Utilization of Family Planning Services and Influencing Factors Among Women of Child Bearing Age in Assosa District, Benishangul Gumuz Regional State, West Ethiopia

Abstract

Background: Nearly all (99%) of maternal death occur in the developing countries. However, family planning (FP) could prevent as many as one in every three maternal deaths by allowing women to delay motherhood, space birth, avoid unintended pregnancies and abortion and stop childbearing when they reached their desired family size. Objective: To assess utilization of family planning services and influencing factors among women in Assosa District. Methods: A community based cross sectional study was conducted from May 17 -31, 2012 on the selected samples of 536 women who had at least one delivery in the five years prior to the study using simple random sampling technique. Structured questionnaire, FGD and indepth interview guide were used to collect data. Data were analyzed by using SPSS version 16.0. Binary logistic regression was used to determine the association between dependent and independent variables. Results: Out of the 525 study subjects 339(64.6%) women were currently using any method of contraceptive. Factors influencing utilization of family planning services were attending grade 7 and above [AOR= 2.19, 95% CI: 1.11, 4.33], being knowledgeable on family planning service [AOR= 3.9, 95% CI: 1.36, 8.48], having favorable attitude towards family planning service [AOR= 2.16, 95% CI: 1.45, 3.23] and availability of family planning service [AOR= 4.33, 95% CI: 1.5, 12.46]. Conclusion: This study revealed that family planning services were relatively better; they are still low as compared to national HSDP IV target. Educational status, knowledge on family planning, attitude towards family planning services and availability of family planning services were identified as factors affecting current utilization of family planning service. Providing IEC and house-hold level discussion on the important of family planning service utilization in the district is recommended.

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

“…In this study, 707 (92.42%) of respondents ever used either of the modern FP methods. This finding is consistent with several studies [18][19][20].…”

“…In our finding, majority of them ever used injectable 656 (92.79%) and none of them used spermicidal and male sterilization and 82.61% of them were using either of FP methods during the time of data collection; mainly of injectable 76.9% and 2 mothers were permanently sterile, none of them were using condom, spermicidal and male sterilization as method to prevent pregnancy. The finding of this study coincide with study conducted in Mekele city and Assosa district among married women; majority of them ever used and have been using injectables and pills [19][20][21] and this was too much higher than a population based study in Mojo town which reported that from 551 respondents nearly 34% of them have ever practiced one form of FP methods during their life [16] and the study from South Central Ethiopia in which Current contraceptive prevalence rate was 25.4% (95% CI: 24.2, 26.5) [17] and this difference mainly might be attributed to expansion of health facility, increased Information, Education and communication (IEC) on FP methods which creates awareness and increased service seeking behavior in this study. Unlike the above disparities; the finding of this study yields closer result to a study conducted in the Dangila and Assosa zone [18,19].…”

“…Many reasons were mentioned among users for low utilization of FP methods in Ethiopia [19]. Therefore, understanding the various factors contributing to low family panning utilization is vital.…”

“…A sample size of 801 was determined from three randomly selected Districts in the zone by using a formula for estimation of single population proportion with the assumption of 95% confidence level, margin of error of 5% and taking proportion of Family planning 61.6% to obtain maximum sample size (19) and design effect of 2. In addition, non-response rate of 10% of the determined sample was added up on the calculated sample size and then, the total sample size of 801 was enriched.…”

Magnitude and predictors of antenatal care (ANC) completion among mothers attending delivery and post-natal service in Jimma town, Oromia Region, South West Ethiopia

“…The finding was also consistent with study conducted in Enderta district, Tigray, who reported, women who had completed secondary school and above were 2.5 times more likely to complete ANC service than illiterate women (Aregay et al, 2014;Gurmesa, 2009). Study conducted in Yem spatial woreda also reveals that mothers who learn secondary and above were 3.9 times more likely to utilize ANC service (Amentie, 2015;Desalegn et al, 2014).…”