Background: Women's decisions on family planning use have multiple benefits to the family and community at large. In developing countries like Ethiopia, the choice of women to use a contraceptive is challenged by social and environmental factors that mitigate their ability to decide independently and freely. This study therefore determined the level of women's decision-making power on family planning use and associated factors among married women in the study area. Methods: A community-based cross-sectional study was conducted in Dinsho woreda from March to April 2017. A simple random sampling technique was used to select 373 married women. A structured and pre-tested questionnaire was used to collect data by trained data collectors under continuous supervision. Multivariable logistic regression was performed to identify factors associated with women's decision-making power on family planning use. Crude and adjusted odds ratios with 95% confidence interval were used and p-value of <0.05 was considered as statistical significance. Results: A total of 344 (92.2%) women participated in the study. Of the total respondents, 179 (52%) of women had good decision-making power on modern family planning use. Multivariable analysis showed that younger age (adjusted odds ratio [AOR] =8.59 [1.61, 45.80]), good participation in household decision-making (AOR =2. 65 [1.46, 4.79]), positive attitude towards family planning (AOR =2.34 [1.31, 4.19]), and better knowledge towards family planning (AOR =3.04 [1.49, 6.22]) were factors statistically significantly associated with married women's decision-making power on family planning use. Conclusion and Recommendation: Women's knowledge and attitudes toward family planning and their participation in household decision-making increased the likelihood of women's decision-making power for modern family planning use. There is a need to adopt a more comprehensive approach to reach men and women on modern family planning, to help women to decide freely without any restriction.
Background: Diarrheal disease remains one of the leading killers of children around the world. Most cases of diarrhea spread in settings with poor hygiene and lack of access to clean drinking water and sanitation. In Ethiopia, diarrheal disease is more common and kills almost fifteen thousand under-five children in year 2016. Therefore, this study determined diarrheal morbidity among under five children and its association with open defecation free status.Methods: A community-based comparative cross-sectional study was conducted on 732 households that had at least one under-five children. Multistage sampling technique was used to select households. Informed verbal consent was obtained from study participant. Multivariable logistic regression was performed to identify factors associated with diarrheal morbidity among under five children. Odd ratios with 95% confidence interval were reported and p-value of <0.05 was considered as statistical significance. Results: A total of 709 mothers or caregivers of under-five children were interviewed making the response rate 97%. The past two-week diarrhea morbidity in the study area was 20.2%. Multivariable analysis showed that unsanitary disposal of children`s feces (adjusted odds ratio [AOR]= 2.68, 95% confidence interval [CI]: 1.66, 4.30), exclusive breast feeding (AOR=0.43 [0.26, 0.71), mother not attend formal education (AOR=1.93, 95% CI: 1.18, 3.15) and child age (AOR=1.93, 95% CI: 1.04. 3.57) were significantly associated with diarrheal disease. Conversely, there is no association between open defecation free status and childhood diarrhea among under-five children (AOR=0.89, 95% CI: 0.55, 1.44).Conclusions: The prevalence of diarrhea was slightly higher among children from non-open defecation free households when compared to children living in open defecation free households. However, open defecation free status was not significantly associated with diarrhea morbidity during multivariable logistic analysis.
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