Modern contraceptives utilization and associated factors among married women of reproductive age in Holeta town, central Ethiopia

Roga, Ephrem Yohannes; Bekele, Gemechu Gelan; Moti, Berhanu Ejara; Gonfa, Dajane Negesse; Yami, Amare Tesfaye; Tura, Meseret Robi

doi:10.1016/j.cegh.2023.101242

Cited by 2 publications

(2 citation statements)

References 20 publications

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“…Other explanatory variables were selected based on a comprehensive literature search, as well as their availability in the analyzed surveys, and their statistical significance in relation to modern contraceptive use [4,[31][32][33][34][35]. The selected variables were women's age (35-39, 40-44, 45-49 years), women's education levels (no education, primary, secondary, higher), women's employment status (unpaid work, paid work), and number of ever-born children (≤2 children, >2 children).…”

Section: Explanatory Variablesmentioning

confidence: 99%

Exploration of Modern Contraceptive Methods Using Patterns among Late Reproductive Aged Women in Bangladesh

Rana,

Alam,

Hassen

et al. 2023

Preprint

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Background: In light of the increasing population of late reproductive-aged women (aged 35 and above) within the broader demographic of reproductive-aged females, the concern surrounding their contraceptive considerations has escalated to a point of critical importance. This study aims to examine the trends and determinants of modern contraceptive practices among late reproductive-aged women in Bangladesh. Methods: A total of 17,736 women aged 35 and more were included in the analysis, utilizing data from three consecutives Bangladesh Demographic and Health Surveys conducted in 2011, 2014, and 2017-18. The outcome variable was the use of modern contraceptive methods (yes or no). The explanatory variables encompassed survey years, individual characteristics of the women, as well as characteristics of their partners and the community. To examine the association of the outcome variable with the explanatory variables, a multilevel logistic regression model was used. Results: Approximately 54% of women aged 35 and older do not utilize modern contraceptive methods, and there have been no significant shifts in their usage observed over the survey years. The probability of using modern contraceptive methods exhibited a notable decline in relation to increasing age, the educational level of women's partners, and their categorization within the richer or richest wealth quintile. Conversely, women with higher education, increased exposure to mass media, and residing in the Dhaka or Rajshahi division displayed an elevated likelihood of embracing modern contraceptive methods. Conclusion: The study highlights the relatively stable adoption of modern contraceptive methods among women aged 35 or older in Bangladesh, despite their increasing representation within the population. This raises concerns about the elevated risk of unintended pregnancies and shorter birth intervals, emphasizing the need for targeted interventions to address the specific needs and preferences of this demographic

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Section: Explanatory Variablesmentioning

confidence: 99%

Exploration of Modern Contraceptive Methods Using Patterns among Late Reproductive Aged Women in Bangladesh

Rana,

Alam,

Hassen

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Several studies elsewhere in the country revealed many reasons for low modern contraceptive use [18][19][20][21]. Most previous studies focus only on individual factors and neglect contextual factors.…”

Section: Introductionmentioning

confidence: 99%

Individual and community level factors associated with modern contraceptive utilization among women in Ethiopia: Multilevel modeling analysis

Gebrekidan,

Alemayehu,

Debelew

2024

PLoS ONE

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Background Modern contraceptive utilization is the most effective intervention to tackle unintended pregnancy and thereby reduce abortion and improve maternal, child, and newborn health. However, multilevel factors related to low modern contraceptive utilization and the robust analysis required for decision-making were scarce in Ethiopia. Objective To investigate the individual and community-level predictors of modern contraceptive utilization among reproductive-age women in Ethiopia. Methods We utilized data from a cross-sectional 2019 Performance Monitoring for Action Ethiopia survey. The survey employed a stratified two-stage cluster sampling method to select households for inclusion. In Stata version 16.0, the data underwent cleaning, aggregation, and survey weighting, following which a descriptive analysis was performed utilizing the "svy" command. Subsequently, the primary analysis was executed using R software version 4.1.3. We fitted a two-level mixed effects logistic regression model on 6,117 reproductive-age women nested within 265 enumeration areas (clusters). The fixed effect models were fitted. The measures of variation were explained by intra-cluster correlation, median odds ratio, and proportional change in variance. The shrinkage factor was calculated to estimate the effects of cluster variables using the Interval odds ratio and proportion opposed odds ratio. Finally, the independent variables with a significance level of (P<0.05) and their corresponding Adjusted Odds ratios and 95% confidence intervals were described for the explanatory factors in the final model. Results In Ethiopia, the prevalence of modern contraceptive utilization was only 37.% (34.3 to 39.8). Women who attained primary, secondary, and above secondary levels of education were more likely to report modern contraceptive utilization with AOR of 1.47, 1.73, and 1.58, respectively. Divorced/widowed women were less likely to report modern contraceptive utilization (AOR:0.18, 95% CI 0.13,0.23) compared to never-married women. Discussions between women and healthcare providers at the health facility about family planning were positively associated with modern contraceptive utilization (AOR:1.84, 95% CI: 1.52, 2.23). Community-level factors have a significant influence on modern contraceptive utilization, which is attributed to 21.9% of the total variance in the odds of using modern contraceptives (ICC = 0.219). Clusters with a higher proportion of agrarian (AOR: 2.27, 95% CI 1.5, 3.44), clusters with higher literacy (AOR: 1.46, 95% CI 1.09, 1.94), clusters with empowered women and girls about FP (AOR: 1.47, 95% CI 1.11, 1.93) and clusters with high supportive attitudes and norms toward FP (AOR: 1.37, 95% CI 1.04, 1.81) had better modern contraceptive utilization than their counterparts. Conclusion In Ethiopia, understanding the factors related to modern contraceptive use among women of reproductive age requires consideration of both individual and community characteristics. Hence, to enhance family planning intervention programs, it is essential to focus on the empowerment of women and girls, foster supportive attitudes towards family planning within communities, collaborate with education authorities to enhance overall community literacy, pay special attention to pastoralist communities, and ensure that reproductive-age women as a whole are targeted rather than solely focusing on married women.

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Modern contraceptives utilization and associated factors among married women of reproductive age in Holeta town, central Ethiopia

Cited by 2 publications

References 20 publications

Exploration of Modern Contraceptive Methods Using Patterns among Late Reproductive Aged Women in Bangladesh

Exploration of Modern Contraceptive Methods Using Patterns among Late Reproductive Aged Women in Bangladesh

Individual and community level factors associated with modern contraceptive utilization among women in Ethiopia: Multilevel modeling analysis

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