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

Abstract

In Ethiopia, contraceptive use has doubled in the last five years, but women still bears an average of five children and 25% of married women want to space or limit their births but are not currently using contraception. So that, the purpose of this study was to assess Family planning services utilization and its associated factors among married women in Benchi-Maji Zone, Southwest, Ethiopia.A community based cross sectional study was carried out to collect data from 801 randomly selected married women in the reproductive age group from six Kebles (lowest administrative unit). Pretested and structured questionnaire was used to collect data. The collected data was entered into a computer using Epi-Data version 3.0 then exported to SPSS for Windows version 20.0 for further analysis. Logistic regression was used to identify important predictors of family planning service utilization.Out of 765 study participants, 82.61% were current users of at least one of Family Planning (FP) method and majority of them were using methods to space birth interval 452 (71.5%), to prevent unwanted pregnancy 198 (31.3%), followed by to promote health of born children 149 (23.6%). Knowledge about the benefits of FP and postnatal care follow up during their last delivery showed statistically significant associations with FP service utilization. Mothers who have mentioned at least one benefit of FP were about seventy times (AOR 71 95 % CI 25-202) more likely to ever use either of the FP methods and who have PNC follow up during their last delivery were about four times more likely (AOR 3.795 % CI 1.6-9.0) to use either of the FP methods in comparison with those mothers who haven't attended for Postnatal care at all.Most of the study participants prefer to use short-term family planning methods. It is important to promote longterm family planning methods to get a desire outcome among married women. Women are more receptive of FP during post-natal visits. It is desirable to utilize that visit for promotion of long-term FP methods among married women.

Family planning awareness, utilization and associated factors among women of reproductive age attending psychiatric outpatient care, a cross- sectional study, Addis Ababa, Ethiopia

“…According to this study having fewer children was associated with FP service utilization which is in contrary to the study done in Addis Ababa [23]. In this study history of induced abortion was not associated with FP utilization which is consistent with the study from southern Ethiopia [22,38]. The other factor inversely associated with FP utilization was intention to have children in the future which is consistent with other studies in Addis Ababa [13].…”

“…Factors that were shown to be associated with FP utilization in previous studies in Ethiopia such as, age, education, marital status, income and occupation of women were not associated with FP utilization in this study [17,18,30,38]. This may indicate that factors that affect FP utilization in such a vulnerable population as women with mental illness could be different from the general population.…”

Individual and community-level determinants of non-use of contraceptive among women with no fertility desire in Ethiopia: a multilevel mixed-effect analysis

“…On the contrary, our finding was slightly higher than the studies in Southern (62.6%) [ 30 ], Central (62.1%) [ 38 ], and Northwestern (58.7%) [ 19 ] parts of Ethiopia. Besides, this findings was considerably higher than the result of the studies in Southwestern (17.4%) [ 17 ], and Southern (36.6%) [ 20 ] Ethiopia, Bangladesh (37.6%) [ 39 ], Zambia (40%) [ 40 ], India (46.4%) [ 41 ], and Qatar (52.2%) [ 42 ]. These discrepancies might be due to differences in the accessibility and availability of contraceptives and health facilities in the study areas.…”

“…In Ethiopia, although different studies have been conducted to determine the predictors of non-use of contraceptives among women, some of them were limited to the specific geographical areas and used relatively a small sample size [ 14 , 17 , 20 , 25 , 26 , 30 – 32 ]. In addition, these studies did not consider some community-level factors like region, residence, cluster, women illiteracy status, women’s non-exposure to mass media status.…”

Five-years retrospective study on utilization and uptake pattern of family planning services in primary health centres in a peri-urban settlement in southwest Nigeria

“…18,19 However, it contrasts with the study of, where the modal age was found to be 30-39 years. 20,21 Likewise, the highest proportions of the respondents were Christians. This finding is similar to the study conducted by, where most respondents were Christians.…”