Prevalence of Unintended Pregnancy and Child Birth and its Determinants in Harar Town; Ethiopia

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Addis Abeba Universty


Unintended pregnancy and births could have negative consequences for children, for their parents, for their sibling and for the society as a whole. Regardless of the level of health care access and use reducing the number of pregnancies will lower maternal death rates. A descriptive cross sectional study design was used to assess the prevalence and socio demographic determinants of unintended pregnancy and or childbirth in Harar town. The study was carried out in nine kebeles, from three keftegnas of the town. A multistage sampling technique was conducted to select a total of 1000 females of reproductive age group (15-49 years) for interview. A structured questionnaire survey and four-paired focus group discussion were used as the method of data collection. A total of 983 females aged 15-49 years randomly selected women responded to a pretested structured questionnaire designed to illicit information concerning most recent unintended pregnancies, childbirth and induced abortions. Fifty five point six percent of the respondents were currently married, 29.7 % never married, 9.4 % were divorced/separated and the rest 5.3% were widowed. The mean age at first marriage was 18.8(SD=4.5) The majority of the respondents were found to have formal education. Knowledge of contraceptive method showed 96.6 % of the respondents knew at least one method. Among 785 sexually active women 326(41.5%) were reported to be current user of modern contraceptive method 195(33.7%) had ever used MC but 264(24.8%) among viii sexually active women were non-users. The occupational status indicated that 321(32.7 %) were employed including self employment 429(43.6%) were housewives, students constituted 127 (12.9%) and 106 (10.8%) were unemployed Two hundreds twenty-five out of 675 ever pregnant surveyed respondents (33.33%) reported that their most recent pregnancies were unintended. Of these, about half 112 out of 225 reported had unintended childbirth and the rest 113 ended in induced abortion. The prevalence of unintended childbirth constituted about 16.59 % while induced abortion was found to be nearly 16.74 %. Age at first marriage, marital status, education and number of pregnancies, respondents age and economic status were found to be the key predictors of unintended pregnancy or it’s measured outcomes: unintended births and induced abortions. System design and coherent strategy will be very important to meet unmet needs that result in unplanned and unwanted fertility both with respect to strengthen advocacy and increase access of modern contraceptive methods through community distribution and other social organizations as well as empowerment of women which enables them to be decision maker in their sexual and other aspects of life.



Prevalence of Unintended Pregnancy