Modern Contraceptive Utilization and Associated Factors among Married Gumuz Women in Metekel Zone North West Ethiopia

Abstract

Background. Modern contraceptives are a key intervention to improve the health of both the mother and children by preventing unintended pregnancy. However, significant numbers of women were facing abortion-related morbidity and mortality globally including Ethiopia due to the nonuse or failure of contraceptive uses. Therefore, the aim of this study was to assess the utilization of modern contraceptive methods and associated factors among married Gumuz women in Metekel Zone North West Ethiopia. A community-based cross-sectional study was conducted among 580 women from March 1 to 30/2019. Pretested structured interview administer questionnaires was used to collect the data. Data were cleaned, coded, and entered into Epi-info version 7.1 and export to SPSS for farther analysis. Both bivariate and multivariate analyses were used. On bivariate analysis P value, less than 0.2 were used to select the candidate variable for multivariate analysis. P value and 95% confidence interval were used to measure the level of significance on multivariate analysis and those variables whose P value < 0.05 were considered as statically significant. The prevalence of modern contraceptive method was 18.6% [95% CI: 15.00-22.00]. Age≥35 year AOR 4.67; 95% CI (1.34 -16.18), able to read and write AOR 6.45 95% CI(2.98-13.97), primary school AOR 6.56; 95% CI (2.22-19.38), secondary school AOR 7.27; 95% CI (3.00 -17.61), counseled on contraceptive methods AOR 3.72 95% CI (2.11-6.56), moderate knowledge on modern contraceptive method AOR 2.31; 95% CI (1.15-4.64), and good knowledge on modern contraceptive method AOR 4.37; 95% CI (2.38-8.02) were identified as statistically significant with modern contraceptive methods utilization. The prevalence of contraceptive utilization was low when compared to the national and the regional figure. Maternal age, maternal educational status, counseling about modern contraceptive methods, and knowledge on modern contraceptive methods were found as statistically significant with modern contraceptive utilization.

Four out of ten married women utilized modern contraceptive method in Ethiopia: A Multilevel analysis of the 2019 Ethiopia mini demographic and health survey

“…Women who attended primary, secondary and higher education were more likely to utilize modern contraceptive methods as compared to women with no education. This finding is in line with studies conducted in Western Ethiopia [24], Northwest Ethiopia [26,32], Ghana [12,41] and Nigeria [14]. This might be due to an increase in the level of education, enhances awareness on sexual and reproductive health, maximizes probability of getting contraceptive related information and improves decision making ability of women.…”

Individual and community-level determinants of intention to use contraceptive among married women in Ethiopia: A multi-level analysis of National Survey

“…The median age of the women was 30 years old with an interquartile range (IQR) of 13 years. The median (IQR) husband's/partner's age was 38 (16) years. More than half of (56.6%) of the participants were affiliated to Christianity.…”

Factors associated with modern contraceptive demands satisfied among currently married/in-union women of reproductive age in Ethiopia: a multilevel analysis of the 2016 Demographic and Health Survey

“…DSFMCs among women who have good knowledge was increased by 57% compared with those who have poor knowledge. The result is complemented with a study in the Metekel zone, 44 a study in the Oromia region 45 and a study among tertiary hospitals in north-west Ethiopia 46 and Nigeria. 47 From the findings, we can generalise that as knowledge increases, women can identify different modern contraceptive method options, their respective side effects and coping mechanisms that would increase their adherence to FP utilisation.…”