Does Community-Based Distribution (CBD) of Pills increase the Contraceptive Prevalence rate? A Comparative study between CBD and non-CBD areas in Central Tigray, Northern Ethiopia
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Date
1997-12
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Addis Ababa University
Abstract
A retrospective cohort study was undertaken to assess the effectiveness
of Community-Based Oistribution (CEO) of Family Planning services as a
strategy to increase Contraceptive Prevalence rate (CPR) in Central Tigray.
Thirty "Tabias" each from the CBO and the non-CEO areas were chosen; 683
and 676 panicipants from CEO and non-CBO areas respectively were
interviewed. Men and women panicipated in the study were 672 and 687
respectively.
The CPR was fOllnd to be [4.4% in CBO and 4.4% in non-CEO areas
(OR = 3.67; 95% CI = 1.88/ 5.7). Eighty nine percent of the women in CBO
and 82.7% in non-CBO areas (OR = 1.70; 95 % CI = 1.07, 2.7), and 94.1 %
of the men in CBO areas and 87.5 % in non-CBO area (OR = 2.26; 95 % CI
= 1.26, 4. I) knew at least one method of modem contraception. Similarly,
87.3% of women in CEO areas and 79.5% in non-CBO areas (OR = 1.77;
95% CI = 1.15, 2.73), and 92.9% of the men in CBO area and 84.8% of
men in non-CBO areas (OR= 2.33; 95% CI = 1.4, 4.0) approved the use of
family planning.
Among the current non-users who knew about modem contraceptives,
86.4% of the women in CBO and 80.5% in non-CBO areas had a future
intention to use them. Reasons for non-use in both groups were need for more
children, lack or low knowledge, and naturally spacing. Reason for
discontinuation of modem contraceptives use in CBO areas were need to get
pregnant, lack of method choices, and health concerns. With these findings we
coneiude that CBO was effective in raising knowledge, positive attitude towards
FP and CPR.
We recommend that the CBO program has to be strengthened and
extended to other villages of the region. IEC with emphasis on mechanisms to
encourage inter-spousal communication about FP should be expanded and
adequate method mb:es must be available to CBO agents cognizant to their
level of training
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Keywords
Community-Based Oistribution (CEO)