Unmet need for modern contraception and associated factors among reproductive age group women in Eritrean refugee camps, Tigray, north Ethiopia: a cross-sectional study

Gebrecherkos, Kidane; Gebremariam, Brhane; Gebeyehu, Abebaw; Siyum, Hailay; Kahsay, Gizienesh; Abay, Mebrahtu

doi:10.1186/s13104-018-3956-7

Cited by 24 publications

(23 citation statements)

References 11 publications

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“…On the other hand, this finding is relatively higher than other findings done on Dhaka street dwellers (34.5%); Rajasthan slum dwellers (24%); Eritrean refugee camps (26%); migratory/slum dwellers of Karnataka, India (32%); and North West Ethiopia (34.3%) [ 23 , 31 – 34 ]. It could be due to pregnant women being included previously which could decrease the prevalence of contraceptives and the time gap between the studies.…”

Section: Discussioncontrasting

confidence: 57%

Modern Contraceptive Utilization and Determinant Factors among Street Reproductive-Aged Women in Amhara Regional State Zonal Towns, North West Ethiopia, 2019: Community-Based Study

Gashaw

Aynalem

Yismaw

et al. 2020

International Journal of Reproductive Medicine

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Objective. Reproductive-aged women living on the street, with no doubt, are with lesser benefits of exercising their reproductive rights. Pregnancies from this marginalized population are likely to be unplanned, unwanted, and unsupported. The aim of this study, therefore, was to assess modern contraception utilization and associated factors among street reproductive-aged women in Amhara regional state zonal towns. Method. A community-based cross-sectional study was conducted among street reproductive-aged women in Amhara regional state zonal towns. A single population proportion formula was used to calculate the sample size, a similar literature-based tool adaptation was done, and a semistructured, pretested sectioned questionnaire was used. Cluster sampling technique was used to reach the study participants. Data was entered into Epi Info version 7 and exported to SPSS version 23 for analysis. A multivariable logistic regression model was fitted to control the possible effect of confounders, and finally, the independent variables were identified on the basis of OR, with 95% CI and p values less than 0.05. Results. 604 street reproductive-aged women were interviewed in the study which make the response rate 94.2%. The study revealed that current modern contraceptive utilization among the study participants was found to be 38.9%. Having history of pregnancy in street life ( AOR = 1.70 , 1.1-2.7), having three or more live children ( AOR = 6.4 , 2.0-20.4), undesiring to have additional children in the future ( AOR = 2.7 , 1.4-5.1), mentioning three to four ( AOR = 2.2 , 1.5-3.3) and five or more modern contraceptive types ( AOR = 5.5 , 1.4-21.0), and discussion with sexual partners for contraceptive use ( AOR = 6.6 , 4.3-10.1) were variables significantly associated with modern contraceptive utilization. Modern contraceptive utilization among the street reproductive-aged women was low. Authors suggest that awareness creation and male partner involvement in the maternal services may be important to increase contraceptive utilization.

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Section: Discussioncontrasting

confidence: 57%

Modern Contraceptive Utilization and Determinant Factors among Street Reproductive-Aged Women in Amhara Regional State Zonal Towns, North West Ethiopia, 2019: Community-Based Study

Gashaw

Aynalem

Yismaw

et al. 2020

International Journal of Reproductive Medicine

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“…Studies on the effect of women's attitudes on PPFP intentions are scarce. In general, positive attitudes towards FP have been associated with postpartum contraceptive use among expectant inner-city women in the United States [27], use of long-acting and permanent contraception in Southern Ethiopia [28] and contraceptive use in Nepal [29], while unfavorable attitudes towards modern contraceptive methods has been found to impede demand for contraception and to be significantly associated with unmet need for FP [30]. Similarly, positive attitudes towards condom use had significant direct effects on condom use intentions and/or actual use [31][32][33][34][35].…”

Section: Plos Onementioning

confidence: 99%

Perceived norms, personal agency, and postpartum family planning intentions among first-time mothers age 15–24 years in Kinshasa: A cross-sectional analysis

2021

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Unintended pregnancy is an important global health problem and frequently occurs during the immediate postpartum period. However, few studies have examined postpartum family planning (PPFP) intentions among adolescent girls and young women. This study assessed whether perceived norms and personal agency predicted PPFP intentions among first-time mothers age 15–24 in Kinshasa, the Democratic Republic of Congo. Data were derived from the 2018 Momentum Project baseline survey. Analysis was based on 2,418 nulliparous pregnant women age 15–24 who were approximately six months pregnant with their first child in six health zones of Kinshasa. Overall PPFP intentions were low and ten to thirteen percent of women stated they were very likely to discuss PPFP next month with (a) their husband/male partner and (b) a health worker, and to (c) obtain and (d) use a contraceptive method during the first six weeks following childbirth. The results of multivariable linear regression models indicated that the PPFP intention index was predicted by description norms, perceptions of the larger community’s approval of PPFP, normative expectations, perceived behavioral control, self-efficacy, and autonomy. Rejection of family planning myths and misconceptions was also a significant predictor. Interaction terms suggested that the association of normative expectations with PPFP intentions varied across ethnic groups and that the positive association of injunctive norms with PPFP intentions was significantly increased when the larger community was perceived to disapprove of PPFP use. Normative expectations and PPFP-related self-efficacy accounted for two-thirds of the variance in PPFP intentions. The results suggested that understanding different normative influences may be important to motivate women to use contraception in the immediate postpartum period. In addition to addressing institutional, individual, and social determinants of PPFP, programs should consider integrating norm-based and empowerment strategies.

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“…The studies were conducted from 2011 to 2019 in different region of the country. Among 9 studies five of them [8,10,11,13,19] were conducted in Amhara, two study [14,20] were in Tigray, and the other 2 studies [9,12] were in other region of the country. All studies were crosssectional study conducted among married women, reproductive age women, and extended postpartum women in Ethiopia.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The study with minimum and maximum sample size was conducted in Oromia and Southern Nations, Nationalities, and peoples' region, respectively [9,12]. In addition, out of all studies enrolled in this meta-analysis five studies [8-10, 14, 19] were conducted among married women, three studies were conducted among reproductive age group women, while the remaining study [11][12][13]20] were conducted among extended postpartum women ( Table 1).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Unmet need for family planning in Ethiopia and its association with occupational status of women and discussion to her partner: a systematic review and meta-analysis

Worku

Mittiku

Wubetu

2020

Contracept Reprod Med

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Background Unmet need refers to fecund women who either wish to postpone the next birth (spacers) or who wish to stop childbearing (limiters) but are not using a contraceptive method. Many women who are sexually active would prefer to avoid becoming pregnant but are not using any method of contraception. These women are considered to have an unmet need for family planning. Therefore, the objective of this systematic review and meta-analysis is to estimate the pooled prevalence of unmet need for family planning and its association to occupational status of women and discussion to her partner among fecund women in Ethiopia. Method A systemic review and meta-analysis was conducted using published and unpublished research on the prevalence of unmet need for family planning and its association to occupational status of women and discussion to her partner among fecund women in Ethiopia. Data extraction was designed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were accessed through electronic web-based search from PubMed, Cochrane Library, Google Scholar, CINAHL, and Embase. All statistical analysis were done using STATA version 14 software using random effects model. The pooled prevalence was presented in forest plots. Results A total of 9 studies with 9785 participants were included, and the overall pooled estimated prevalence of unmet need for family planning among fecund women in Ethiopia was 34.90% (95% CI: 24.52, 45.28%). According to subgroup analysis the estimated prevalence of unmet need for family planning in studies conducted in Amhara was 32.98% (95% CI: 21.70, 44.26%), and among married women was 32.84% (95% CI: 16.62, 49.07%). Additionally, housewife women were 1.6 times more likely have unmet need for family planning compared to government employed women (OR: 1.6, 95% CI: 1.29, 1.99). Moreover, women who don’t discuss to partner were 1.87 times more likely to have unmet need for family planning compared to women who had discussion to her partner (OR 1.87; 95% CI: 1.52, 2.31). Conclusion The analysis revealed that the overall prevalence of unmet need for family planning among fecund women in Ethiopia was high. Family planning programs should identify strategies to improve communication in family planning among couples and to ensure better cooperation between partners.

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Unmet need for modern contraception and associated factors among reproductive age group women in Eritrean refugee camps, Tigray, north Ethiopia: a cross-sectional study

Cited by 24 publications

References 11 publications

Modern Contraceptive Utilization and Determinant Factors among Street Reproductive-Aged Women in Amhara Regional State Zonal Towns, North West Ethiopia, 2019: Community-Based Study

Modern Contraceptive Utilization and Determinant Factors among Street Reproductive-Aged Women in Amhara Regional State Zonal Towns, North West Ethiopia, 2019: Community-Based Study

Perceived norms, personal agency, and postpartum family planning intentions among first-time mothers age 15–24 years in Kinshasa: A cross-sectional analysis

Unmet need for family planning in Ethiopia and its association with occupational status of women and discussion to her partner: a systematic review and meta-analysis

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