Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia

Abstract

BackgroundEthiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and improve maternal health (Millennium Development Goal 4 and 5). Therefore, this study aimed to assess the prevalence and determinants of modern contraceptive utilization among married women of reproductive age group.MethodsA community based cross-sectional study was conducted from August 15 to September 1, 2010 among married women aged 15–49 years in Debre Birhan District. Multistage sampling technique was used to select a total of 851 study participants. A pre-tested structured questionnaire was used for gathering data. Bivariate and multivariate logistic regression analyses were performed using SPSS version 16.0 statistical package.ResultsModern contraceptive prevalence rate among currently married women was 46.9%. Injectable contraceptives were the most frequently used methods (62.9%), followed by intrauterine device (16.8%), pills (14%), norplant (4.3%), male condom (1.2%) and female sterilization (0.8%). Multiple logistic regression model revealed that the need for more children (AOR 9.27, 95% CI 5.43-15.84), husband approve (AOR 2.82, 95% CI 1.67-4.80), couple’s discussion about family planning issues (AOR 7.32, 95% CI 3.60-14.86). Similarly, monthly family income and number of living children were significantly associated with the use of modern contraceptives.ConclusionModern contraceptive use was high in the district. Couple’s discussion and husband approval of contraceptives use were significantly associated with the use of modern contraceptives. Therefore, district health office and concerned stakeholders should focus on couples to encourage communication and male involvement for family planning.

Barriers to Contraceptive Use Among Child Bearing Women in Ambo Town, West Shewa Zone, Oromia Regional State, Ethiopia

“…This may be due to the fact that religious background in the study area where there were certain beliefs discouraging the use of contraceptives usually observed among Catholics, and protestant hence the women ended up using the contraceptives without the knowledge and approval of their spouses. The husband influence is one the factor that not to use contraceptive accounted 9.4% which is almost similar with cross-sectional study done in Mojo town on family planning service utilization reveals husband influence accounts 10.9% [16].…”

Prevalence of Family Planning Practices among Women Influenced by Husband’s Socio Demography and Decision Making

“…Among the husbands, 70.2% had a secondary education level and only 0.4% husband not working. Most of them have income of RM1,000 and below and average monthly family income was RM1, 675.31. area in Malaysia (41.8%) (Bachok et al 2004), 43% in Cambodia (Samandari et al 2010) and 46.9% in Ethiopia (Mohammed et al 2014). However, the prevalence of FP practice in Bangladesh was 59.6%, (Laskar et al 2006) and in urban Kenya was 60% (Irani et al 2014) which is higher than the current study's result.…”

“…This findings are nearly similar to a study done by Bachok et al (2004) whereby women choses pills (17.5%), injection (8.8%), condom (8.5%), IUD (6.1%) and 6.1% natural methods as FP preferences. However, the majority of women preferred to use hormone injection as contraceptive methods because of convenience (Mohammed et al 2014). …”

“…FP benefits both the husband and wife in determining the number of children in a family (Bachok et al 2004) and in controlling the spacing between their children's (Mohammed et al 2014). Practicing FP would also lead to the control of population growth in Malaysia.…”

Influence of hormonal contraceptives and the occurrence of stroke: integrative review

“…The use of combined injectables showed no increased risk; however, the only study that addressed this method was conducted more than a decade ago. It is worth mentioning that use of injectable contraceptives has increased in recent years, becoming the hormonal method most used by women in some countries (31)(32) . Likewise, the use of vaginal ring and contraceptive patch has increased as they became more easily available and users became more aware of them (33) .…”