Barriers to access to Modern Contraception
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Date
1988-02
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Publisher
Addis Abeba Universty
Abstract
This study IJas pro mpt. e d by a rf'p o rt on mat ", rnn] mortal i t~ ...
F.lsRoc l nted 'hi; t h ::\ hi rt h nllmhf'r n f nhnrtionR dll 0. t.o lIn\·lI\ nt, ,.. r-j
pr pg n a n c ies, 11 persi strnt hi I( h hi rth rat.e, and th" larg"
number of poo rl y spaced pregnanci es . Th e ai m of t h is st.ud"IJas
to analyze the use and th" barriers to use of ~ I o dern
Co n trace pt ive met h ods a nd to ""amine the o ut. en mp () f
un<mnted pregnancies . Several h ypot hpsi s associated IJi th
the barri ers to the use o f ~ C were tested .
A community b ased s urv e~ , was cnr ri ed out fr om 15 Septpmbe r
to 2 October 1987. Th e s tu d"' ; n '-n ho ed t h e u se o f a
questionnaire a nd inten-i",,· . The field staff vi s i ted 50 7
hous ing units, compr ising o f 675 " om" n aged 15-49 years .
Th e an o n ymous da ta fr om eRch q lJestio nn ni r r was entered
e l ec tronically usi n g a n 10M - cnmpatih l c mi c rocomputnr and
t h e analysis \Jas carried out lIsi ng the ~ I i c ro s t.nt. a nd SPSS
softwar e pac k ages .
Among 675 women i nt. e r vie"· ,,d 71 prr c,pnt. o f tiwm hnd "i t h"r
t he desire f o r I,n ow l edge o r h ad knowl p dg p o f familS
pl a nning. The contr acep ti ve prC'vnl p nre r ntp fr om Ih e study
group, f or t hose who harl evpr \ls~d morip rn cnn trn r.pption t.J n c;
25 %, and f o r those Cll r r'ent l~' llsing. Fl1r t.h r.-rmnrc I 5 J% of
the women also e ith e r dps ired to li SP or were c urr e ntly
us ing Modern Contraeeption . The o ra] C' nnlrn"ppt i '-" m('lh od
was b y f a r t h e most pOp" ] a r and most llti lized h >- t h e stud:v
group (66 %) . The preferred s ources for most. o f the wome n
we r e MOH h e al t h institutions.
In t hC'! study gr oup tilosC! Hho 1l :lrJ r'o!'m :l l ,, !I1 1t-;\1 i nn, hi ...; h01~
eco nomi c and b e t tp r oC('\lpnt.ionr-t] c:;ti'1tl l ~, mnrripd ilnd
yo unger age group t"ere u s in g the nl tl d n rn rontr:1rr:p t inn mn r p
ofte n than their counte r parts .
Am 0 n g 1 68 w 0 men h' h 0 ~ \ ' ("' r I I ~ r (1 m 1l rl r r n ;' (' n t- ,- i\ r r> p t i n n t
ei ghteen o f them be c- a mr prC' ~ nant· "hi I e' l lsi n g morlf' rn
c ontracept.ion . Th e fni l l1 rc- o f thr mr· t h nd ,;~ s h i,, " " s t " it.h
co n d 0 m 5 (25 %), f 0 I J 0" p d h >- I 11 h" ] I i 0; n tin n i l 2 X. I, 0 r n I
contracept i ve methods (IIX. ) and TUDS I <) r.,) .
Among ·169 women h'hn hrf':1111(, r1·1""'[1l1nnt
i nduc e rl abor'ti0n o f ,;ili eh 1-2 rtipd .
Th e e~ti m [1ted IDat e rn<11 mort(1] i t~· r ntl":> h' a s 7 I r q rr r 10 r.O
li ve birth s . Th 8: n nl ~,' q ll!rl~' n il rn~t' rrn~ll Inn rt' " l i +' III
Eti1iopin S tl g~p~ts thr r'nt-r tn t, r"' I : I' / I(I() I' li\'("> hir l- hs .
The main rp.asons f nr not 11;::,. in~ mf"' (I,.....- 11 rn n'"r,r pp t in n t:r rr
irlf'nti fied:
I ,-
la c k of f:::tctU;ll i~ · !'or m;\ t i n il :11")(1 d(~si rr for
additional c hildr e n (12 %) .
fea r of f.'ont.rnr·rpti.ve pnmpli ,· :\!· in n s (~%).
misco nception s o r f31~('1 jdf" n~. nhollt. PP (()%)
opposition by th~ mnl ~ pnrtnrrs a nd
Religious/ Culturn] tabons (~% each).
Generally, the age of first interrnllrse was "ery close to
the start of menarc hf'. Tf'n p"r c(' nt: nf cas p !,; , hnd i nt."rcourse
b e fore menR.r c he. l'urthf'rm nrf' , "h"n Ino lting "t t.h"
relationship of the age nf thO" '''om" n "hpn the~- had their
first child and th"ir first int."r ro "r "~ anr:! m"nnrrIH', we
see adol e sc e nt women w"r" at ri ,, ), f o r prpgnancy Rnd t.pmpt.prl
to have an ill ega l abortion . Cnnsirlf'ring that many have
not ye t established a fami 1 ~- or m"'~' sti 11 be in sc h oo l,
significant problems can he expec t ed for thps" adolescents.
In addition,
also detailed
the role nf
and finally
th" "pn"!';,, 1 n ram i h - P] nnni ng i s
the so luti on!'; f o r better serv i ces
are indicate d in t he di !';r ll "s ion .
Of the tested h ypoth"",,,,, n )l 'Jf're r nnfirmer:! cxcept
h~' pothesjs four "hich 'Jas rclnt en In th e r e lat.i o nship o f
tl.e ~ri"ate v endo r s nf cont. ra rrp ti vrs . It h nd h prn
hypoth esizc r:! t. hat gr p nter nUI1,h"r" "ith o r without
presc ripti o n 'Jould be ohtaininl t l,rm fr om private source s .
This was not so.
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Keywords
Barriers to access to Modern Contraception