Characteristics Influencing Usage of Modern Contraception.
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Date
1989-05
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Addis Abeba Universty
Abstract
A case control study has been conducted in Tegulet and Bulga Awraja/district, Northern Shoa Administrative Region. The purpose of the study was to assess the various characteristics influencing modern contraception usage among users as compared to never-users and dropouts from family Planning clinics. A total of 848 women ages 15 - 49 were interviewed. Among these, 41.4% were users while 42.1% and16.5% was never-users and dropouts, respectively. In addition, husbands of 150 users, 115 never users and 49dropouts were interviewed. EKaminat ~ on of the various socio-demographic and reproductive characteristics showed significant differences in most of the variables between users and never-users. compared to never-users, users were older (mean age 27.1years versus 25.9 years), more likely to be married (56%versus 47 %) or divorced (31% versus 25%), have a higher mean educational level (grade 5.3 versus 4.8), are more likely to work outside the horne for cash payment (43% versus 28%),belong to the high income class (30% versus 17%) and have more children (2 live-children or more) (72% versus 45%).The vast majority of users ( 95%) scored 3 and above in modern contraception knowledge whereas only 51% of the ever-users scored so high. Ninety percent of the users' husbands scored 3 and above on modern contraceptive knowledge while only 71% of never-users' scored this high.A higher approval of modern contraception and sex education to school children was seen among users' husbands (99% and88%, respectively) as compared to never-users (77% and 74%,respectively). Husband-wife communication on family planning was significantly higher among users (41%) than never-users (15%).Of the variables tested between users and dropout’s very few significant differences were demonstrated. Current users had used modern contraception for a mean period of23.5 months while dropouts had used it for a mean period of17.9 months. A higher proportion of dropouts were found to be dissatisfied with the method re fil l interval compared to users (1 9% versus 10%).J Multiple regression showed that of the variables measured, the number of pregnancies a woman had had, modern contraception knowledge and age, were the main predictors of usage of modern contraception (R2 = .13).Desire to have more children (40%), having no husband/sexual partner (19%) and fear of adverse effects of modern contraceptives (15%) were given as the major reasons for nonuse of modern contraceptives by the never-users. Dropouts cited the desire to have additional children ( 27% ), becoming pregnant (21%), fear of adverse effects of modern contraceptives (21%), no method refill (12%) and husband opposition (7%) as the major reasons for discontinuation of modern contraception. Recommendations have been given based on the outcome of the study.
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Modern Contraception