Differentials in Use-Effectiveness of Contraceptives in Dale Woreda, South Ethiopia
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Date
1994-05
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Addis Ababa University
Abstract
Global population is increasing at an alarming rate
and Ethiopia is contributing 1.5 million persons / year.
The pyramid shaped age structure of the population as in
most developing countries is a prima facie evidence of
high fertility and imminent population explosion.
Single and multiple decrement life table techniques
were used to analyze pattern of acceptance and use
effectiveness of contraceptive methods in Dale Woreda
Yirgalem Family Planning Project, Ethiopia. The
majority of acceptors (59%) never had formal education.
Substantial percentage (79%) of acceptors were in the age
group 20-34. Continuation rate was high 94.1% for
pill, ( 97.1%) for injectable, (82.6%) for other methods and
(95.1%) for all methods combined. Single decrement life
table technique showed that educational status, number of
living children and husband's attitudes were found to be
important factors for high continuation rates. FOCUS
group discussion identified very poor, and in some cases
non existent service as a barrier preventing many clients
from using IUDs and VSC.
A relatively high use of contraception by rural
areas (62 .8%) compared to (36.1%) urban showed a
substantial penetration o f the rural areas by the
program. The paper argues that given the proper time and
effort, contraceptive practices may prove effective in
controlling population growth rates.
The study concludes by establishing a strong case for a
wide and integrated family planning programs that
emphasize on effective methods with a high rate of
acceptance and continuation.
considerable effort will have to be devoted to increasing
the availability of FP services particularly
It is recommended that a community based operational
research should be conducted to provide strong evidence
and substantial conclusion
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Differentials in Use-Effectiveness of Contraceptives