Assessment of Factors Influencing the Utilization of modern Contraceptive Methods among Women in the Reproductive Age Group in Angolela and Tera District, North Shewa Administrative Zone, Amhara National Regional State
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Date
2006-06
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Addis Abeba Universty
Abstract
Background - Ethiopia is one of the most populous countries in Africa where only less than
23% of women in the reproductive age group are currently using modern contraception. The
objective of this study was to assess factors influencing the utilization of modern
contraception among women in the reproductive age group in Angolela and Tera District of
the North Shewa Administrative Zone in the Amhara National Regional State which is
located 110 kms north of Addis Ababa.
Design and Methods - This study was an institution based un-matched case-control
study in which four health facilities were selected from the existing six health facilities in
the district using the lottery method. The target population was women in the
reproductive age group (15-49 years). Two hundred and eighty five registered modern
contraceptive users (cases) from the selected four health facilities and the same number
of women not using modern contraception (controls), visiting the same health facilities
for reasons other than family planning service were taken by simple random sampling.
Data analysis was done using chi-square test and logistic regression analysis.
Results - Among the variables analyzed, respondents’ age, marital status and average
monthly income were the socio - economic and demographic variables that showed
significant difference between the two study groups (p<0.05). Similarly, some sociopsychological
and attitudinal questions like "modern contraception use helps a mother regain
her strength before the next pregnancy"," modern contraception decreases sexual
satisfaction"," Interspousal communication" and the sources of information about the various
methods of contraception have revealed significant difference between the two study groups
(p<0.05). On the other hand reproductive factors like history of still birth and abortion did not
show statistically significant difference between the two study groups (p>0.05).
Conclusions - It is concluded from this study that modern contraceptive utilization is
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associated with some socio-economic, socio-demographic and socio-psychological
factors like age, marital status, average family monthly income and, spousal
communication. It is also associated with different sources of information like mass
media and Health institutions.
Recommendations - Based on the findings of the study it is recommended to enhance
planned IEC using mass media and health institutions and to improve household
economic activities through the use of micro - finance institutions and rural banks.
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Assessment of Factors Influencing the Utilization of modern Contraceptive Methods among Women in the Reproductive Age Group in Angolela