Factors affecting demand for modern contraceptives among currently married reproductive age women in rural Kebeles of Nunu Kumba district, Oromia, Ethiopia

Abstract

BackgroundFamily planning plays a key role in improving the health of the mother and the child. Yet there are still significant levels of demand for family planning that are unmet and these can lead to unintended pregnancy. So, women’s demand for contraceptive utilization to limit, space, or delay the number of family size can be increased by integrating family planning service at each service delivery points.ObjectiveThe main aim of this study was to assess the demand for modern contraceptive and associated factors among currently married women of the reproductive age group in rural kebeles of Nunu Kumba District, 2015.MethodsA community-based cross-sectional study design was conducted from January 15–30, 2015 among 584 systematically selected currently married women of reproductive age in six rural kebeles of Nunu Kumba District. A pre-tested and interviewer-administered questionnaire was used to collect the data. Data were analyzed using SPSS version 20. Descriptive statistics were done to summarize the data. A multivariate logistic regressions analysis method was employed and odds ratio with 95% confidence interval was used to control for possible confounders. P-value < 0.05 was used to declare a significant association.ResultsThe total demand for modern methods of contraceptive was 450 (77.1%) of which 325 (55.7%) of them were current user and 125 (21.4%) of them were had unmet need for modern contraceptive methods. Being in the younger age group (15–24 and 25–34 years [AOR = 0.196; 95% CI: 0.055, 0.692] and [AOR = 0.179, 95% CI: 0.043, 0.745] respectively, husband having no intention for more children [AOR = 4.124, 95% CI: 1.891, 8.996], number of children alive [AOR = 2.617, 95% CI: 1.056, 6.486], and couples ever not discussed on family planning [AOR = 0.340, 95% CI: 0.187, 0.619] were factors associated with demand for modern methods of contraception.ConclusionThe total demand for modern methods of contraceptive was high in the study area except for long-acting and permanent methods with high unmet need for spacing than for limiting. Therefore, any program aimed at promoting family planning at the district level should look for ways and means of increasing demand for long-acting and permanent family planning methods and encouraging husband involvement to increase its utilization.

Modern Contraceptive Use and Influencing Factors in Amhara Regional State: Further Analysis of Ethiopian Demographic Health Survey Data 2016

“…Advances in Public Health e overall level of modern contraceptive use was consistent with studies done in Northwest Ethiopia (51.3%) [22] and Sudan (51.5%) [23]. However, it was lower compared to the study done in the Oromia region, Ethiopia, 55.7% [24], and western Ethiopia (71.9%) [25]. e reason for this variation might be the educational status and cultural difference of study participants.…”

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

“…This result could be likened to a study done by Haile and Fantahun [35], which showed women with 1-3 and 4-12 children were having fifty-one and six times higher demand than those who had no child respectively in Ethiopia. A recent study in the same country also found that women who had 2-3 children were almost three times more likely to have demand for modern methods of contraception than women who had no and one child [36]. In explaining the plausible reason accounting for this observation, Kebede, Abaya, Merdassa and Bekuma [36] contended that due to the more child the woman is having, the more likely she wants to space or limit the number of children and the more she was using contraceptives.…”

Male Involvement in Family Planning Utilization and Associated Factors in Womberma District, Northern Ethiopia: Community-Based Cross-Sectional Study

“…[16][17][18] In Ethiopia, this high unmet demand and other factors such as lack of awareness, fear of social rejection, resistance to spouses, religious or cultural values, and concern for contraceptive side-effects lead to a high fertility rate (average 4.6 children). [18][19][20][21] As mentioned in the SDGs, fostering a rapid reduction in fertility to or below the level of substitution is necessary in order to foster economic development. In reaction to these global goals, the Ethiopian Federal Ministry of Health (FMoH) set a target for a contraception prevalence rate of 55% by 2020.…”