Unintended Pregnancy and Associated Factors Among Women Attending Antenatal Care in Public Hospitals During COVID-19 Pandemic, Southwest Ethiopia: A Cross-Sectional Study

Tenaw, Shegaw Geze; Chemir, Fantaye; Chekole, Bogale; Argaw, Muche; Mesfin, Yibeltal; Demissie, Mebratu; Metebo, Keyredin Nuriye; Yosef, Yirgalem; Tsega, Daniel; Abebe, Haimanot; Tesfa, Shegaw; Abeje, Seblework

doi:10.2147/oajc.s350467

Cited by 8 publications

(11 citation statements)

References 25 publications

(35 reference statements)

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“…Women who were not the primary decision makers for family planning services had 9.5 times the odds of having an unintended pregnancy than those who were (AOR = 9.510 (5.057–17.887)). This finding is supported by research conducted in Northwest Ethiopia, 20 Southwest Ethiopia, 19 and Cambodia. 57 Women who were unable to make a decision about maternal health services, especially family planning, may be more vulnerable to upland and unintended pregnancy.…”

Section: Discussionsupporting

confidence: 73%

“…According to recent studies conducted around the world, socio-demographic factors such as 5–10 household size, 5,11,12 level of education of the mother, 5,7,9,13 marital status, 5,10,11,14,15 income/wealth status, 3,7,16,17 distance from the nearest health facility, 15 parity, 3,5,9,10,13,14,18 knowledge of ovulation cycle, 12,18 ever had of terminated pregnancy, 6,8,14 birth interval, 16 not being primary decision maker, 19,20 knowledge of family planning, 13,16 residence, 3,13,17,19 region, 3,5,9,12,17 antenatal care (ANC) follow-up of previous pregnancy, 19 obstetric history, 20 community education about maternal health care, 19,20 health care provider support, 20 and complication during index pregnancy have a significant association with unintended pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…4 A multilevel analysis of 2016 Ethiopia Demographic and Health Survey (EDHS) data revealed that the prevalence of unintended pregnancy was 26.6%. 5 According to recent studies conducted around the world, socio-demographic factors such as [5][6][7][8][9][10] household size, 5,11,12 level of education of the mother, 5,7,9,13 marital status, 5,10,11,14,15 income/wealth status, 3,7,16,17 distance from the nearest health facility, 15 parity, 3,5,9,10,13,14,18 knowledge of ovulation cycle, 12,18 ever had of terminated pregnancy, 6,8,14 birth interval, 16 not being primary decision maker, 19,20 knowledge of family planning, 13,16 residence, 3,13,17,19 region, 3,5,…”

Section: Introductionmentioning

confidence: 99%

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Unintended pregnancy and associated factors during COVID-19 pandemic in Ethiopia: Community-based cross-sectional study

Molla

Hailemariam

Mengistu

et al. 2022

Womens Health (Lond Engl)

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Introduction: The term ‘unintended pregnancy’ refers to a pregnancy that occurred when no children were desired or occurred earlier than desired. Unintended births account for one out of every three births in Ethiopia, and they are the leading cause of maternal morbidity and mortality. During the coronavirus disease (COVID-19) pandemic, this could be useful. COVID-19 has a significant impact on maternal health care utilization, including family planning services. As a result, this study aimed to assess unintended pregnancy and associated factors in Ethiopia during the COVID-19 pandemic. Method: A community-based cross-sectional study was conducted in Gedeo zone, Ethiopia, from April 1 to May 30, 2021. A simple random sampling technique was utilized to get 383 pregnant women from their respective kebeles. A structured questionnaire was used to collect data during a face-to-face interview. The data were coded, cleaned, and entered into Epidemiological Data Version 3.1 before being exported to the Statistical Package for Social Science Version 23.0 for analysis. A bivariate and multivariable logistic regression model was used to identify statistically significant associations between dependent and independent variables. The odds ratio, with a 95% confidence interval and a P value of 0.05%, was considered statistically significant. Result: A total of 383 pregnant women participated in the study, giving a response rate of 90.8%. During the COVID-19 pandemic, 140 (36.6%) participants stated that their current pregnancy was unintended. Unintended pregnancy was significantly associated with respondents’ age (adjusted odds ratio (AOR) = 5.214 (1.449–18.762)), primary decision maker for family planning services (AOR = 9.510 (5.057–17.887)), and fear of COVID-19 to visit a health care facility (AOR = 7.061 (2.665–18.710)). Conclusion: During the COVID-19 era, more than one-third of women had unintended pregnancies. Unintended pregnancy was significantly associated with respondents’ age, autonomy to use contraceptive methods, and fear of COVID-19, which required them to attend a health care institution.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unintended pregnancy and associated factors during COVID-19 pandemic in Ethiopia: Community-based cross-sectional study

Molla

Hailemariam

Mengistu

et al. 2022

Womens Health (Lond Engl)

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“…Seven articles were excluded after full articles screening, leaving 18 articles for data extraction (Appendix S1). Of the articles excluded at the full-text screening stage, two lacked information on ANC accessibility/utilization care during COVID-19, 12,13 one was conducted pre-COVID-19, 14 one was conducted in Iran, 15 one was a commentary, 16 one review article, 17 and one did not have an English version full text. 18 More details are presented in Figure 1: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart.…”

Section: Resultsmentioning

confidence: 99%

Accessibility and utilization of antenatal care services in sub‐Saharan Africa during the COVID‐19 pandemic: A rapid review

Murewanhema

Mpabuka

Moyo

et al. 2023

Birth

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Control measures for the COVID‐19 pandemic brought unprecedented challenges to health care delivery. Some countries in sub‐Saharan Africa (SSA) stopped the provision of essential health care except for those services that were deemed emergencies or life‐threatening. A rapid review was conducted on March 18, 2022, on the accessibility and utilization of antenatal care services in sub‐Saharan Africa during the COVID‐19 pandemic. PubMed, Google Scholar, SCOPUS, and the World Health Organization library databases were searched for relevant studies. A modified Population, Intervention, Control, and Outcomes (PICO) framework informed the development of the search strategy. The review included studies conducted within Africa that described the availability, access, and utilization of antenatal services during the COVID‐19 pandemic. Eighteen studies met the inclusion criteria. This review revealed a reduction in access to ANC services, an increase in the number of home deliveries, and a reduction in the number of women attending ANC visits during the COVID‐19 pandemic. A decrease in ANC service utilization was reported in some studies in the review. Barriers to ANC access and utilization during the COVID‐19 pandemic included movement restrictions, limited transport access, fear of contracting COVID‐19 at the health facilities, and facility barriers. The use of telemedicine needs to be improved in African countries to allow for the continued provision of health services during pandemics. In addition, there should strengthening of community involvement in the provision of maternal health services post‐COVID‐19 so that services may be able to better withstand future public health emergencies.

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“…This is likely to impact on an increased rate of unintended pregnancies as reported in previous countries. 16 Use of long contraceptive methods would be ideal in reducing transport costs required to move to the health facilities.…”

Section: Discussionmentioning

confidence: 99%

Disruption in Essential Health Service Delivery: A Qualitative Study on Access to Family Planning Information and Service Utilization During the First Wave of COVID-19 Pandemic in Uganda

Kabagenyi¹,

Kyaddondo²,

Nyachwo³

et al. 2022

OAJC

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Background Coronavirus disease 2019 (COVID-19) remains a challenge to public health with profound impact on people’s lives. With several mitigation measures implemented to curb the spread of COVID-19, these impacted on access and utilization of general health services including family planning (FP) services. The objective of the study was to understand the extent to which COVID-19 interrupted access and utilization of FP services as well as highlight the challenges faced during the lockdown in Uganda. Methods A qualitative study was carried out in August and September 2020 across the country. A total of 21 key informant interviews among researchers, policy makers, funding agencies, district family planning focal persons, district health officers and service providers with implementing partners were conducted. These were conducted using face to face (7), phone calls (11) and zoom (3) meetings. All interviews were audio recorded and transcribed verbatim. Transcripts were used to identify and generate codes, sub themes and themes. Analysis was done using the thematic framework analysis and results presented in themes. Results Five themes were identified in this study which included; (i) financial and psychosocial needs, (ii) mobility hindrances, (iii) disrupted service delivery, (iv) responsive reproductive health services. The financial and psychosocial needs themes included: household and individual financial constraints, unpredictable future and community acceptance, loss of employment and unemployment, misconceptions and unintended pregnancies; while mobility hindrances included; restricted movement, high transport costs, and difficulty in finding transport. Conclusion Results showed that the pandemic had immediate and significant long-term effects on family planning service accessibility, utilization and delivery. The study recommends implementation of telehealth services, country-wide sensitization on use of long-term contraceptive methods, empowering village health teams and making family planning services mandatory and free to all private facilities in order to lower any disruptions during pandemics.

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Unintended Pregnancy and Associated Factors Among Women Attending Antenatal Care in Public Hospitals During COVID-19 Pandemic, Southwest Ethiopia: A Cross-Sectional Study

Cited by 8 publications

References 25 publications

Unintended pregnancy and associated factors during COVID-19 pandemic in Ethiopia: Community-based cross-sectional study

Unintended pregnancy and associated factors during COVID-19 pandemic in Ethiopia: Community-based cross-sectional study

Accessibility and utilization of antenatal care services in sub‐Saharan Africa during the COVID‐19 pandemic: A rapid review

Disruption in Essential Health Service Delivery: A Qualitative Study on Access to Family Planning Information and Service Utilization During the First Wave of COVID-19 Pandemic in Uganda

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