Prevalence and Factors Associated with Modern Family Planning Methods Utilization among Married Women in Post-War Tigray, Ethiopia
DOI:
https://doi.org/10.71624/75tqwn21Article Metrics
Keywords:
Family planning utilization , Factors associated, post-war Tigray, EthiopiaAbstract
Background: Health facility damage and limited access is reported high due to the war in Tigray. Gaining understanding into the prevalence and contributing factors of modern family planning use is essential for driving future improvements.
Objective: This study aimed to identify prevalence and factors influencing modern family planning use among married women in post-war Tigray, Ethiopia.
Method: A community-based cross-sectional study design was employed from February 10 to March 20, 2024 in South-east Tigray, Ethiopia. A total of 910 married women were included. Women were selected using multistage cluster sampling method at household level. A pre-tested interview administered structured questionnaire was used to collect data using Open Data Kit (ODK) using smart phone. Associated factors were analyzed using binary logistic regression model. The odds ratio, with a 95% confidence level was used to declare a statistically significant association at p-value of less than 0.05.
Results: A total of 910 married women were participated with 100% response rate. The prevalence of modern family planning methods utilization was 29.9%. About 9.8% women used during the war compared to 60.8% reported used before war started. Urban residents (AOR = 1.8, 95% CI: 1.27–2.51), women read and write (AOR = 2.3, 95% CI: 1.56-3.42), partner education (AOR = 2.1, 95% CI: 1.29-3.35), no awareness about family planning (AOR = 0.3, 95% CI: 0.09-0.66), and women who independently make decisions (AOR = 4.3, 95% CI: 1.29-14.42) were significantly associated with modern family planning use.
Conclusions: The modern family planning methods utilization is very low during post-war. Factors such as urban residence, education, awareness, women decision making ability about own use were factors associated with use of modern family planning methods. Improving access in far to reach areas, awareness campaigns, and empowering women in decision-making is critically needed to improve family planning utilization.
References
[1] WHO. Contraception. 2024. Accessed on Dec 01,2024. available at: https://www.who.int/health-topics/contraception#tab=tab_1 n.d.
[2] United Nations Department of Economic and Social Affairs, Population Division. World Family Planning 2022: Meeting the changing needs for family planning: Contraceptive use by age and method [Internet]. New York: UN DESA; 2022. Report No.: UN DESA/POP/202 n.d.
[3] United Nations Population Division. United Nations Department of Economic and Social Affairs, Population Division [Internet]. New York: UN DESA; Available from: https://www.un.org/development/desa/pd/ n.d.
[4] United Nations, Department of Economic and Social Affairs, Population Division (2022). Estimates and Projections of Family Planning Indicators 2022. n.d.
[5] Ahinkorah BO, Seidu A-A, Appiah F, Budu E, Adu C, Aderoju YBG, et al. Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey. Contracept Reprod Med 2020;5:1–12. https://doi.org/10.1186/s40834-020-00132-7.
[6] Akamike IC, Madubueze UC, Okedo-Alex IN, Anyigor CJ, Azuogu BN, Umeokonkwo CD, et al. Perception, pattern of use, partner support and determinants of uptake of family planning methods among women in rural communities in Southeast Nigeria. Contracept Reprod Med 2020;5:1–8. https://doi.org/10.1186/s40834-020-00120-x.
[7] Ahinkorah BO, Budu E, Aboagye RG, Agbaglo E, Arthur-Holmes F, Adu C, et al. Factors associated with modern contraceptive use among women with no fertility intention in sub-Saharan Africa: evidence from cross-sectional surveys of 29 countries. Contracept Reprod Med 2021;6:1–13. https://doi.org/10.1186/s40834-021-00165-6.
[8] Sserwanja Q, Musaba MW, Mukunya D. Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda. BMC Womens Health 2021;21:1–7. https://doi.org/10.1186/s12905-021-01206-7.
[9] Merera AM, Lelisho ME, Pandey D. Prevalence and Determinants of Contraceptive Utilization among Women in the Reproductive Age Group in Ethiopia. J Racial Ethn Health Disparities. 2022 Dec;9(6):2340-2350. doi: 10.1007/s40615-021-01171-9. Epub 2021 Nov 15. n.d.
[10] Bekele D, Surur F, Nigatu B, Teklu A, Getinet T, Kassa M, et al. Contraceptive prevalence rate and associated factors among reproductive age women in four emerging regions of Ethiopia: a mixed method study. Contracept Reprod Med. 2021;6:18. n.d.
[11] Federal Democratic Republic of Ethiopia Ministry of Health. Health and health related indicators: Version 1, Ethiopian 2023. n.d.
[12] Erega BB, Ferede WY, Sisay FA, Dagnaw EH, Ayaliew AB, Ketema WG, Lake ES. Post-war assessment of the prevalence and determinants of unplanned pregnancy among pregnant women attending public hospitals in conflict-zones of South Wollo, Northeast Ethiopia, 2 n.d.
[13] Medhanyie AA, Desta A, Alemayehu M, Gebrehiwot T, Abraha TA, Abrha A, Godefay H. Factors associated with contraceptive use in Tigray, North Ethiopia. Reprod Health. 2017;14:27. doi:10.1186/s12978-017-0295-7 n.d.
[14] Asrese ET, Adem YF. Contraceptive utilization and associated factors among polygamous and monogamous women in Worebabo Woreda, South Wollo Zone, Ethiopia: a comparative cross-sectional study. BMC Womens Health. 2023;23:39. doi:10.1186/s12905-023-02129-5 n.d.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2025 Abrehaley Teklemariam Gebremariam , Girmatsion Fisseha Abreha, Kinfe Abraha Gebre-Egziabher (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
This journal and its articles are licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0).
