Prevalence of contraceptive utilization and associated factors among unmarried female adolescent’s aged15-19 years in butajira, Ethiopia.
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Date
2019-11
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Addis Abeba University
Abstract
Background: Globally adolescents are facing a range of sexual and reproductive health problems
like unwanted pregnancy, unsafe abortion, STI including HIV. In addition, uptake of
reproductive health services among adolescents remains low. Several factors are implicated for
poor uptake of contraceptive methods among adolescent girls. However, adolescents’ mother
knowledge and attitude towards contraceptive methods on adolescent contraceptive utilization
has not been adequately studied.
Objective: To assess the prevalence of contraceptive use and associated factors among
unmarried female adolescents.
METHODS: A community based cross-sectional design with both quantitative and qualitative
methods was conducted in Butajira South Central Ethiopia with a sample size of 491 unmarried
female adolescent and their mothers. A multi stage sampling technique was used. Interviewer
administered pre-tested structured questionnaire and interviewer topic guide was used to collect
data for quantitative and qualitative respectively. The data was entered into Epidata and exported
to STATA for analysis. The quantitative data analysis includes descriptive, bivariate and
multivariate logistic regression analysis. Content analysis was use to analyze the qualitative data.
Result: A total of 491 unmarried female adolescent & their mothers were approached of which
450 gave consent to participate in the study giving a response rate of 90.4%. The prevalence of
contraceptive use among sexually active adolescent was 43(15.2%). A unit increase in
adolescents’ mothers knowledge score on contraceptive methods is associated with an increase in
the odds of ever use of contraceptives among adolescent by 1.32 [AOR=1.32: (95%CI: 1.121.46)].
Furthermore ever use of contraceptive was found to be significantly associated with
adolescents age [AOR=3.8 (95% CI: 1.33, 10.8)] and adolescents knowledge on contraceptive
[AOR=1.23 (95%CI: 1.12-1.47)]. Our qualitative findings showed that majority of adolescents’
mother do not advise use of contraceptives by their adolescent girls.
Conclusion and Recommendation: Prevalence of contraceptive utilization among unmarried
sexually active adolescent in BHDSS was low and maternal knowledge of modern contraceptive
was found to be significantly associated with adolescent’s contraceptive use. Therefore Policy
makers and programmers should strengthen different programs to improve contraceptive
utilizationamongadoelscents.
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Keywords
Contraceptive method,Contraceptive utilization ,unmarried female