Trend and Determinants of Intention to Use Family Planning in Ethiopia

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Addis Ababa University


Family planning (FP) is defined as the ability of individuals and couples to attain their desired number of children and the spacing and timing of their births. It is a means of promoting the health of women and families and part of a strategy to reduce the high maternal, infant and child mortality. The prevalence rates of contraceptive use tend to be higher in developed countries than in developing countries. Among developing countries, the rates of contraceptive use vary widely. Sub-Saharan Africa had the lowest prevalence rate of contraceptive use even when compared to other developing regions, such as those in Southeast Asia. Ethiopia is one of the sub-Saharan African countries with highly population growth rate. To reduce high population growth rate in Ethiopia, the intention to use for family planning status of women needs to be increased. The main objective of this study was to explore trend and identify determinant factors of intention to use of family planning in Ethiopia. The data from six survey year rounds of the Performance Monitoring for Action (PMA) surveys, which were undertaken from year 2014 to 2019, were used. Multilevel (two-level) logistic regression models were employed to identify the major risk factors of intention to use for family planning. The results of the multilevel logistic regression revealed that, place of residence, marital status, age group, media exposure, discussion with partner about family planning, literacy and wealth index were found significant determinants on intention to use for family planning. Intention to use for family planning was 42.06%. The respondents having media exposure (AOR=1.262; 95% CI: 1.198, 1.330), literate (AOR=1.780; 95% CI: 1.679, 1.885 and single or unmarried (AOR=4.228; 95% CI: 3.955, 4.521) were more likely to had intention to use for family planning compared to their counterparts. Therefore, it is recommended that providers and programmers should continue the promotion increasing family planning knowledge through mass media.



Trend, Determinants of Intention, Use Family Planning, Ethiopia