The Contraceptive Use in Non-Communicable Chronic Medical Illness Among Reproductive Age Women of Having Follow up in TASH, ZMH And SPMMC In Addis Ababa, Ethiopia, 2024
No Thumbnail Available
Date
2024-10-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: Chronic diseases, including heart disease, hypertension, diabetes, cancer, and chronic respiratory conditions, are the leading causes of mortality and morbidity worldwide. Women, who make up 60% of the global poor, face even greater challenges in surviving these conditions due to the impact of poverty. For women with chronic illnesses, unintended pregnancies carry a high risk of severe maternal and perinatal complications, such as congenital abnormalities, preterm labor, spontaneous abortion, premature birth, and fetal death. Ensuring access to contraceptives, especially modern methods, is crucial to enabling these women to have safe pregnancies and avoid pregnancy-related complications.
Objective: - Assessment of contraception use in non-communicable chronic medical illness among reproductive age women of having follow up in TASH, ZMH and SPMMC in Addis Ababa, Ethiopia, 2024.
Methods: -An institution based cross-sectional study design was employed with a total of 361 samples. Simple random sampling method was used to select study units. Descriptive statistics were used for determining practice of contraceptive. Presence and degree of association between outcome and independent variables was computed through bivariate logistic regression analysis. Factors that have ≤ 0.05 significance level of the multivariable logistic regression analysis were considered as statistically significance.
Result: - The utilization of modern contraceptive among study participants having modern contraceptive was 39% [95% CI 0.34,0.44]. The determinant factor for contraceptive use were age of 20-24 years had 7.9 folds increase its contraceptive use (AOR=7.90,95% CI: 3.08, 20.27) and age of 25-29 years had 26.9 folds increase its contraceptive use (AOR=26.95 ,95% CI: 10.16, 71.47), residency of rural were 79% less likely of contraceptive use (AOR=0.21, 95%CI=0.07, 0.60), , ever counselling about FP were 5.9 times increase its contraceptive use (AOR=5.96, 95% CI: 3.01, 11.78) and, Multiparous and grand multiparous were 7.5 and 7.8 times increase its contraceptive use compared to nulliparous respectively.
Conclusion-: The study highlights the relatively lowutilizationofcontraceptives among women with NCDs in Addis Ababa. Education, occupation, counseling, and parity were significant determinants of contraceptive use. Targeted interventions focusing on rural women, those with ix lower education levels, and enhancing counseling services are recommended to improvecontraceptive uptake in this population.
Recommendation - Overall government bodies, NGOs, and healthcare providers should collaborate to create targeted interventions that address the specific needs of rural women, women with chronic illnesses, and high-parity women. Expanding access to education, counseling, and contraceptive services will help ensure that all women have the resources and support they need to make informed reproductive health decisions.
Key words: contraceptive use, chronic medical illness
Description
Keywords
contraceptive use, chronic medical illness