Prevalence of Unwanted Pregnancy and Associated Socioeconomic and Demographic Factors among Pregnant Women Attending Antenatal Care Services in Selected Public Health Centers of Arada Subcity, Addis Ababa, Ethiopia, 2021
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Date
2021-10
Authors
Adane, Masreshaw
Journal Title
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Publisher
Addis Ababa University
Abstract
Background of the study: Unwanted pregnancy is one of the demographic problems that create
maternal death, abortion, low birth weight, preterm birth and infant mortality, unsafe abortions, and
poor maternity care in developing countries like Ethiopia.
Objective: To assess the prevalence of unwanted pregnancy and associated socio-economic and
demographic factors among pregnant women attending Antenatal care services in selected public
health centers of Arada sub-city, Addis Ababa, Ethiopia, 2021.
Method: An institutional-based cross-sectional study design with mixed (quantitative and qualitative
approaches) was used. The study was conducted between May and June 2021. Systematic random
sampling technique was used to select the study subjects. The sample size determined for the study was
314. A standardized interviewer-administered questionnaire was used to gather information from study
participants. Data were cleaned, entered into, and analyzed by Statistical Package for Social Sciences
(SPSS) version 24. Descriptive statistics such as frequencies, percentages, and crosstabs were used to
describe the variables of interest. Furthermore, logistic regression including bivariate and multivariate
analysis was used to identify the determinants of an unwanted pregnancy. Results are presented in
tables, texts, and figures.
Results: A total of 308 pregnant women participated in the study making the response rate 98%.
Among respondents, unwanted pregnancy was found to be 30.2% while 69.8% of the pregnancy was
wanted. Those who had missed contraceptive pills AOR [0.257 (0.086, 0.768)], respondents who are
married women AOR [10.09 (1.81, 56.16)] and respondents who had higher education AOR [0.14
(0.03, 0.70) were significantly associated with an unwanted pregnancy (p<0.05).
Conclusion and Recommendations: The prevalence of unwanted pregnancy was (30.2%) in the study
area. This indicates unwanted pregnancy is a major demographic, socio-economic, and reproductive
health problem. So, this study's finding was lower than the study conducted in Addis Ababa 37.8%,
36%, and higher than EDHS 2016 25%. According to the findings of this study marital status,
educational status, occupation, and missed contraceptive pills were significantly associated with an
unwanted pregnancy. So, there is a need to creating awareness on sexual and reproductive health,
increasing the accessibility of maternal health services for women to reduce unwanted pregnancy.
Description
Keywords
Unwanted pregnancy, Antenatal care, maternal health, Demographic factors, socioeconomic factors.