAHL, EMBASE, PsychINFO, and other relevant data bases. Three reviewers independently extracted the data and assessed the quality of studies using the Loney guidelines. The pooled prevalence of gender-based violence and type of GBV was computed using STATA software version 14, and between studies heterogeneity was tested using Cochran’s Q test and I 2 statistics. Meta-regression analyses were done to identify factors associated with GBV estimates. Results A total of 1377 articles were produced from different databases, and a final 24 articles were included in the review. The overall prevalence of gender-based violence ranged from 42.3% in Nigeria to 67.7% in Ethiopia. The lifetime prevalence of sexual violence ranged from 4.3 to 76.4%, physical violence ranged from 7.4 to 66.1%, and emotional violence prevalence ranged from 26.1 to 50.8%. The overall pooled prevalence of lifetime GBV ( n = 7 studies) was 52.83% [95% CI 39.54–65.90%, I 2 = 99.1, P < 0.00]. The pooled estimate of sexual violence ( n = 23), 26.22% [95% CI 19.48–33.57%, I 2 = 99.39, P < 0.00], physical violence ( n = 9), 18.86% [95% CI 10.96–28.3%, I 2 = 98.98, P < 0.00], and emotional violence ( n = 5), 27.06% [95% CI19.57–35.28%], I 2 = 97.1, P < 0.00]. The review showed that gender-based violence was significantly associated with place of residence, witnessing parental violence, substance abuse, marital status, and educational status. Conclusions The overall prevalence of overall gender-based violence, sexual, physical, and emotional violence was high in Sub-Saharan Africa. The lowest prevalence of GBV was observed in Nigeria, and it was highest in Ethiopia. However, the results should be interpreted with caution because of high between studies heterogeneity. Evidence from the review part revealed GBV was significantly associated with place of residence, witnessing parental violence, substance abuse, marital status, and educational status. The Sub-Saharan African countries should develop a comprehensive educational instit...

IntroductionIn Ethiopia information on the level of utilization of the long term and permanent contraceptive methods and associated factorsis lacking. The aim of this study was to understand the determinant factors of long acting and permanent contraceptive methods use among married women of reproductive age in Western Ethiopia.MethodsA community based cross- sectional study design was employed. Multi stage sampling was used to select 1003 study participants. Data was collected from April 10 to April 25,2014 using a pre- tested structured questionnaire. The data were entered using Epi-info version 3.5.1 and exported to SPSS version 20 for analysis. Multivariate logistic regression analysis was done to identify predictors of long acting and permanent contraceptive methods at 95% CL.ResultsUse of long acting and permanent contraceptive methods in this study was found to be 20%. Survey results showed a significant positive association between utilization of long acting and permanent contraceptive methods and women's education (AOR = 1.72, 95%CI = 1.02 - 3.05), women's occupation (AOR = 2.01, 95% CI = 1.11 -3.58), number of live children (AOR = 2.42, 95% CI: 1.46- 4.02), joint fertility related decision (AOR = 6.11, 95% CI: 2.29- 16.30), having radio/TV (AOR = 2.31, 95% CI: 1.40 - 3.80), and discussion with health care provider about long acting and permanent contraceptive methods (AOR = 13.72, 95% CI: 8.37 - 22.47).ConclusionEfforts need to be aimed at women empowerment, health education, and encouraging open discussion of family planning by couples

BackgroundDelivery by skilled birth attendance serves as an indicator of progress towards reducing maternal mortality. In Ethiopia, the proportions of births attended by skilled personnel were very low 15 % and Oromia region 14.7 %. The current study identified factors associated with utilization of institutional delivery among married women in rural area of Western Ethiopia.MethodsA community based cross-sectional study was employed from January 2 to January 31, 2015 among mothers who gave birth in the last 2 years in rural area of East Wollega Zone. A multi-stage sampling procedure was used to select 798 study participants. A pre-tested structured questionnaire was used to collect data and female high school graduates data collectors were involved in the data collection process. Bivariate and multivariable logistic regression model was fit and statistical significance was determined through a 95 % confidence level.ResultsThe study revealed that 39.7 % of the mothers delivered in health facilities. Age 15–24 years (AOR 4.20, 95 % CI 2.07–8.55), 25–34 years (AOR 2.21, 95 % CI 1.32–3.69), women’s educational level (AOR 2.00, 95 % CI 1.19–3.34), women’s decision making power (AOR 2.11, 95 % CI 1.54–2.89), utilization of antenatal care (ANC) during the index pregnancy (AOR 1.56, 95 % CI 1.08–2.23) and parity one (AOR 2.20, 95 % CI 1.10–4.38) showed significant positive association with utilization of institutional delivery.Conclusion and recommendationIn this study proportion of institutional delivery were low (39.7 %). Age, women’s literacy status, women’s decision making power, ANC practice and numbers of live birth were found important predictors of institutional delivery. The findings of current study highlight the importance of boosting women involvement in formal education and decision making power. Moreover since ANC is big pillar for the remaining maternal health services effort should be there to increase ANC service utilization.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-015-1708-5) contains supplementary material, which is available to authorized users.

ObjectiveLittle has been known about the magnitude and predictors of contraceptive use in extended postpartum period in Ethiopia. Thus, this study aims to assess the magnitude and determinants of contraception utilization in extended postpartum period. A community based cross-sectional survey was conducted in Gida Ayana district, Oromia regional state, Ethiopia in February 2015. Six hundred and three postpartum women were included using a multistage sampling technique. Descriptive statistics were used to summarize the data and logistic regressions were used to assess the predictors of modern family planning use at 95% confidence interval.ResultsThe proportion of women using any of the modern family planning in extended postpartum period was 45.4%. Women who had four and more antenatal care visits (AOR = 2.93; 95% CI 1.08–7.94), mothers who received post-natal care (AOR = 4.34; 95% CI 2.37–7.94), and those desiring less number of children (AOR = 5; 95% CI 2.19–11.41) were more likely to use modern family planning methods during the extended postpartum period. Therefore, health care providers should work to improve quality of health services provided during antenatal care and postnatal care to enhance family planning utilization among post-partum women.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3698-6) contains supplementary material, which is available to authorized users.