<p>Utilization of Family Planning Methods and Associated Factors Among Reproductive-Age Women with Disability in Arba Minch Town, Southern Ethiopia</p>

Abstract

Introduction: Globally in 2019, there were 1.9 billion reproductive-age women. Around 922 million of them were using either modern or traditional methods of family planning. Women with disabilities comprise 10% of worldwide women and three-quarters of them reside in low-and middle-income countries. Objective: The purpose of this study was designed to assess the magnitude and associated factors for family planning methods use among reproductive-age women with disabilities in Arba Minch town, southern Ethiopia. Patients and Methods: A community-based cross-sectional study was conducted among 418 reproductive-age women with disabilities. Data were collected with eight women who had completed grade 12 and two of them were proficient in sign language. The data were entered into Epi-info™ version-7 software and exported into SPSS version 20 for analysis. A statistically significant variable in the final model was declared by adjusted odds ratio (AOR), 95% confidence interval (CI) and p-value <0.05. Results: The magnitude of family planning utilization among reproductive-age women with disabilities was 33.7%. Factors significantly associated with family planning use were being employed (AOR: 2.2, CI: 1.77-4.15), having positive attitudes (AOR: 2.3, 95% CI: 1.21-3.87) and marital status (AOR: 3.9, 95% CI: 2.31-6.63). Conclusion: The magnitude of family planning use among reproductive women with disabilities was low. Attitude, marital status, and being employed were significantly associated factors with family planning use. Therefore, the governmental and nongovernmental organizations should work to change their attitude and creating job opportunities.

Contraceptive use among people with disabilities in sub-Sahara Africa: A systematic review and meta-analysis

“…In the initial search of this systematic review and metaanalysis, 4388 articles were found from reputable databases and grey literature sources. Finally, 13 articles 10,11,13,[15][16][17][18][19][20][21][22]28,29 were found eligible for this study. Of these articles, six articles were excluded from meta-analyses.…”

“…Among the factors; are access to media, marital status, working actively, income, age, ANC follow-up, types of disabilities, women's attitude toward family planning methods, knowledge about family planning, the presence of nearby health facilities providing planning of family services, keeping confidentiality and privacy by the health facility, having good self-perception, educational and economic status were the most commonly identified factors. 14,[16][17][18][19][20] However, the findings of the primary studies are very inconsistent. Contraceptive use ranges from 10% 21 in Nigeria to 45.4% 22 in Ethiopia.…”

Contraceptive use among reproductive-age females with disabilities in central Sidama National Regional State, Ethiopia: a multilevel analysis

“…Although people with disabilities have a reproductive right to access and use contraception, coverage of contraceptive use in developing countries, including Ethiopia, is low when compared to developed countries. This is evidenced by the fact that 70.1% ( Haynes et al, 2018 ) of disabled women in the United States of America, 67.4% ( Aslan, Yılmaz & Acar, 2021 ) in Turkey, 34% ( Olajide et al, 2014 ) in Nigeria, 26.9% ( Trani et al., 2011 ) in Sierra Leone, 26.1% ( Ayiga & Kigozi, 2016 ) in Uganda, 17% ( Kumi-Kyereme, 2021 ) in Ghana, 16% ( Odhiambo, 2012 ) in Kenya, and 18% ( Beyene, Munea & Fekadu, 2019 ) to 34% ( Yesgat et al, 2020 ) in Ethiopia have access to contraceptives.…”

“…In Ethiopia, various factors associated with contraceptive use among females with disabilities were identified. Of the reported factors, marital status, age, types of disabilities, knowledge and attitude towards family planning methods, the presence of nearby health facilities providing family planning services, keeping confidentiality and privacy in the health facility, having a good self-perception, and educational and economic status were the most common ( Tsegay, Gebremariam & Haile, 2017 ; Beyene, Munea & Fekadu, 2019 ; Yimer Awol Seid, 2019 ; Gonie et al, 2020 ; Yesgat et al, 2020 ). Not only do the factors listed above influence contraceptive use, but disability, such as types of disabilities and contraceptive methods, also has an administrative impact on contraceptive use.…”

“…In Ethiopia, few studies were conducted to determine the prevalence of contraceptive use and associated factors among reproductive-age females with disabilities from 2013 to 2019 ( Tsegay, Gebremariam & Haile, 2017 ; Beyene, Munea & Fekadu, 2019 ; Yimer Awol Seid, 2019 ; Gonie et al, 2020 ; Yesgat et al, 2020 ). These studies considered only urban female residents, deaf and blind females, and females enrolled in supporting organizations and considered only individual-level factors.…”