Assessment of Determinant Factors on Preference and Practice of Modern Contraceptive use Among Women of Reproductive Age Groups at Shire Endaslasie Town, Northern Ethiopia, 2011.

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Date

2011-06

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Addis Ababa University

Abstract

Introduction: A woman’s preferences, practice and tolerance for various methods attribute vary according to the type of relations and other aspects of her life. The discrepancy between fertility preferences and contraceptive practice is regarded as an indicator of unmet demand for family planning. So far, it is explained that there is alarming increase in population. Ethiopia is one of the highest ranking countries in reproductive health risk worldwide with a maternal mortality ratio 673 per 100,000 deliveries. Objective: To assess factors determining preference and practice of modern contraceptive use among women of reproductive age groups at Shire Endaslasie town, Tigray Region, Northern Ethiopia Method: A Community based cross – sectional study designs were employed on 367 sample women of reproductive age groups in Shire Endaslasie town in 2011. Stratified sampling techniques were used to select the study subjects. The sample size has been obtained by a single population proportion formula. Three kebeles were selected randomly from all five kebeles in the town. The required sample size was obtained from the sum of all sample population in each kebeles or stratum using systematic random sampling technique. Kth was calculated from each selected kebeles to get the sample of each stratum. After developing a structured questionnaire, pretest was under taken on 10% of the study subjects one week before data collection i.e. 37 mothers on similar and non-selected community. Data was collected from February 01/2011 to21/2011 February days and 15 voluntary kebele oriented outreach workers and above 10 grade data collectors were assigned after appropriate modification of the questionnaire have been done. Then, data was collected through face to face interview using structured questionnaire. Data-entry, cleaning and statistical analysis was done using Version 16 SPSS soft ware. Prior to the study, approval of ethical clearance was obtained from Addis Ababa University, College of health sciences, Department of Nursing and Midwifery and Mekelle Regional health Bureau. Result: A total of 367 study participants were approached; of these 294 (80.1%) respondent use of MCMs but 73 (19.9%) not use of MCMs. Reason for using MCMs the majority of them 170 (57.8%) for child spacing and 112(38.1%) for preventing unwanted pregnancy. Reason for not using MCMs most respondent don’t have sexual partner at present 25 (34.2%). Conclusion and Recommendation: This study have clearly described that women use MCMs after they had higher number children and less desire to limit family size. It recommended that strong behavioral change intervention targeting the high fertility desire of women and MCMs utilization is needed.

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Keywords

Preference, Practice and modern contraceptive Methods

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