&lt;p&gt;Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia&lt;/p&gt;

Dingeta, Tariku; Oljira, Lemessa; Worku, Alemayehu; Berhane, Yemane

doi:10.2147/oajc.s227260

Cited by 23 publications

(29 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Ethiopia, for instance, Dingeta [ 26 ] noted that unmet need for contraception declined with women’s social position marked by decision-making capacity. Similar reports have emerged from Nigeria and Cameroon [ 8 , 27 ]. Poverty lessens women’s prospects of utilising contraception [ 28 ].…”

Section: Introductionsupporting

confidence: 84%

“…Unmet need for contraception has been a bane for most young women in SSA [ 8 , 9 ]. The World Health Organisation (WHO) describes women with unmet need for contraception as those who are fecund and sexually active but are not using any method of contraception, and report not wanting any more children or wanting to delay the next birth [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Socio-economic and demographic predictors of unmet need for contraception among young women in sub-Saharan Africa: evidence from cross-sectional surveys

Ameyaw

Seidu

2020

Reprod Health

View full text Add to dashboard Cite

Introduction Globally, sub-Saharan Africa (SSA) bears the highest proportion of women with unmet need for contraception as nearly 25% of women of reproductive age in the sub-region have unmet need for contraception. Unmet need for contraception is predominant among young women. We examined the association between socio-economic and demographic factors and unmet need for contraception among young women in SSA. Methods Data for this study obtained from current Demographic and Health Surveys (DHS) conducted between January 1, 2010 and December 31, 2018 in 30 sub-Saharan African countries. The sample size consisted of young women (aged 15–24), who were either married or cohabiting and had complete cases on all the variables of interest (N = 59,864). Both bivariate and multivariable binary logistic regression analyses were performed using STATA version 14.0. Results The overall prevalence of unmet need for contraception among young women was 26.90% [95% CI: 23.82–29.921], ranging from 11.30% [95% CI: 5.1–17.49] in Zimbabwe to 46.7% [95% CI: 36.92–56.48] in Comoros. Results on socio-economic status and unmet need for contraception showed that young women who had primary [aOR = 1.18; CI = 1.12–1.25, p < 0.001] and secondary/higher levels of formal education [aOR = 1.27; CI = 1.20–1.35, p < 0.001] had higher odds of unmet need for contraception compared to those with no formal education. With wealth status, young women in the richest wealth quintile had lower odds of unmet need for contraception compared with those in the poorest wealth quintile [aOR = 0.89; CI = 0.81–0.97, p < 0.01]. With the demographic factors, the odds of unmet need for contraception was lower among young women aged 20–24 [aOR = 0.74; CI = 0.70–0.77, p < 0.001], compared with 15–19 aged young women. Also, young women who were cohabiting had higher odds of unmet need for contraception compared to those who were married [aOR = 1.35; CI = 1.28–1.43, p < 0.001]. Conclusion Our study has demonstrated that unmet need for contraception is relatively high among young women in SSA and this is associated with socio-economic status. Age, marital status, parity, occupation, sex of household head, and access to mass media (newspaper) are also associated with unmet need for contraception. It is therefore, prudent that organisations such as UNICEF and UNFPA and the Bill & Melinda Gates Foundation who have implemented policies and programmes on contraception meant towards reducing unmet need for contraception among women take these factors into consideration when designing interventions in sub-Saharan African countries to address the problem of high unmet need for contraception among young women.

show abstract

Section: Introductionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Socio-economic and demographic predictors of unmet need for contraception among young women in sub-Saharan Africa: evidence from cross-sectional surveys

Ameyaw

Seidu

2020

Reprod Health

View full text Add to dashboard Cite

show abstract

“…Twelve explanatory variables were considered in this study and were grouped into individual level variables and household/community level variables. These variables were not determined a priori; but were selected based on their availability in the dataset, their theoretical relevance and practical significance with unmet need for contraception in previous studies [ 26 , 31 – 34 ].…”

Section: Methodsmentioning

confidence: 99%

Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis

Ahinkorah

2020

PLoS ONE

View full text Add to dashboard Cite

Introduction Despite the desire of adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) to use contraceptives, the majority of them have challenges with access to contraceptive services. This is more evident in high fertility countries in SSA. The purpose of this study was to examine the predictors of unmet need for contraception among AGYW in selected high fertility countries in SSA. Materials and methods Data from current Demographic and Health Surveys (DHS) carried out between 2010 and 2018 in 10 countries in SSA were analysed. A sample size of 24,898 AGYW who were either married or cohabiting was used. Unmet need for contraception was the outcome variable in this study. The explanatory variables were age, marital status, occupation, educational level, frequency of reading newspaper/magazine, frequency of listening to radio, frequency of watching television and parity (individual level variables) and wealth quintile, sex of household head, place of residence and decision-maker in healthcare (household/community level variables). Descriptive and multilevel logistic regression analyses were carried out. The results of the multilevel logistic regression analyses were reported using adjusted odds ratios at 95% confidence interval. Results The prevalence of unmet need for contraception in all the countries considered in this study was 24.9%, with Angola, recording the highest prevalence of 42.6% while Niger had the lowest prevalence of 17.8%. In terms of the individual level predictors, the likelihood of unmet need for contraception was low among AGYW aged 20-24

show abstract

“…13 In addition, while number of desired children >5 were positively associated with total unmet need for FP in Shire-Enda-Slassie, 14 a negative association was observed in Kersa District. 17 These findings indicate that factors associated with the unmet need to FP are area specific in Ethiopia, which motivates to conduct this study in rural areas at the national level.…”

Section: Introductionmentioning

confidence: 96%

“…9% (27.5% for spacing and 12.2% for limiting) in Ghana. 12 In Ethiopia, the magnitude of overall unmet need for FP varied from 16.2% to 34.6% [13][14][15][16][17][18] with 10.3% to 15.8 for spacing and 6.0 to 9.8 for limiting. 14 18 According to the Ethiopian Demographic and Health Survey (EDHS), overall unmet need for FP declined from 37% in 2000 to 22% by 2016.…”

Section: Introductionmentioning

confidence: 99%

Magnitude and associated factors of unmet need for family planning among rural women in Ethiopia: a multilevel cross-sectional analysis

Alem

Agegnehu

2021

BMJ Open

View full text Add to dashboard Cite

ObjectiveThis study was aimed to assess the magnitude and associated factors of unmet need for family planning among rural women in Ethiopia.DesignCross-sectional study.SettingEthiopia.ParticipantsReproductive age group women.Primary outcomeUnmet need for family planning.MethodsThis study drew data from Ethiopian Demographic and Health Survey, which was conducted from 18 January to 27 June 2016. A total of 8327 rural reproductive-aged (15–49 years) women were included. A two-level multivariable logistic regression model was carried out to identify individual and community-level factors associated with unmet need for family planning. Adjusted OR (AOR) with a 95% CI was used to assess the strength of association between independent and dependent variables.ResultsThe overall unmet need for family planning among rural women was 24.08% (95% CI 23.17 to 25.01), of which 14.79% was for spacing and 9.29% for limiting. Number of children (AOR=1.15; 95% CI 1.07 to 1.24) and working status of women (AOR=1.18; 95% CI 1.02 to 1.37) were significantly associated with a higher odds of unmet need for family planning. However, women with primary education (AOR=0.87; 95% CI 0.74 to 0.94), women married at age 18 or later (AOR=0.82; 95% CI 0.70 to 0.96), women from households with high wealth index (AOR=0.77; 95% CI 0.64 to 0.94), women who deem distance to a health facility as not a big problem (AOR=0.85; 95% CI 0.73 to 0.99), women from communities with a high percentage of educated women (AOR=0.73; 95% CI 0.59 to 0.89) and women who live in communities with high media exposure (AOR=0.81, 95% CI 0.68 to 0.98) were significantly associated with a lower odds of unmet needs for family planning.ConclusionUnmet need for family planning among reproductive-aged women in rural Ethiopia was high. Number of children, working status of women, women’s education, age at first marriage, household wealth, distance to a health facility, community women’s education and community media exposure were significantly associated with unmet needs for family planning. Therefore, to reduce unmet need for family planning, public health policymakers should consider both individual and community-level factors when designing FP programmes and emphasis should be given to high-risk populations.

show abstract

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

Cited by 23 publications

References 43 publications

Socio-economic and demographic predictors of unmet need for contraception among young women in sub-Saharan Africa: evidence from cross-sectional surveys

Socio-economic and demographic predictors of unmet need for contraception among young women in sub-Saharan Africa: evidence from cross-sectional surveys

Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis

Magnitude and associated factors of unmet need for family planning among rural women in Ethiopia: a multilevel cross-sectional analysis

Contact Info

Product

Resources

About