<p>Modern Contraceptive Method Utilization and Associated Factors Among Women of Reproductive Age in Gondar City, Northwest Ethiopia</p>

Abstract

Background: Family planning is defined as the ability of couples or individuals to attain their desired number of children, spacing, and timing of their births with the use of contraceptive methods. Ethiopia is one of the most populated countries in Africa with a high fertility rate, a highly unmet need for family planning, and low contraceptive utilization.Objective: This study aims to assess modern contraceptive method utilization and associated factors among women of reproductive age in Gondar City, Northwest Ethiopia. Materials and Methods: A community-based cross-sectional study design was undertaken with 708 women in the reproductive age in Gondar City, using a structured questionnaire combined with face-to-face interviews. Descriptive analysis, binary, and multivariable logistic regression analyses were applied to analyze the data. Results: In this study, 41.2% of the respondents utilized modern contraceptive methods. Of the study participants, 52.1 % had good knowledge and 45.3% had a favorable attitude towards modern contraceptive methods. After adjusting for covariates, the odds of using modern contraceptive methods were 3.6 times, 4.7 times, 2.4 times, and 4 times higher among women of the age 20-24, 25-29, preparatory education, and degree holders, respectively. In addition, for the women having up to six desired children [AOR (Adjusted Odds Ratio) = 2.4 (95% CI: 1.1, 5.3)], a history of no-child death experience [AOR= 4.4 (95% CI: 1.03, 19.1)], good knowledge [AOR= 4.1 (95% CI: 2.7, 6.0)], and favorable attitude [AOR= 3.5 (95% CI: 2.4, 5.1)] were positively associated with modern contraceptive utilization. Conclusion:The majority of participants had good knowledge about, but the unfavorable attitude towards the utilization of modern contraceptive methods. Therefore, the authors recommended that special awareness creation with the help of health education interventions should be employed in the community.

Contraceptive Method Utilization and Determinant Factors among Young Women (15-24) in Ethiopia: A Mixed-Effects Multilevel Logistic Regression Analysis of the Performance Monitoring for Action 2018 Household Survey

“…Women in the age group of 20-24 years were more likely to use contraceptive methods as compared to the adolescent age group (aged 15-19). This is also consistent with previous studies conducted in Ethiopia as well as other countries in Africa that teenagers were less likely to use contraceptive methods as compared to older women [ 9 – 11 , 16 ]. This may be due to lack of adolescent friendly sexual and reproductive health services in most parts of the country.…”

“…Having good knowledge on the available contraceptive methods was also found to increase the contraceptive use more than two-fold in this study. This finding has also been reported in previous studies conducted in Gondar, Ethiopia [ 9 ], Southern, Ethiopia [ 11 ], and Tanzania [ 16 ]. This has a programmatic implication of strengthening the behavioral change interventions at the facility as well as at the household levels.…”

“…Similarly, in the M-EDHS 2019, the LARC methods accounted for 11% of the 41% contraceptive prevalence rate (CPR) (26.8% of the methods mix) and injectables accounted for 27% of the 41% CPR (65.9% of the method mix). This low coverage of LARC methods and higher preference of injectables have also been reported in previous studies conducted in other parts of the country among the young women as well as the reproductive age women [ 9 – 11 ]. This may be due to the more familiarity of the young women to the short-term methods as well misconceptions or perceived side effect of the long acting as causing delayed fertility to the young women.…”

“…Accordingly, 54.8% of the respondents were using any method of contraception during the time of the survey. This finding is similar with the 55% outcome target set in the health sector transformation plan (HSTP) and the adolescent and youth health (AYH) strategy of the country, Ethiopia, to be attained by 2020 [ 9 , 10 ]. But this finding is slightly higher than the finding of the 2019 Ethiopian Mini-Demographic and Health Survey (M-EDHS-2019) report (47.2%; 36.5% among 15-19 and 52.5% among 20-24) [ 8 ].…”

Family Planning Utilization at First Sexual Initiation and Associated Factors among High School Youth Female Students in Northern Ethiopia

“…In this study among students who did not use family planning during the sexual debut, the reason for not used contraception was didn't think of protection (17.8%), didn't mind getting pregnant (17.5%), didn't know what to use (13.8%), had no reason (11.3%) and didn't like contraception (10.8%). In contrast, other studies show different reasons for not using family planning services for 87.1% of the participants was fear of being detected and 59.7% reported that they disliked the judgmental attitude of health workers [15,16]. This indicated there are misconceptions and knowledge gaps.…”