Determinants of unmet need for family planning among currently married women in Dangila town administration, Awi Zone, Amhara regional state; a cross sectional study

Abstract

BackgroundUnmet need for family planning is a major problem of developing countries. Evidences about unmet need for family planning and associated factors are not enough in Dangila town. Therefore, this study was done to assess the magnitude and determinants of unmet need for family planning among currently married women in Dangila town.MethodologyCommunity based cross sectional study design was used to collect data from a total of 551 currently married women from February to March 2014. Data were collected using pretested structured interviewer administered questionnaire after written consent was obtained from respondents. Collected data were edited, coded, and entered to SPSS version 16.0. Bivariate and multivariable logistic regression analyses were done to identify determinants of unmet need for family planning.ResultsThis study revealed that 17.4 % of married women had unmet need for family planning. In this study, women who were housewife/farmers were about 7 [OR = 6.81 (1.91–24.29)] times more likely to have unmet need compared to employed women. Women who were not counseled about family planning by health workers [OR = 6.76 (3.17–14.42)], women whose partner had non-supportive attitude for family planning use [OR = 3.34 (1.26–8.90)] and rural women [OR = 17.65 (4.35–71.67)] were also more likely to have unmet need for family planning. About 33 %, 32 %, 23.5 % and 11.8 % of women mentioned less perceived risk of pregnancy due to breast feeding, fear of side effects, partner opposition and religious prohibition respectively as reasons for not using contraceptives at the time of interview.ConclusionsThe level of unmet need for family planning in the study area is still high compared to the target set (10 %) in the national family planning guide plan of Ethiopia to be achieved by the end of 2015. Therefore, it is important to strengthen counseling and partner involvement in Dangila town to reduce unmet need for family planning.

Family Planning Service Utilization and Its Associated Factors among Married Women in Benchi-Maji Zone, Southwest, Ethiopia: Community-Based Crosssectional Study

“…In this study, 707 (92.42%) of respondents ever used either of the modern FP methods. This finding is consistent with several studies [18][19][20].…”

“…The finding of this study coincide with study conducted in Mekele city and Assosa district among married women; majority of them ever used and have been using injectables and pills [19][20][21] and this was too much higher than a population based study in Mojo town which reported that from 551 respondents nearly 34% of them have ever practiced one form of FP methods during their life [16] and the study from South Central Ethiopia in which Current contraceptive prevalence rate was 25.4% (95% CI: 24.2, 26.5) [17] and this difference mainly might be attributed to expansion of health facility, increased Information, Education and communication (IEC) on FP methods which creates awareness and increased service seeking behavior in this study. Unlike the above disparities; the finding of this study yields closer result to a study conducted in the Dangila and Assosa zone [18,19]. In our study, majority 452 (71.5%) of them used FP to space the birth interval and 198 (31.3%) of them mentioned that to prevent unwanted pregnancy.…”

“…Bivariate analysis of the selected factors which includes maternal age, religion, maternal educational level, maternal occupation, maternal marital status, availability of TV/Radio, income quartiles, residence, knowledge of the benefits of FP, PNC follow up during their last delivery and maternal age during first pregnancy was performed [17,18]. Among the factors only maternal age during first pregnancy has not shown statistically significant association with FP utilization.…”

Currently Married Women with an Unmet Need for Contraception in Minia Governorate, Egypt: Profile and Determinants

“…Although advances in family planning have been achieved globally, the unmet needs for planning continue to increase and become a serious problem in developing countries [1].…”

Unmet need of family planning among married women of reproductive age: A clinic-based study in rural Bengal

“…[6] Various studies have explored the reasons of unmet need of FP across the globe as in-depth understanding of these reasons is necessary for addressing the gap of unmet need at programmatic level. Genet et al, in his study at Dangila, Amhara regional state, found 33% of women had lack of knowledge regarding risk of pregnancy by not practising FP methods, 32% reported fear of side effects, and 11.8% [15] cited religious prohibition as the principal reason for not availing FP services. Patel et al in his study reported lack of knowledge regarding contraceptive measures (55%) [16] and Raveendran and Vijayakuma from South India cited want of a male child in the future by spouse (63.3%) as the most important reason for unmet need.…”