Factors associated with contraceptive use in Tigray, North Ethiopia

Medhanyie, Araya Abrha; Desta, Alem; Alemayehu, Mussie; Gebrehiwot, Tesfay Gebregzabher; Abraha, Atakelti; Abrha, Atakelti; Godefay, Hagos

doi:10.1186/s12978-017-0281-x

Cited by 47 publications

(48 citation statements)

References 9 publications

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“…The same results were shown by studies in Bangladesh and Cameroon [36][37][38]. However, the studies in North Ethiopia and Malawi showed that education contributes significantly to the use of overall contraception method [39,40]. The gap between urban and rural areas in use of overall contraception method decreased after the implementation of the JKN.…”

Section: Discussionsupporting

confidence: 71%

Changes in Determinants and Equity of Family Planning Utilization after the Implementation of a National Health Insurance Policy in Indonesia: A Secondary Analysis of The 2012-2016 National Socio-Economic Survey of Indonesia

Nasution

Mahendradhata

Trisnantoro

2019

Preprint

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Background: The Indonesian government has been implementing the National Health Insurance Policy (Jaminan Kesehatan Nasional-JKN) since 2014. The utilization of family planning service is one of the programs to increase maternal and child health status that is included in the benefit package in JKN.This study aimed to describe determinants and to evaluate JKN based on equity indicators, especially in family planning services. Methods: Data were obtained from the 2012-2016 National Socio-Economic Survey (SUSENAS) of Indonesia. Contraceptive Prevalence Rate (CPR) and Long-acting contraceptives (LACs) use were used as indicators to evaluate family planning utilization. Chi-square and logistic regression tests were used to analyze the data. Respondents were married women between 15 and 49 years of age. Results: There was no progress in CPR after the implementation of JKN. At the national level, CPR decreased within five years (2012)(2013)(2014)(2015)(2016). Decreasing in urban areas and in the group that does not have health insurance were more than in rural areas and in the group that has health insurance. Utilization of non-LACs, especially injection (56%-57%) and pill (21%-24%), were still high within 2012-2016. At the national level, LACs use increased 3.18% between 2012-2016 (15.54%-18.72%). Increasing in urban areas and in the group that has subsidized health insurance were more than in rural areas and in the group that does not have subsidized. In 2016, the geography factor (rural-urban) and household economic status associated negatively with the use of overall contraceptive method (p<0.05). Conversely, all the determinants were positively associated with LACs use (p<0.05). Conclusions: Up to 2016, the JKN program did not increase CPR. Conversely, the JKN program obtained only small increases in LACs use. LACs use in rural areas is less than in urban areas. JKN program can increase LACs use in the group that has subsidized health insurance. CPR and LACs coverage could increase through health system improvement, and the societal norms approach.Health system improvement is operationalized through improving supply-side and regulations, increasing coordination among multiple agencies in the family planning program.

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Section: Discussionsupporting

confidence: 71%

Changes in Determinants and Equity of Family Planning Utilization after the Implementation of a National Health Insurance Policy in Indonesia: A Secondary Analysis of The 2012-2016 National Socio-Economic Survey of Indonesia

Nasution

Mahendradhata

Trisnantoro

2019

Preprint

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“…The demographic characteristics are age group (15-24, 25-34 and 35-49 years), age at sexual debut (less than 18 years or 18 or older), parity (one child, two-four children, and ve or more children) fertility desire (wanted more children or wanted no more), and child living arrangement (lives with mother or lives elsewhere). These variables are selected based on their signi cance in previous studies [33][34][56][57][58][59][60]. The control variables are nature of singlehood (premarital or post marital singlehood), sexual activity (active or inactive) and most recent sexual partner (boy/man friend, commercial worker and casual friends).…”

Section: Research Variablesmentioning

confidence: 99%

What Influences Modern Contraceptive Utilisation Among Single Mothers in Nigeria? Evidence from Pooled Cross-Sectional Surveys

Ilesanmi

Solanke

Musa

2020

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Background: Existing studies in Nigeria and elsewhere have examined the associated factors of modern contraceptive utilisation among different segments of women such as adolescents, never married and women of advanced reproductive age. However, the associated factors of modern contraceptive utilisation among single mothers have been rarely explored. Though, some studies have examined the health and socio-economic conditions of single mothers but the associated factors of modern contraceptive uptake among them were largely ignored. This study therefore examines factors influencing modern contraceptive utilisation among single mothers in Nigeria. Methods: Data were extracted from four consecutive Nigeria Demographic and Health Surveys (NDHSs) implemented between 2003 and 2018. A weighted sample size of 7,215 single mothers was analysed. The outcome variable was current modern contraceptive utilisation. The explanatory variables are sets of selected socio-economic and demographic characteristics such as education, household wealth quintile, place of residence, age, parity and fertility desire. Data analysis was carried out using Stata version 14. Two multivariable logistic regression models were fitted in the study. Results: Findings reveal 11.7% current utilisation of modern contraceptives among single mothers. Improvements in educational attainment and household wealth quintile increases the odds of modern contraceptive use, Muslim single mothers had lower odds of modern contraceptive use (AOR=0.527, p<0.05; 95% CI: 0.366-0.759) and employed single mothers had higher odds of modern contraceptive use (AOR=1.449, p<0.05; 95% CI: 1.123-1.867). Findings further reveal that single mothers who had moderate exposure to the mass media (AOR=1.455, p<0.05; 95% CI: 1.049-1.807), single mothers who had high exposure to the mass media (AOR=1.442, p<0.05; 95% CI: 0.690-1.394) and younger single mothers (AOR=1.377, p<0.05; 95% CI: 1.049-1.807) had higher likelihood of modern contraceptive use. Conclusion: Modern contraceptive utilisation is low among single mothers in Nigeria. A number of socio-demographic characteristics of single mothers exert significant influence on modern contraceptive use. The contraceptive need of women involved in single motherhood may be different from the needs of other groups of women. The development of a special strategy targeting single mothers is thus imperative in the country.

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“…Prior studies have identi ed the determinants of the use of contraceptive methods among women of childbearing age (15-49 years) (21,22) and the factors associated with this use in young sexually active women through a secondary analysis of Demographic and Health Surveys (DHS) from selected countries in Sub-Saharan Africa (7,(23)(24)(25). However, the trends over time and the factors in uencing the use of contraception among adolescents and young women in Guinean urban areas are insu ciently understood.…”

Section: Introductionmentioning

confidence: 99%

Levels and trends in family planning method use among urban adolescents and young women in Guinea: analysis of Demographic and Health Surveys from 1999 to 2018

Sidibé¹,

Délamou²,

Camara³

et al. 2020

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Background Despite improvements, adolescent fertility remains high in Africa. In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study aims to describe levels and trends in, and factors associated with using modern family planning (FP) methods among urban adolescents and young women in Guinea.Methods We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15–24 years), we examined trends over time in four key indicators: 1. Contraceptive use (% using any using any FP method among all and among those in need for FP), 2. Unmet need for FP (% not using any FP method among all and among those in need for FP) and 3.Modern contraceptive use (% of using modern FP methods and among those in need of FP), and 4. % using modern FP method (demand satisfied). We multivariable logistic regression to examine association between socio-demographic factors and modern FP use (indicator 2) on the most recent DHS dataset (2018).Results We found a statistically significant changes over the time period exmained in modern contracetive use (8.4% in 1999 to 12.8% in 2018, p < 0.01), demand satisfied (29.0% in 1999, 54.1% in 2018, p < 0.001), and halving of unmet need for FP (from 15.8% in 1999 to 8.6% in 2018, p < 0.001). The most important changes in these two indicators occurred between 1999 and 2005.. Compared to those 15–19 years, young women (20–24) more likely to use modern FP methods. Those living in Faranah and Kankan more likely to use modern FP method than those in Conakry. Middle and richer wealth quintile households were more likely to use modern FP compared to poorer. Married women compared to nevever married and those from the Peulh and Malinke ethnic groups compared to Soussou were less likely to use modern FP methods.Conclusion Despite some progress, efforts are still needed to improve FP method use among urban adolescent and you women. Future policies and intervention programs should emphasize on improving adolescents’ reproductive health knowledge and increasing awareness of FP method use. The focus should also be on adolescents aged 15–19 years, disparities of urban administrative regions, ethnic groups, and wealth index, especially the poor quintiles.

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Factors associated with contraceptive use in Tigray, North Ethiopia

Cited by 47 publications

References 9 publications

Changes in Determinants and Equity of Family Planning Utilization after the Implementation of a National Health Insurance Policy in Indonesia: A Secondary Analysis of The 2012-2016 National Socio-Economic Survey of Indonesia

Changes in Determinants and Equity of Family Planning Utilization after the Implementation of a National Health Insurance Policy in Indonesia: A Secondary Analysis of The 2012-2016 National Socio-Economic Survey of Indonesia

What Influences Modern Contraceptive Utilisation Among Single Mothers in Nigeria? Evidence from Pooled Cross-Sectional Surveys

Levels and trends in family planning method use among urban adolescents and young women in Guinea: analysis of Demographic and Health Surveys from 1999 to 2018

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