Urban-rural inequalities and spatial arrangement of informed choice of FP in Ethiopia: further analysis of 2016 Ethiopian demographic health survey

Abstract

Background Ethiopia has showed satisfactory progress in the improvement of maternal and child health in the last two decades. Adoption of family planning through informed choice is among the main strategy to achieve favorable maternal and child health. But this favorable progress might have masked the substantial urban-rural inequalities in informed choice of family planning. Objective To identify the contributing factors for the observed urban-rural inequalities and to determine spatial arrangement of informed choice of family planning in Ethiopia. Methods The study utilized information from 3,511 (weighted) currently contraceptive user women (rural-2685 and urban-826) from the most recent release cross-sectional data of Ethiopian demographic health survey. Spatial and Descriptive, bivariable, and multivariable logit-based decomposition analysis techniques were used. Results the spatial configuration of not informed choice was clustered. The primary cluster (LLR = 34.8, p-value < 0.001) was southern portion of Amhara region that covers east & west Gojjam, south Gondar and south Wollo administrative zones. The