Unmet need for family planning and its associated factor among women of reproductive age in Debre Berhan Town, Amhara, Ethiopia

Abstract

ObjectiveUnmet need refers to fecund women who either wish to postpone the next birth (spacers) or who wish to stop childbearing (limiters) but are not using a contraceptive method. The aim of this study was to assess the unmet needs of family planning and identify associated factors in Debre Berhan town among women in reproductive age. The community-based cross-sectional study design was used among 411 study participants (women with reproductive age) at Debre Berhan town. A systematic sampling technique was used to select the households. Bivariate and multivariable analyses were done to determine the association of each independent variable with the dependent variable.ResultsThe overall unmet need for family planning among women in reproductive age groups was found to be 30.9%. Occupational status AOR = 13.992 (1.054–185.833), from whom the respondents got information about family planning AOR = 0.018 (0.002–0.170), having a discussion with husband AOR = 16.692 (2.911–95.713) and support from husband AOR = 0.005 (0.001–0.025) was significantly associated with the outcome variable. The level of unmet need for family planning in the study area is still high compared to the target set (10%) in the national family planning guide plan for Ethiopia.

Individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia; a multi-level analysis of 2016 Ethiopia Demographic and Health Survey

“…Unmet need for contraception was determined by individual-level factors ((age, age of marriage education and occupation status of the mother) [16][17][18][19], husband factors (occupation and educational status of husband) [20][21][22], household factor (wealth)) [23] and community-level factor (place of residence, region, community-level of education and media exposure) [24][25][26]. Unmet need for family planning is an important concept that is largely used for reproductive health advocacy, designing family planning policies and the monitoring/evaluation of implemented programs especially Sustainable Developmental Goals (SDGs) and Growth and Transformation Plan two (GTPІІ) [27,28].…”

“…In the individual-level analysis, the independent assumption among clustered individuals may not work and the association at the individual level may not work at the cluster level and vice versa. So, all of these articles are subject to an atomistic or ecological fallacy [17,21,22,[29][30][31][32][33][34][35][36][37][38][39]. The factors associated with the unmet need to FP are area-specific which requires a different approach of analysis at a different level [8,24,[40][41][42][43][44][45][46].…”

Individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia. A multi-level analysis of 2016 Ethiopia Demographic and Health Survey

“…Unmet need for contraception was determined by individual-level factors ((age, age of marriage education and occupation status of the mother) [16][17][18][19], husband factors (occupation and educational status of husband) [20][21][22], household factor (wealth)) [23] and community-level factor (place of 4 residence, region, community-level of education and media exposure) [24][25][26]. Unmet need for family planning is an important concept that is largely used for reproductive health advocacy, designing family planning policies and the monitoring/evaluation of implemented programs especially Sustainable Developmental Goals (SDGs) and Growth and Transformation Plan two (GTPІІ) [27,28].…”

“…In the individual-level analysis, the independent assumption among clustered individuals may not work and the association at the individual level may not work at the cluster level and vice versa. So, all of these articles are subject to an atomistic or ecological fallacy [17,21,22,[29][30][31][32][33][34][35][36][37][38][39][40]. The factors associated with the unmet need to FP are areaspecific which requires a different approach of analysis at a different level [24,[41][42][43][44][45][46][47][48].…”

WITHDRAWN: Survival Analysis of Time to First Trimester induced Abortion of women in Harar Regional State, Ethiopia

“…As stated in literature, many studies conducted in lined to abortion related in Ethiopia that mainly focused on the knowledge of health providers about abortion [10], patient satisfaction on service [11],the reason for abortion and unmet need for family planning [12,13], the expansion of abortion services [14] and prevalence of induced abortion [15]. In spite of the fact that, several studies have been done on assessment and examined general abortion care, they didn't deal with survival time of first trimester abortion gestational age.…”