Prevalence and Associated Factors of Unmet Need for Family Planning among Married Women in Rural Communities of Gonji Kolela District, North West Ethiopia: Cross-sectional Study

Biadgie, Alebel; Nigusie, Adane; Handebo, Simegnew; Berhe, Resom

doi:10.4172/2161-0711.1000642

Cited by 10 publications

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“…All studies included were cross sectional and community based except two articles done at institution level [17,29]. The majority of the included studies were conducted in Amhara regional state [16,18,20,23,27,29] and the largest sample size was recorded in SNNPR [25](5746), whereas the smallest in Amhara regional state [29](337). From those studies the lowest prevalence of unmet need for family planning was reported in Amhara regional state [23] while the highest reported in SNNPR [25].…”

Section: Characteristics Of Included Articlesmentioning

confidence: 99%

“…But, still 22% of currently married women have an unmet need for family planning [15]. In Ethiopia, different studies were conducted to assess prevalence of unmet need and predictors [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. The reports of these fragmented studies revealed a wide variability of prevalence of unmet need for family planning with the highest prevalence reported in South Nation and Nationality People region (SNNPR) (52.4%) [25] while the lowest reported in Amhara region (17.4%) [23].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of unmet need for family planning in Ethiopia 2019: a systematic review and meta analysis

et al. 2020

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Background unmet need for family planning is a common cause of uninteded pregnancy which mostly end up with abortion. Many studies were conducted on predictors of unmet need of family planning in Ethiopia. But, up until now, single evidence has not been synthesized and various point prevalence estimates of unmet need for family planning have been reported. Therefore, this sytematic review and meta analysis was established to identify the predictors of unmet need for family planning in Ethiopia. Methods search engines including PubMed, Embase, CINAHL, Google Scholar, HINARI portal, and Cochrane Library were used to retrieve included articles and reported using the preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA) checklist guidelines. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was applied for critical appraisal. All observational studies done on reproductive age women and reported on unmet need for family planning were included. Unmet need for family planning is the percentage of women of reproductive age, either married or in a union, who have an unmet need for family planning to stop or delay childbearing. Random effect model was done to estimate the pooled prevalence of unmet need for family planning. Odds ratio with 95% confidence interval was considered to determine the association of identified variables with unmet need of family planning. Cochran’s Q statistic, Egger’s and Begg’s test were carried out to assess heterogeneity and publication bias. Results Fifteen articles and 17, 585 reproductive aged women were included to estimate the pooled prevalence of unmet need for family planning and its predictors in Ethiopia. The prevalence of unmet need for family planning in Ethiopia ranges from 26.52 to 36.39%. Age at first marriage < 18 yrs. with OR = 2.3 (95% CI: 1.08, 4.87), women with no formal education with OR = 1.9 (95%CI: 1.19, 3.04), partner with no formal education with OR = 1.78 (95%CI: 1.18, 2.68) and absence of discussion with their partner about family planning with OR = 3.52 (95%CI, 2.56, 4.87) were predictors of unmet need of family planning in Ethiopia. Conclusion This meta analysis revealed that, the prevalence of unmet need for family planning in Ethiopia was high as compared with the United Nations sphere standard of unmet need for planning, considered to be high if it is greater than 25%. Early marriage, no formal eduaction and lack of discussion with partner on family planning were predictors of unmet need for family planning. Therefore, efforts are needed to empower women through eduaction, avoiding early marriage and facilitating dicussion of partners about family planning in order to improve family planning usage.

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Section: Characteristics Of Included Articlesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of unmet need for family planning in Ethiopia 2019: a systematic review and meta analysis

et al. 2020

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“…The odds of unmet need for family planning was 1.9 times higher in illiterate women than literate women (read and write, primary and above educational level), OR= 0.9 and (95%CI: 1.19, 3.04). The association between male partner education and unmet need for family planning was reported in four articles [16,18,23]. The likely hood of unmet need for family planning in women with illiterate male partner was 1.78 times higher than women having literate male partner, OR=1.78 and (95%CI: 1.18, 2.68).…”

Section: Meta Regressionmentioning

confidence: 99%

“…All studies included were cross sectional and community based except two articles done at institution level [15,27]. The majority of the included studies were conducted in Amhara region [14,16,18,21,25,27] 2009-2018 except one study manipulated in 2005 [22]. In addition, almost all studies had a good response rate (≥97%) (Table-1).…”

Section: Characteristics Of Included Articlesmentioning

confidence: 99%

“…But still 22% of currently married women have an unmet need for family planning [13]. In Ethiopia different studies were conducted to assess prevalence of unmet need and associated factors [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]. The reports of these fragmented revealed a wide variability of prevalence of unmet need for family planning with the highest prevalence reported in South Nation and Nationality People region(SNNPR) (52.4%)[23] while the lowest reported in Amhara region (17.4%) [21].…”

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Prevalence unmet need for family planning and its associated factors in Ethiopia 2019: sytematic review and meta analysis

Getaneh

Negesse

Moltot

2019

Preprint

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Background unmet need for family planning is a common cuase of uninteded pregnancy which mostly end up with abortion. Many fragmented studies were conducted on unmet need in Ethiopia but no single evidence was present. So this meta analysis was established to estimate the pooled prevalence of unmet need for family planning in Ethiopia. Methods articles were retrived through search engines: PubMed/MEDLINE, EMBASE, CINAHL, Google Scholar, HINARI portal, and Cochrane Library using the preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA) checklist guidelines. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was applied for critical appraisal of included articles. Random effect model meta analysis was done to estimate the pooled prevalence of unmet need for family planning with their respective Odds Ratio (OR) and 95% confidence interval (CI). Cochran’s Q statistic, Egger’s and Begg’s test and meta regression were carried out to assess heterogeneity, publication bias and to identify associated factors respectively. Results 15 articles and 17, 585 reproductive age women were included to estimate the polled prevalence of unmet need for family planning in Ethiopia. The pooled prevalence of unmet need for family planning in Ethiopia was 31.45% (95%CI: 26.52, 36.39). Age at first marriage <18yrs with OR=2.3 (95% CI: 1.08, 4.87), being illiterate women with OR= 0.9 (95%CI: 1.19, 3.04), illiterate partner with OR=1.78 (95%CI: 1.18, 2.68) and absence of discussion with their partner with OR=3.52 (95%CI: 2.56, 4.87) were the associated factors. Conclusion This meta analysis revealed the prevalence of unmet need for family planning in Ethiopia was high. Early marriage, illiteracy and absence of open discussion were factors affecting the prevalence of unmet ned for family planning. Therefore, the responsible body inlcuding family health guiadance should strength women empowerment interms of education (equal accessible eduaction for all), avoid early marriage (before 18yrs) and facilitate open partners discussion within house hold.

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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

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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.

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Prevalence and Associated Factors of Unmet Need for Family Planning among Married Women in Rural Communities of Gonji Kolela District, North West Ethiopia: Cross-sectional Study

Cited by 10 publications

References 0 publications

Predictors of unmet need for family planning in Ethiopia 2019: a systematic review and meta analysis

Predictors of unmet need for family planning in Ethiopia 2019: a systematic review and meta analysis

Prevalence unmet need for family planning and its associated factors in Ethiopia 2019: sytematic review and meta analysis

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

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