Geographical variation and factors influencing modern contraceptive use among married women in Ethiopia: evidence from a national population based survey
Open Access
- 26 September 2013
- journal article
- Published by Springer Science and Business Media LLC in Reproductive Health
- Vol. 10 (1), 52
- https://doi.org/10.1186/1742-4755-10-52
Abstract
Background Modern contraceptive use persists to be low in most African countries where fertility, population growth, and unmet need for family planning are high. Though there is an evidence of increased overall contraceptive prevalence, a substantial effort remains behind in Ethiopia. This study aimed to identify factors associated with modern contraceptive use and to examine its geographical variations among 15–49 married women in Ethiopia. Methods We conducted secondary analysis of 10,204 reproductive age women included in the 2011 Ethiopia Demographic and Health Survey (DHS). The survey sample was designed to provide national, urban/rural, and regional representative estimates for key health and demographic indicators. The sample was selected using a two-stage stratified sampling process. Bivariate and multivariate logistic regressions were applied to determine the prevalence of modern contraceptive use and associated factors in Ethiopia. Results Being wealthy, more educated, being employed, higher number of living children, being in a monogamous relationship, attending community conversation, being visited by health worker at home strongly predicted use of modern contraception. While living in rural areas, older age, being in polygamous relationship, and witnessing one’s own child’s death were found negatively influence modern contraceptive use. The spatial analysis of contraceptive use revealed that the central and southwestern parts of the country had higher prevalence of modern contraceptive use than that of the eastern and western parts. Conclusion The findings indicate significant socio-economic, urban–rural and regional variation in modern contraceptive use among reproductive age women in Ethiopia. Strengthening community conversation programs and female education should be given top priority.This publication has 15 references indexed in Scilit:
- National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysisThe Lancet, 2013
- Married women's decision making power on modern contraceptive use in urban and rural southern EthiopiaBMC Public Health, 2011
- Brucella spp. infection in large ruminants in an endemic area of Egypt: cross-sectional study investigating seroprevalence, risk factors and livestock owner's knowledge, attitudes and practices (KAPs)BMC Public Health, 2011
- Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5The Lancet, 2010
- Contextual influences on contraceptive use in the Eastern Cape, South AfricaHealth & Place, 2008
- Contextual Influences on Modern Contraceptive Use in Sub-Saharan AfricaAmerican Journal of Public Health, 2007
- Use of Modern Contraception by the Poor Is Falling BehindPLoS Medicine, 2007
- Contraceptive prevalence in Dembia District, northwest EthiopiaEthiopian Journal of Health Development, 2006
- Education and fertility in sub-Saharan africa: Individual and community effectsDemography, 2002
- Bringing context back into epidemiology: variables and fallacies in multilevel analysis.American Journal of Public Health, 1998