Comparison of Factors Influencing Utilization of Modern Contraceptive Methods among Rural and Urban Women Currently using Family Planning Service in South Wollo Zone, Amhara National Regional State
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Date
2010-07
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Addis Abeba University
Abstract
Abstrac
Background: Utilization of modern contraceptive methods is related to sociodemographic,
reproductive and fertility factors. Previous studies concentrated on
identifying these and other determinant factors in rural or urban but it is unclear whether
the magnitude of these factors in rural and big urban population similar or not.
Objective: The objective of this study is to assess and compare factors influencing
utilization of modern contraceptive methods among rural and urban women currently using
family planning service in South Wollo Zone, Amhara Region.
Methods and materials: Health facility based comparative cross-sectional study was
conducted in Dessie town, Jamma and Wereilu Weredas of South Wollo Zone from
February to March-2010.The Two rural Weredas were selected from the ten remote
weredas located in the western part of the Zone by using simple random sampling methods.
All health centres and one potential health post per weredas were the study unit. After
obtaining permission to proceed from all level of relevant bodies, data were collected by
trained health workers using pre-tested interviewer administered close ended questionnaires
from 534 women who visit 12 health facilities as current MCM users. Data were entered
and analysed using SPSS Soft Ware.
Result. Rural women use modern contraceptive methods for the first time on average after
they had 3 children and only (4.5%) of users before the first child as compared to urban
users after they had 1.4 children and (24.3%) before the first child. Desire to limit family
size by rural users less (25.8%) than (31.5%) urban users. Decision making to use modern
contraceptive by rural users less (21.7%) than urban users (25.5%).(90.3%) of rural and
(86%) of urban users had past history of pregnancy. Rural women whose perceived
economic status as average were three times more likely to practice modern contraceptive
as compared to urban women.
Conclusion: This study has clearly described that rural women use modern contraceptive
methods after they had higher number of children and less desire to limit family size as
compared to urban women. It is recommended that strong behavioural change intervention
targeting the high fertility desire of rural women and modern contraceptive methods
utilization is needed.
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Keywords
Contraceptive Methods,Women,Family Planning