Modern contraceptive use among married women: the case of Aleta Chuko district, Southern Ethiopia
Keywords:Modern contraceptive, Married women, Cross sectional study
Background: Family planning is one of the factors which have a great role in the reduction of global poverty by positively contributing to socio-economic development. Additionally controlling both the number and timing of births through utilization of contraception is associated with improved maternal and neonatal health outcomes. The aim of the study was to assess utilization of modern contraception among married women.
Methods: A community based cross- sectional study with quantitative and qualitative study methods was conducted from February 15 to March 15, 2016 in Aleta Chuko district, Southern Ethiopia. Multistage cluster sampling procedure was used to select a total of 364 married women of reproductive age (18-49). Descriptive statistics, Bivariate and multivariate logistic regression analyses were performed using SPSS version 20.0. On the other hand, qualitative data were analyzed thematically and the result was presented in narration.
Results: Contraceptive prevalence rate among married women in Aleta Chuko district was 45.5%. Results of Multiple Binary Logistic Regression revealed that residence, educational level of the respondents, discussion about modern contraceptives with husband, partner’s approval of modern contraceptive use and joint decision on the number of children were significantly associated with modern contraceptive use.
Conclusions: Therefore, district health office and concerned stakeholders should focus on couples to encourage girl’s education, communication between couples, and male involvement for family planning.
World Health Organization (WHO). Family Planning. Fact Sheets no. 35. Available at: http://www.who.int/mediacentre/factsheets/fs351/en.Accessed on 31 August 2015.
Central Statistical Agency (Ethiopia) and ICF. Ethiopia Demographic and Health Survey 2016, Key Indicators Report. Addis Ababa, Ethiopia, and Rockville, Maryland, USA. CSA and ICF. Available at: https://dhsprogram.com/pubs/pdf/SR241/SR241. pdf. Accessed on 25 April 2020.
Babalola S, John N, Ajao B, Speizeret IS. Ideation and intention to use contraceptives in Kenya and Nigeria. Demographic Research. 2015;33(8): 211-38.
Malalu PK, Alfred K, Too R, Chirchir A. Determinants of use of modern family planning methods: a case of Baringo North District, Kenya. Science J Public Health. 2014;2(5):424-30.
Tsehaye WT, Mengistu D, Birhanu E, and Berhe KK. Assessment of preference and its determinant factors to ward modern contraceptive methods among women of reproductive age group in Shire Indaselassie Town, Northern Ethiopia. Int J Family Med. 2013; 2013: 317609.
Central Statistical Agency Ethiopia, Ethiopia mini demographic and health survey 2014. Available at: https://www.dktethiopia.org/sites/default/files/PublicationFiles/Mini_DHS_2014__Final_Report.pdf. Accessed on 25 April 2020.
Mohammed A, Woldeyohannes D, Feleke A and Megabiaw B. Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia. Reproductive Health. 2014;11(1):13.
Tilahun T, Gily C, Stanley L, Kassahun W, Els L, Marleen T, et al. Family planning knowledge, attitude and practice among married couples in jimma zone, Ethiopia. PLoS ONE. 2013;8(4): e61335.
Tekelab T, Melka AS, Wirtu D. Predictors of modern contraceptive methods use among married women of reproductive age groups in Western Ethiopia: a community based cross-sectional study. BMC Women's Health. 2015;15:52.
Kassa TB, Degu G, Birhanu Z. Assessment of modern contraceptive practice and associated factors among currently married women age 15-49 years in Farta District, South Gondar Zone, North West Ethiopia. Science J Public Health. 2014;2 (6):507-12.
Berhe KK, Tsehaye WT, Mengistu D. Assessment of Modern Contraceptive methods utilization and its determinant factors among women of reproductive age groups at Shire Endesilasie Town, Tigray, Northern Ethiopia. J Bio Innov. 2014;3(3):144-69.
Mekonnen W and Worku A. Determinants of low family planning use and high unmet need in Butajira District, South Central Ethiopia. Reproductive Health. 2011;8:37.
Lwelamira J, Mnyamagola G, Msaki MM. Knowledge, Attitude and Practice(KAP) towards modern contraceptives among married women of reproductive age in Mpwapwa District, Central Tanzania. Current Research Journal of Social Sciences. 2012;4(3):235-45.
Alemayehu M, Hailesellasie K, Biruh G, Gebrezgabiher G, Tinsae F, Kidanemariam A, et al. Married women’s autonomy and associated factors on modern contraceptive use in Adwa Town, Northern Ethiopia. Sci J Public Health. 2014;2(4):297-304.
Dessalegn M, Behailu S, Wagnew M, Yigzaw M. Status of modern contraceptive use among married women in Debre Birhan District, Ethiopia. J Public Health Epidemiol. 2014;6(10):316-26.
Mboane R and Bhatta MP. Influence of a husband’s healthcare decision making role on a woman’s intention to use contraceptives among Mozambican women. BMC Reproductive Health. 2015;12:36.
Michael EJ. Use of contraceptive methods among women in stable marital relations attending health facilities in Kahama District, Shinyanga Region, Tanzania. Available at: http://ihi.eprints.org/ 1733/1/Esabella_Job_Michael.pdf. Accessed on 20 April 2020.
Wang W, Alva S, Winter R & Burgert C. Contextual influences of modern contraceptive use among rural women in Rwanda and Nepal. DHS Analytical Studies 2013. Available at: https://paa2014. princeton.edu/papers/141380. Accessed on 25 April 2020.