Unmet need for modern contraception and associated factors among reproductive age group women in Eritrean refugee camps, Tigray, north Ethiopia: a cross-sectional study

Abstract

ObjectiveMillions of women want to delay or avoid pregnancy, but they are not using contraception, especially in refugee settings. Due to lack of contraception, one fifth of reproductive age group women suffered from unwanted pregnancy and unsafe abortion, which accounted for 78% of maternal mortality in refugee camps. Therefore, the aim of this study was to assess the prevalence of unmet need for modern contraception and its associated factors among reproductive age group women in Eritrean refugee camps, Tigray, Northern Ethiopia, 2016.Results400 women of reproductive age group interviewed. Prevalence of unmet need for modern contraception in this study was found to be 41.8% (95% CI 36.99%, 46.63%).Respondents’ unfavorable attitude towards modern contraceptive methods [AOR = 0.372, 95% CI 0.170, 0.818] and the availability of modern contraceptive methods [AOR = 3.501, 95% CI 1.328, 9.231] were factors significantly associated with unmet need for modern contraception. Respondents’ attitude towards modern contraceptive methods and availability of modern contraceptives were independent predictors of unmet need. Governmental and non-governmental organizations should design programs to create behavioral change in women’s attitude towards contraceptive use and to secure the availability of contraceptive methods in refugee camp settings.

Modern Contraceptive Utilization and Determinant Factors among Street Reproductive-Aged Women in Amhara Regional State Zonal Towns, North West Ethiopia, 2019: Community-Based Study

“…On the other hand, this finding is relatively higher than other findings done on Dhaka street dwellers (34.5%); Rajasthan slum dwellers (24%); Eritrean refugee camps (26%); migratory/slum dwellers of Karnataka, India (32%); and North West Ethiopia (34.3%) [ 23 , 31 – 34 ]. It could be due to pregnant women being included previously which could decrease the prevalence of contraceptives and the time gap between the studies.…”

Perceived norms, personal agency, and postpartum family planning intentions among first-time mothers age 15–24 years in Kinshasa: A cross-sectional analysis

“…Studies on the effect of women's attitudes on PPFP intentions are scarce. In general, positive attitudes towards FP have been associated with postpartum contraceptive use among expectant inner-city women in the United States [27], use of long-acting and permanent contraception in Southern Ethiopia [28] and contraceptive use in Nepal [29], while unfavorable attitudes towards modern contraceptive methods has been found to impede demand for contraception and to be significantly associated with unmet need for FP [30]. Similarly, positive attitudes towards condom use had significant direct effects on condom use intentions and/or actual use [31][32][33][34][35].…”

Unmet need for family planning in Ethiopia and its association with occupational status of women and discussion to her partner: a systematic review and meta-analysis

“…The studies were conducted from 2011 to 2019 in different region of the country. Among 9 studies five of them [8,10,11,13,19] were conducted in Amhara, two study [14,20] were in Tigray, and the other 2 studies [9,12] were in other region of the country. All studies were crosssectional study conducted among married women, reproductive age women, and extended postpartum women in Ethiopia.…”

“…The study with minimum and maximum sample size was conducted in Oromia and Southern Nations, Nationalities, and peoples' region, respectively [9,12]. In addition, out of all studies enrolled in this meta-analysis five studies [8-10, 14, 19] were conducted among married women, three studies were conducted among reproductive age group women, while the remaining study [11][12][13]20] were conducted among extended postpartum women ( Table 1).…”