In Ethiopia, a comprehensive strategy to improve postabortion family planning services has produced overall improvement in the uptake of postabortion family planning and a rise in the choice of more effective long-acting reversible contraceptives to produce a more balanced method mix.

Background: Contraceptive method choice is a fundamental indicator of quality of care in a family planning program. One third of developing countries including Ethiopia have a much skewed method mix, which is risky for discontinuation, contraceptive dissatisfaction and unintended pregnancy. In Ethiopia the prevalence of contraceptive use is not only low but also highly skewed having a single contraceptive (injectable). Therefore the aim the study was to assess factors that influence modern contraceptive method preference among women of reproductive age in central zone of Tigray Region, Northern Ethiopia. Methods: A facility based descriptive cross sectional study was carried out among 602 rural and urban reproductive age women. The data was entered using EPI info 3.5.4 version and exported to SPSS 16.0 version for analysis. Bivariate and multivariate logistic regression was used to see any association between different variables. Results: Nearly three fourth (72.3%) of women prefer Injectable contraceptive. Only twenty percent of the total participants prefer Long Acting and Permanent Method (LAPM). Having more than two living children, discussion with husband, and attitude of women were significantly associated with their contraceptive preference. Conclusions: The contraceptive method mix is highly skewed to single Short Acting Contraceptive (SAC) and preference to LAPM is low. For successful family planning program strong information, education and communication focusing on long term contraceptive methods should be done.

No abstract

The aim of this post-intervention assessment was to measure the effects of community intervention on the knowledge and attitudes of women regarding safe abortion in Ethiopia. In 2014, following implementation of an educational intervention on sexual and reproductive health from December 2012 to December 2013, 800 women were interviewed about their knowledge, attitudes, and practices regarding abortion. Multivariate regression analyses of respondents' demographics, sources of abortion information, knowledge, and attitudes about safe abortion were conducted. More women in the intervention community knew safe abortion was available in the community (76 percent vs. 57 percent; p < 0.001). Women in the intervention community had greater odds of feeling that women should have access to safe abortion services (adjusted odds ratio [aOR]: 1.55, 95 percent confidence interval [CI]: 1.06, 2.28) after adjusting for socio-demographic characteristics. They had significantly greater odds of feeling comfortable and confident talking to a healthcare provider (aOR: 2.44, 95 percent CI: 1.55, 3.84) and/or her partner (aOR: 2.47, 95 percent CI: 1.58, 3.85) about abortion. Increased mobilization of community networks in disseminating sexual health and abortion information was followed by increased knowledge of abortion services in the intervention community and improved reproductive choices for women.

No abstract