Assessment of the Determinants of Modern Contraceptive Utilization among Currently Married Women of Age between 1549 years in Hadya Zone Mishadistrict ,SNNPR,Ethiopia,2014.
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Date
2014-06
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Addis Ababa University
Abstract
Background: High fertility and rapid population growth have an impact on the overall socio- economic development of the country in general and maternal and child health in particular. Maternal and child mortality are two of the major health problems challenging health care organizations, especially in
developing countries. The major role of family planning is reduction of maternal morbidity and mortality by reducing the number of unwanted pregnancies that might otherwise end in abortion.
Objective: To asses determinants of modern contraceptive utilization among currently married women of age between 15 to 49 years in Hadiya zone Misha woreda, SNNPR, Ethiopia
Methods: A community based cross-sectional survey was conducted from April 1-30/2014. Multistage Stratified sampling technique was employed for the study. Simple random sampling was used to select kebeles and households were selected by systematic sampling techniques. The collected data was entered and analyzed using SPSS version 16.0 statistical packages. Crude and adjusted odds ratios from bivariant and multi-variant analyses were used to measure association between modern contraceptive use
and independent variables. P-value less 0.05 and 95% confidence interval was used to identify potential associated factors.
Results: - In this study 591(98.8%) currently married women of reproductive age group were participated. Almost all of the women who participated in the study 576(97.5%) heard of about modern contraceptive (MC). The current contraceptive prevalence rate in the woreda was found to be 208(23.8%). Among background characteristics, those positively associated with MC utilization during multivariate logistic analysis were urban residents 1.967 times more likely to utilize MC than their counter part [AOR: 1.967 with 95% CI: (1.028, 3.763)]; Women of primary education were 5.139 times
more likely to utilize MC compared to illiterate [AOR: 5.139 with 95% CI: (1.07, 21.885)] and having good knowledge of MC 3.685 times more likely to use compared to poor knowledge of MC [AOR: 3.685
with 95% CI: (2.396-5.670)].
Conclusions and Recommendations: It is concluded from this study that MC utilization is positively associated with urban residence, primary and secondary school achievement of women, having radio, family income of 381-520 birr, and good knowledge of contraceptive methods were significantly
associated with contraceptive utilization. The fear of side effects was one of the major reasons for the discontinuation and non-use of contraception among the study participants. Based on these findings, empowering and encouraging women education, Improve household economic activities, further qualitative and analytic study were recommended.
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Keywords
Contraceptive Utilization ,Married Women