Prevalence and Determinants of Modern Contraceptive Methods Use among Women of Reproductive Age (15 - 49 Years) in Rural Setting: A Case of Kishapu District,  Shinyanga Region

Martin, Veronica; Msuya, Sia E.; Kapologwe, Ntuli; Damian, Damian J.; John, Beatrice; Mahande, Michael Johnson

doi:10.4236/asm.2019.94005

Cited by 5 publications

(8 citation statements)

References 8 publications

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“…Working women were more likely to use modern contraceptives than women who were housewives. It was consistent with previous studies [14,22,25,31,33,34]. Women who have been working in different occupations are more likely than housewives to exchange knowledge and experience with their colleagues about modern contraception.…”

Section: Discussionsupporting

confidence: 92%

Predictors of modern contraceptive usage among sexually active rural women in Ethiopia: A multi-level analysis

Fenta

Gebremichael

2021

Arch Public Health

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Background Ethiopia is one of the Sub-Saharan Africa countries with the lowest modern contraceptive prevalence rate and the highest fertility rate. This study aimed to assess individual and community-level predictors of modern contraceptive use among sexually active rural women in Ethiopia. Data and methods A sample of 9450 sexual active rural women aged 15-49 was extracted from the 15, 683 nationally representative samples of 2016 Ethiopian Demographic and Health Survey (EDHS). Multi-level logistic regression model was considered to identify determinant factors of modern contraceptive use among sexually active rural women in Ethiopia. Result The prevalence of modern contraceptive use among respondents was 20% in rural Ethiopia. Injection (66.35%) was the most common type of modern contraceptive use. In the last full model of the multilevel analysis, individual and community-level factors accounted for 86.69% of the variation in the use of modern contraceptive methods. Secondary and above-educated women (AOR = 1.39, 95%CI: 1.06, 2.81), having 1-4 living children (AOR = 2.70, 95%CI: 2.07, 3.53), rich wealth status (AOR = 2.26, 95%CI: 1.96, 2.60), married women (AOR = 17.31, 95%CI: 10.72, 27.94), having primary educated husband (AOR = 1.45, 95%CI: 1.27, 1.67) and being working husband (AOR = 2.26, 95%CI: 1.96, 2.60) were significantly positively associated with individual-level factors of the use of modern contraceptive methods. Besides, modern contraceptive use was negatively associated with Muslim women (AOR = 0.29, 95%CI: 0.25, 0.33). Compared to the Tigray region, women living in the Afar, Somali, Harari, and Dire Dawa regions had lower use of modern contraceptive methods. Women who had access to mass media (AOR = 1.35, 95%CI: 1.16, 1.57) were more likely to use contraceptives than their counterparts. Conclusion The prevalence of modern contraceptive use among rural women has very low. Both individual and community-level factors were significant predictors of modern contraceptive use. Consequently, the government and other stakeholders need to address educational opportunities; creating awareness about modern contraception and valuable counseling would increase modern contraceptive methods utilization.

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Section: Discussionsupporting

confidence: 92%

Predictors of modern contraceptive usage among sexually active rural women in Ethiopia: A multi-level analysis

Fenta

Gebremichael

2021

Arch Public Health

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“…This study showed that women who discussed with their husbands about the issue of FP or SRH were about three times (AOR = 2.852, CI: 1.759, 4.623) more likely to use modern contraceptives than those women who did not discuss with their husbands. This finding is consistent with other studies conducted in Ghana, Ethiopia, and Tanzania [ 12 , 15 , 21 , 24 ], and women whose partners were involved in FP decision-making were more than twice (AOR = 2.340, CI: 1.531, 3.576) more likely to use modern contraceptive methods than their counterparts. This finding is consistent with findings from Cameroon, Debre Markos, Northwest Ethiopia, and Zambia [ 20 , 22 , 25 ] and suggests that male involvement in decision-making improves spousal communication and decreases male opposition.…”

Section: Discussionsupporting

confidence: 91%

Modern Family Planning Utilization and Its Associated Factors among Currently Married Women in Rural Eastern Ethiopia: A Community-Based Study

Mulatu

Sintayehu

Dessie

et al. 2020

BioMed Research International

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Background. The use of modern family planning methods among women of reproductive age (15-49 years) is of public health importance in Ethiopia. Nationally, modern family planning method use remains as low as 35%. Understanding factors associated with the use of modern family planning methods may help to improve maternal and child health. Hence, this study is aimed at assessing modern family planning method use and its determinants among women of reproductive age in the rural districts of Eastern Hararghe zone, Eastern Ethiopia. Methodology. A community-based, cross-sectional survey was conducted among 577 randomly selected, currently married, reproductive-aged women in selected rural districts of Eastern Hararghe, Eastern Ethiopia. Data were collected using a pretested, interviewer-administered questionnaire about women’s sociodemographic information, knowledge about contraception, reproductive history, contraceptive use and fertility desire, couple’s communication, and decision-making on family planning. Binary and multivariable logistic regression was used to analyze the association between the dependent and independent variables. Result. A total of 555 study participants participated, yielding a 96.2% response rate. The overall modern family planning utilization among the study participants was 18.4%. Knowledge of modern family planning methods ( AOR = 16.958 , CI: 4.768, 60.316), husband approval ( AOR = 3.590 , CI: 2.170, 5.936), couple’s discussion ( AOR = 2.852 , CI: 1.759, 4.623), male involvement in decisions about family planning ( AOR = 2.340 , CI: 1.531, 3.576), desire for additional child ( AOR = 2.295 , CI: 1.528, 3.447), and previous use of contraception ( AOR = 0.018 , CI: 0.005, 0.063) were significantly associated with modern contraceptive utilization. Conclusion. Even though knowledge of modern family planning methods was very high, the overall modern family planning method use in the study area was low. The government should focus on increasing modern family planning method availability. It must also ensure family planning method security and create awareness on modern family planning methods through community-based education and proper counselling to empower women to make an appropriate choice.

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“…It was interesting to nd that women with college/university education were 2 times more likely to uptake modern contraceptives than those with primary or not attended school similar to ndings in other previous studies 7,24,[26][27][28] . In addition, the present study revealed that employed women were 2 times more likely to uptake modern contraceptives compared to unemployed/housewives similar to other previous studies 22,27,29 .…”

Section: Discussionsupporting

confidence: 79%

“…In sub-Saharan Africa fertility rate is high while modern contraceptive uptake is low; every year there are 14 million unwanted pregnancies and 25% of women of reproductive age do not meet the need for modern contraceptive use 6,7 . In Tanzania, the prevalence of modern contraceptive use among women of reproductive age (15-45) is 32% 7,8 . In Zanzibar, although the government provides free modern contraceptive methods both in Unguja and Pemba, its prevalence rate remains low (28%) 5,9 .…”

Section: Introduction 11 Backgroundmentioning

confidence: 99%

Uptake of modern contraceptive methods among women of reproductive age (18-45) at Chake District-Pemba Tanzania

Abeid¹,

Sumari

Qin

2023

Preprint

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Background: The uptake of the modern contraceptive method provides chances for women and couples to reach optimal child spacing, achieve the desired family size and prevent unsafe abortions and maternal deaths. Despite the effort taken to improve the uptake of modern contraceptives, still, prevalence rate (CPR) in Zanzibar remains low (9.1%). In Pemba, few studies have been done on modern contraceptive uptake and little is known about factors that hinder the uptake of modern contraceptives among women of reproductive age. This study investigated the uptake of modern contraceptive methods among women of reproductive age (18-45) and its associated factors. Methods: This was a quantitative cross-sectional study conducted in Chake District Hospital, Pemba Tanzania. A stratified random sampling technique was used to recruit 214 eligible participants for the study. After we informed the participants, data were collected using a structured English questionnaire. The collected data was analyzed using SPSS version 25, descriptive analysis was done to determine frequencies. A chi-square test was done to determine the association between the study variables and multivariate logistic regression to check the nature and strength of the association. The p<0.05 was considered statistically significant. Results: This study included 214 women of with majority 79(36.9%) at the age group of 21-30 years, 100(46.7%) had secondary education and 187(87.4%) married. Most of the participants 212(99.1%) have heard about modern contraceptives, with health professionals 191(43.5) being the common source of information. More than half 120(56.1%) of the participants were not using any modern contraceptive method and injectable 38(17.8%) was the commonly reported method among users. Among the users of modern contraceptives reported that self-motivation 47(47.5%) is the midst drive while lack of power to decide 180(84%), fear of divorce 141(66%), and social perception of users as the cause of reduced workforce in future 160(75%) were common barriers. Participants provided suggestions to improve modern contraceptive uptake including male involvement 203(95%) and community awareness 182(85%). Further analysis revealed women with college/university education were 2 times more likely to use modern contraceptives method compare to those with primary or not attended school(p=0.023, OR=2.437, 95% CI: 1.129-5.259). Moreover employed women were 2 times more likely to uptake modern contraceptives uptake compared to unemployed/housewives (p=0.028, OR=1.844, CI=1.068-3.185). Conclusion: Despite the campaigns and women having awareness of modern contraceptives, still its uptake remains low in Chake district Pemba. Lack of power to decide, fear of divorce, and social perception of users as the cause of reduced workforce in the future were common barriers; male involvement and community engagement in awareness were suggestions to increase modern contraceptive uptake.

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Prevalence and Determinants of Modern Contraceptive Methods Use among Women of Reproductive Age (15 - 49 Years) in Rural Setting: A Case of Kishapu District, Shinyanga Region

Cited by 5 publications

References 8 publications

Predictors of modern contraceptive usage among sexually active rural women in Ethiopia: A multi-level analysis

Predictors of modern contraceptive usage among sexually active rural women in Ethiopia: A multi-level analysis

Modern Family Planning Utilization and Its Associated Factors among Currently Married Women in Rural Eastern Ethiopia: A Community-Based Study

Uptake of modern contraceptive methods among women of reproductive age (18-45) at Chake District-Pemba Tanzania

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