Trend and correlates of contraceptive use in rural and urban Ethiopia: is there a link to the health extension programme?

Gurmu, Eshetu; Mturi, Akim J.

doi:10.11564/27-2-436

Cited by 7 publications

(11 citation statements)

References 17 publications

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“…Better wealth status is a protective factor against IPV [ 32 ] and a basis for women's sexual empowerment: ability to ask their partners to use condoms. Similar findings have been reported elsewhere, where wealth index increased the likelihood of MCU [ 23 , 33 , 34 ]. In addition, household wealth index, enhances access to modern contraceptives because women are able to afford purchase of modern contraceptive services.…”

Section: Discussionsupporting

confidence: 91%

Intimate partner violence and current modern contraceptive use among married women in Uganda: a cross-sectional study

Wandera¹,

Kwagala²,

Odimegwu³

2018

Pan Afr Med J

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IntroductionThis paper examined the relationship between Intimate Partner Violence (IPV) and current modern contraceptive use (MCU) among married women in Uganda.MethodsWe used the 2011 Uganda Demographic and Health Survey (UDHS) data, selecting a weighted sample of 1,307 married women from the domestic violence module. Chi-squared tests and multivariate complementary log-log (clog-log) regressions were used to examine the relationship between IPV and current MCU, controlling for women's socio-demographic factors.ResultsSignificant predictors of current MCU (25.3%) among married women were: women's reported ability to ask a partner to use a condom, number of living children and wealth index. The odds of current MCU were higher among women who could ask their partners to use a condom (aOR = 1.87, 95% CI: 1.26-2.78), had more than one child (aOR = 2.05, 95% CI: 1.07,3.93) and were from better wealth indices for example the richest (aOR = 2.52, 95% CI: 1.25-5.08). IPV was not associated with current MCU independently and after adjusting for women's socio-demographic factors.ConclusionIn Uganda's context, IPV was not associated with current MCU. Interventions to promote MCU should enhance women's capacity to negotiate MCU within union and target women of lower socio-economic status.

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Section: Discussionsupporting

confidence: 91%

Intimate partner violence and current modern contraceptive use among married women in Uganda: a cross-sectional study

Wandera¹,

Kwagala²,

Odimegwu³

2018

Pan Afr Med J

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“…The proportion of married women who were current contraceptive method users was higher in households that had graduated as a model-family than in households that had not yet graduated as a model-family 16. Another assessment in Ethiopia also indicated that the increase in contraceptive use was largely attributable to the HEP 17–19. Findings of studies on other community-based health programs in other countries also support this study.…”

Section: Discussionsupporting

confidence: 75%

The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia

Yitayal¹,

Berhane²,

Worku³

et al. 2014

JMDH

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BackgroundEthiopia has implemented a nationwide primary health program at grassroots level (known as the Health Extension Program) since 2003 to increase public access to basic health services. This study was conducted to assess whether households that fully implemented the Health Extension Program have improved current contraceptive use.MethodsA cross-sectional community-based survey was conducted to collect data from 1,320 mothers using a structured questionnaire. A multivariate logistic regression was used to identify the predictors of current contraceptive utilization. A propensity score analysis was used to determine the contribution of the Health Extension Program “model households” on current contraceptive utilization.ResultMothers from households which fully benefited from the Health Extension Program (“model households”) were 3.97 (adjusted odds ratio, 3.97; 95% confidence interval, 3.01–5.23) times more likely to use contraceptives compared with mothers from non-model households. Model household status contributed to 29.3% (t=7.08) of the increase in current contraceptive utilization.ConclusionThe Health Extension Program when implemented fully could help to increase the utilization of contraceptives in the rural community and improve family planning.

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“…It is a better way to engage men and to get information across to illiterate women. Adequate and regular information on family planning can erode the cultural mindsets on the attitudes towards acceptability of family planning choices particularly in the rural areas (Adebowale, et., 2013;Gurmu and Mturi, 2013;Khan, et al, 2008;Westoff and German, 1995). As part of the outcome of the multivariate analysis provided in our study, recent visit to health facility with or without family planning issues discussed reduces the probability of unmet need among those who visited.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Unmet Need for Modern Contraception and Reasons for Non-use among Married Women in Rural Areas of Burkina Faso

Adebowale

Palamuleni

2014

APS

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Trend and correlates of contraceptive use in rural and urban Ethiopia: is there a link to the health extension programme?

Abstract: When international funders shifted funding priorities from family planning to HIV/AIDS in the mid

Cited by 7 publications

References 17 publications

Intimate partner violence and current modern contraceptive use among married women in Uganda: a cross-sectional study

Intimate partner violence and current modern contraceptive use among married women in Uganda: a cross-sectional study

The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia

Determinants of Unmet Need for Modern Contraception and Reasons for Non-use among Married Women in Rural Areas of Burkina Faso

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