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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/14731
Title: MEASURING UNMET FAMILY PLANNING NEED DIFFERENCES AND LEVELS OF AGREEMENT BETWEEN HUSBAND AND WIFE, GEDEO ZONE, SNNPR
???metadata.dc.contributor.*???: Dr Abera Kumie (MD, MSc, PhD)
Wubegzier Mekonnen (MSc)
YOSEPH TSEHAYE
Keywords: Ethiopia’s population has been growing rapidly in recent years
Issue Date: May-2011
Abstract: ABSTRACT Background: - The total fertility rate of Ethiopia was 5.4 with 34 percent unmet needs for family planning. Although the contraceptive prevalence rate among women of reproductive age (15-49 years) has doubled during the last ten years, it still remains very low. This may indicate the existence of some barriers that prohibit couples from using family planning even if they desire to limit or delay births in 2005 in Ethiopia. Objective: - To assess the magnitude of unmet family planning need differences and levels of agreement between husband and wife, Gedeo Zone, Southern Nation and Nationality People Region. Methods: - A cross-sectional comparative, community based study was conducted in Gedeo zone. The data were collected between 20 January and 15 February 2011. Wonago wereda and Yirgacheffe town administration were selected by simple random sampling method. Using random sampling technique, a total of 254 wives and 254 husbands in six rural and three urban kebeles were selected for the study. A structured pre-tested standard questionnaire was used for data collection. Data entry, cleaning and analysis were done using the EPI INFO version 3.5.1 and SPSS version 19 statistical package. Statistical tests such as Chi -square, logistic regression was used and also level of agreement amongst spouses was analyzed using Kappa statistics. Results: Unmet need for family planning was 39.4% for wives and 11.4% for husbands. The difference was seen both in unmet need for spacing (28.8% for wives vs. 8.3% for husbands) as well as limiting family size (10.6% for wives vs. 3.1% for husbands). Overall, the observed concordance was 51.49% for contraceptive use, 72.05% for unmet need, 92.9% for ideal number of children and 96.85% for contraceptive attitude. The kappa statistic varied from a low of 0.062 (P<0.004) for ever use of contraception to a high of 0.887 for ideal number of children with contraceptive attitude 0.802 (P<0.000), unmet need 0.331 (P<0.000) and current use of contraception 0.122 (P<0.000). Conclusion: Unmet need for family planning was significantly higher for wives compared to husbands and overall, a greater degree of agreement was observed regarding reproductive health events, family planning attitudes and unmet need. It is also evident that increasing awareness and acceptance of contraceptive use among women is not enough, the study recommends developing an effective family planning program intervention to involve men in the Reproductive Health/Family Planning (RH/FP) programs and raise awareness among both men and women.
Description: A thesis submitted to the School of Graduate Studies Addis Ababa University in partial fulfillment of the requirements for Master of Public Health
URI: http://hdl.handle.net/123456789/14731
Appears in Collections:Thesis - Public Health

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