Correction to: ASRHR in Ethiopia: reviewing progress over the last 20 years and looking ahead to the next 10 years

Akwara, Elsie; Kereta, Worknesh; Oljira, Lemessa; Mengesha, Lulit; Asnake, Mengistu; Sisay, Emiamrew; Demerew, Dagem; Plesons, Marina; Shirka, Wegen; Hadush, Azmach; Chandra-Mouli, Venkatraman

doi:10.1186/s12978-022-01474-y

Cited by 4 publications

References 1 publication

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Pregnancy coercion, correlates, and associated modern contraceptive use within a nationally representative sample of Ethiopian women

Wood

Dozier

Karp

et al. 2022

Sexual and Reproductive Health Matters

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Partner-perpetrated pregnancy coercion inhibits women’s reproductive autonomy. However, few studies have quantified pregnancy coercion and its effects on women’s health within low- and middle-income countries. Among a national sample of Ethiopian women, this study aimed to: (1) assess the prevalence of past-year pregnancy coercion and explore regional differences; (2) identify correlates; (3) examine the relationship between pregnancy coercion and modern contraceptive use. Analyses utilise cross-sectional data from Performance Monitoring for Action (PMA)-Ethiopia, a nationally representative sample of females aged 15–49 conducted from October to November 2019. Past-year pregnancy coercion was assessed via five items and analysed dichotomously and categorically for severity. Among women in need of contraception, bivariate and multivariable logistic regression examined associations between variables of interest, per aim, accounting for sampling weights and clustering by enumeration area. Approximately 20% of Ethiopian women reported past-year pregnancy coercion (11.4% less severe; 8.6% more severe), ranging from 16% in Benishangul-Gumuz to 35% in Dire Dawa. Increasing parity was associated with decreased odds of pregnancy coercion. Among women in need of contraception, experience of pregnancy coercion was associated with a 32% decrease in odds of modern contraceptive use (aOR = 0.68; 95% CI: 0.53–0.89); when disaggregated by severity, odds decreased for most severe pregnancy coercion (aOR = 0.59; 95% CI = 0.41–0.83). Results indicate that partner-perpetrated pregnancy coercion is prevalent across diverse regions of Ethiopia, and most severe forms could interrupt recent gains in contraceptive coverage and progress to sexual and reproductive health and rights. Providers must be aware of potential contraceptive interference and address coercive influences during contraceptive counselling.

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Pregnancy coercion, correlates, and associated modern contraceptive use within a nationally representative sample of Ethiopian women

Wood

Dozier

Karp

et al. 2022

Sexual and Reproductive Health Matters

View full text Add to dashboard Cite

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Determinant of Implanon discontinuation among women in southwest Ethiopia: unmatched case control study

Ejeta Chibsa,

Bayisa,

Adem Hussen

et al. 2023

Contracept Reprod Med

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Background Over 4.5 million women worldwide have used Implanon. It plays an important role in reducing unwanted conceptions, lowering maternal mortality, and enhancing child survival. As a result, the availability of family planning programmes encourages women to begin using contraception and encourages women who are already using family planning to continue using it. The purpose of this study was to investigate the factors that lead to implanon cessation among women in southwest, Ethiopia. Methods A facility-based unmatched case–control study was conducted from February 01 to March 02, 2023. It included 348 participants, 174 cases, and 174 controls. The cases were selected consecutively, and the controls were selected using a systematic random sampling method. Data was collected through a structured, face-to-face interview and entered into Epi-data version 4.6 and SPSS version 25.0 for analysis. The confidence interval (CI) of 95 and the strength of the association were measured using an adjusted odds ratio. A p-value of less than 0.05 was considered statistically significant. Result Women whose husbands have formal education [AOR = 0.33, 95% CI (0.121–0.0944)], women who have been counseled individually [AOR = 3.403 (1.390–8.3.32)], women who have been counseled for less than 5 min [AOR = 3.143, 95% CI (1.303–8.046)], and women who discuss Implanon insertion with their partner [AOR = 0.289, 95% CI (0.143–0.585)] were significantly associated with Implanon discontinuation. Conclusion Implanon discontinuation was predicted by the husband's education, the number of women counselled alone, the length of counselling, a conversation with the spouse, satisfaction with the service, and implanon side effects. The health care provider should increase counselling services, especially the length of implanon pregnancy, in accordance with the national family planning recommendations, to reduce early implanon removal.

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Sexual and Reproductive Health Behaviors among Ethiopian University Students: A Scoping Review

Abitie,

Animen,

Atinafu

2024

Preprint

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Background: There is a wide variation among societies in profiles of adolescent and youth health and behaviours, however they all experience sexual and reproductive health as a major health challenge. However, adolescents and youths in middle-and low-income countries like Ethiopia are of a particular concern where limited social, educational and health services leads to poor sexual and reproductive health outcomes such as unwanted pregnancy, unsafe abortion and sexually transmitted infections including Immune Deficiency Virus. Identify and synthesis the available evidence on sexual and reproductive health of university students in Ethiopia has a paramount importance to inform policy makers, governmental and non-governmental organizations, to tailor health services in Higher Educational Institutions and to understand evidence gaps. Thus, we did a descriptive systematic review of available published information on sexual and reproductive health among Ethiopian university students. Method: We performed a systematic review to collect and analyze observational data on sexual and reproductive health behaviours among Ethiopian university students. Publications were identified using PubMed, Scopus, and Google scholar databases and manual search from 2015 to December 2023. We defined a protocol to identify relevant studies. We included original observational studies conducted in Ethiopia among university students, both qualitative and quantitative studies and that consider at list one of the following elements: sexual activity, condom use, multiple sexual partners, contraceptive use, family planning use, sexual transmitted infections, unwanted pregnancy, abortion, sexual and reproductive health knowledge, early sexual debut, risky sexual behavior. All include article were coded according to relevant outcomes and experiences and subsequently analyzed to assess frequencies. Result: After screening for inclusion criteria 15 publications were include in the datasheet developed to record the findings. Surprisingly all 15 studies reported that university students are sexually active with high prevalence of having multiple sexual partners and limited use of sexual and reproductive health services such as condom use and family planning /contraceptive use. Unwanted pregnancy, abortion, STIs infections, early sexual debut and premarital sex were frequently reported. Only two studies reported transactional sex. Conclusion: Adolescents and youths enrolled at Ethiopian Public Universities engage in risky sexual behaviours and experience its adverse consequences. It is essential to collect more evidence, but the available information supports a need for improving provision of sexual and reproductive health services, among Ethiopian university students. Youth friendly sexual and reproductive health services should be avail in Higher Education Institutions.

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Correction to: ASRHR in Ethiopia: reviewing progress over the last 20 years and looking ahead to the next 10 years

Cited by 4 publications

References 1 publication

Pregnancy coercion, correlates, and associated modern contraceptive use within a nationally representative sample of Ethiopian women

Pregnancy coercion, correlates, and associated modern contraceptive use within a nationally representative sample of Ethiopian women

Determinant of Implanon discontinuation among women in southwest Ethiopia: unmatched case control study

Sexual and Reproductive Health Behaviors among Ethiopian University Students: A Scoping Review

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