Individual and community level associates of contraceptive use in Ethiopia: a multilevel mixed effects analysis

Abate, Masrie Getnet; Tareke, Amare Abera

doi:10.1186/s13690-019-0371-z

Cited by 59 publications

(112 citation statements)

References 46 publications

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“…Wealth status could affect birth interval of women through its effect on accessing family planning information and services. Literature has documented that the rate of modern contraceptive use, a mechanism used to control birth interval, was higher among economically and educationally advantaged women [63,64]. In addition, differences in access to family planning, information, and direct contact with field workers are associated with the wealth gradient [65].…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic inequality in short birth interval in Ethiopia: a decomposition analysis

et al. 2020

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Background Short birth interval, defined as a birth-to-birth interval less than 33 months, is associated with adverse maternal and child outcomes. Evidence regarding the association of maternal socioeconomic status and short birth interval is inconclusive. Factors contributing to the socioeconomic inequality of short birth interval have also not been investigated. The current study assessed socioeconomic inequality in short birth interval and its contributing factors in Ethiopia. Methods Data from 8448 women collected in the 2016 Ethiopia Demographic and Health survey were included in the study. Socioeconomic inequality in short birth interval was the outcome variable. Erreygers normalized concentration index (ECI) and concentration curves were used to measure and illustrate socioeconomic-related inequality in short birth interval, respectively. Decomposition analysis was performed to identify factors explaining the socioeconomic-related inequality in short birth interval. Results The Erreygers normalized concentration index for short birth interval was − 0.0478 (SE = 0.0062) and differed significantly from zero (P < 0.0001); indicating that short birth interval was more concentrated among the poor. Decomposition analysis indicated that wealth quintiles (74.2%), administrative regions (26.4%), and not listening to the radio (5.6%) were the major contributors to the pro-poor socioeconomic inequalities in short birth interval. Conclusion There was a pro-poor inequality of short birth interval in Ethiopia. Strengthening the implementation of poverty alleviation programs may improve the population’s socioeconomic status and reduce the associated inequality in short birth interval.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic inequality in short birth interval in Ethiopia: a decomposition analysis

et al. 2020

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“…Based on this, community-level wealth index, community-level ANC coverage, community-level women's education, perceived distance to a health facility to get medical help at the community level were considered as community-level variables. These variables were selected based on their signi cance in previous studies [19][20][21].…”

Section: Community-level Variablesmentioning

confidence: 99%

Maternal and community factors associated with postnatal care checkups in Ethiopia: A multi-level analysis

Tadele

Getinet

2020

Preprint

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Background Maternal mortality remained a public health issue, especially in developing countries. Although the first two days after birth was a critical time in which the highest maternal death recorded, it was the most neglected period of maternal health services. Therefore, this study aims to determine the maternal and community-level factors of postnatal check-ups in Ethiopia Methods Demographic and Health Survey (DHS) in 2016 was utilized. A total of 3,948 women aged 15-49 giving birth in the two years before the survey were included. The response variables were post-natal check-ups in the first two days after birth, dichotomized into no check-ups in the first two days and check-ups within two days after giving birth. The explanatory variables were individual maternal characteristics such as education, household wealth, perceived distance to a health facility to get medical help, employment status, antenatal care (ANC), delivery by cesarean section, birth order and place of delivery, and selected community characteristics such as community literacy, community socioeconomic status, community ANC coverage, community perception of distance to a health facility, and regional states. A multi-level mixed-effects logistic regression model was employed. Result Only 17% of the women had a postnatal check-up within 2 days of giving birth in Ethiopia. Institutional delivery AOR 2.14 [95% C.I 1.70, 2.0] and giving birth by cesarean section AOR 1.66 [95% CI 1.10, 2.50] were found to be maternal factors, whereas administrative regions(Oromia 69%, Somali 56%, Benishangul 55%, SNNPR 43%, Gambela 66%, Afar 50% and Dire Dawa 55% which less likely to utilize postnatal care utilization as compared to Addis Ababa city administrative area), Higher community-level wealth AOR 1.44 [95% C.I 1.08, 1.2], ANC coverage AOR 1.52 [95% C.I 1.19, 1.96] and perceived distance of the health facility as a big problem AOR 0.78[95% C.I 0.60, 0.99] were the community factors associated with postnatal check-ups in Ethiopia. Conclusion Both maternal factors and community factors are found to be a significant association with postnatal care services utilization, however, based on the ICC maternal factors prevail the community-level factors. Increasing access to postnatal care services to the remote areas of Ethiopia was recommended.

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“…In uence of community level factor on reproductive health particularly on contraceptive utilization was examined by previous studies (18,29,30).Community level variables for this study were computed by aggregating the individual characteristics in a cluster since EDHS did not collect data that can directly describe the characteristics of the clusters except place of residence and region. The aggregates were generated using proportion of a given variables subcategory within given cluster.…”

Section: Community Level Variablementioning

confidence: 99%

Geographical variation and factor associated with modern contraceptive utilization among Young married women aged between 15-24 years: Spatial and multilevel analysis of EDHS 2016.

Yesuf¹,

Kassa²,

Asrese³

2020

Preprint

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Introduction: Despite increase in trend of modern contraceptive use in worldwide it was still low in developing country. In Ethiopia modern contraceptive utilization among young married women was low which shows gaps between women reproductive desire to avoid pregnancy and contraceptive behavior. This study showsvaration in modern contraceptive utilization and factor associated with it among young merried age group between 15-24 years in Ethiopia.Objective: The aim of the study was to assess the geographical varation of modern contraceptive utilization and associated factor among young married women aged between 15- 24 year in Ethiopia. Methods:In this study cross-sectional study design was conducted using Ethiopia demographic and health survey 2016 data. The sample size was 2298 young married women aged between 15-24 years.Geographical variation assessed by Spatial analysis using spatial autocorrelation Moran’s I, Gettis-OrdGi* and spatial scan statics to identify significant clusters of modern contraceptive utilization among young married women. Determinant factor for modern contraceptive use were analyzed using a two level-mixed-effects logistic regression model which include both the individual and community level factors.Result: In Ethiopia, prevalence of modern contraceptive utilization among young married women age group between 15-24 years was 36.7 %. Geographical varaition asessed by spatial scan statistics identified primary clusters of modern contraceptive utilization were all zone of Amhara, Addis Ababa and Shewa. In other hand,Gettis-OrdGi* analysisindicated zone 1 of Afar region, Borena zone of Oromia region and all zone of Somalia regions were low prevalencespot region. In this study religion, respondent working status, number of living children, husband desire more children, region, community mas media exposure and community educational level were statically significant variables for modern contraceptive utilization among young married women.Conclusions: There is low prevalence of modern contraceptive utilization among young married women and it was varied across zone of Ethiopia. High and low prevalence spot area, most likely cluster, community and individual level factor associated with modern contraceptive utilization is identified which is important to prioritize family planning strategythat focus particularly for young population segment. Therefore, exerting much effort on all of this area is supreme important as it has significant public health contributions.

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Individual and community level associates of contraceptive use in Ethiopia: a multilevel mixed effects analysis

Cited by 59 publications

References 46 publications

Socioeconomic inequality in short birth interval in Ethiopia: a decomposition analysis

Socioeconomic inequality in short birth interval in Ethiopia: a decomposition analysis

Maternal and community factors associated with postnatal care checkups in Ethiopia: A multi-level analysis

Geographical variation and factor associated with modern contraceptive utilization among Young married women aged between 15-24 years: Spatial and multilevel analysis of EDHS 2016.

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