Background: An estimated 150 million married women in the developing world want to delay or stop childbearing and are not using contraception. Among women who are not currently using contraception, some report that they want to space births, while others report that they do not want to have any more children. Therefore, this study is aimed to assess unmet need for family planning and associated factors among currently married women in Misha District, Hadiya Zone, Southern Ethiopia. Methods: A community based cross-sectional survey was conducted among 660 currently married women. Structured interviewer administered questionnaires were used to collect data. A stratified multistage sampling technique was used to select respondents from each stratum. The collected data were entered to EPI-data 3.2.1 and exported to SPSS version 16.0 for analysis. Furthermore, bivariate and multivariable logistic regression analyses were used to identify the influencing factors using backward variable selection techniques. The crude and adjusted odds ratios together with their corresponding 95% confidence intervals were computed and interpreted accordingly. A P-value<0.05 was considered to declare a result as statistically significant in this study. Result: Unmet need for family planning was 175 (26.5%) and met need was 210 (31.8%) of currently married women. Mother education [AOR (95%CI)=4.01(2.43-6.60)], parity [AOR (95%CI=3.30(2.03-5.35)], knowledge of contraceptive method [AOR (95%CI)=4.05(1.61-7.20)] were positively associated with unmet need and discussion with partner and health extension workers [AOR (95%CI)=0.18(0.12-0.27)] were negatively associated with unmet need for family planning. Conclusion: The proportions of women with unmet need for family planning in the study site were still high. Developing and implementing programs that encourage the involvement of men in family planning, encouraging spousal communication and discussion with HEWs were possible factors to bridge the gap between demand and unmet need.
Background: Producing quality data for decision at all levels of the health communication is a global imperative. Following that, recently, many organizations are evaluating various prevention communications; however, adequate data has not been obtained. This study is aimed to explore factors that have impact on health seeking behavior for HIV/AIDS among public college community. Methods: Focus group discussions and in-depth interviews were conducted from March 1-30, 2012 with students, teachers and HIV mainstreaming heads in the three colleges of Hadiya Zone, Ethiopia. Data was captured using voice recorders, and field notes were transcribed verbatim from the local language into English. Key constructs and thematic frameworks were developed using the Extended Parallel Process Model (EPPM) and health belief model (HBM), and presented in narratives using the respondents own words. Results: Participants had very low self-susceptibility to HIV/AIDS but they claimed others as highly susceptible. Self-efficacy (confidence in performing the behaviour), and response efficacy (the belief of efficacious of the message) regarding acceptance of recommended preventive message were the most important correlates of the perception. Conclusion: Lack of awareness of self-susceptibility is a critical problem for adaptation of behavior. All the participants' agree seriousness of the problem which is not attached with using recommended methods. Selecting one recommended response hampered the others prevalence. For instance, low self-efficacy and response efficacy were the critical problems in condom use. Accesses to services for social marketing were poor for a variety of psycho-social and cultural reasons. Prior to the promotion of prevention programs, health service related factors that influence health seeking behaviour must be addressed through appropriate behaviour change communications.
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