Modern contraceptive utilization and associated factors among reproductive-age women in Ethiopia: evidence from 2016 Ethiopia demographic and health survey

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Abstract

Background

Modern contraceptive methods enable couples to enjoy sexual intercourse without fear of the risk of pregnancy at any desired time. The evidence from different studies done in Ethiopia on modern contraceptive method utilization was highly varied and not conclusive. Therefore, the current study aims to study the magnitude of modern contraceptive utilization and associated factors among reproductive-age women in Ethiopia based on 2016 EDHS data.

Method

A nationally representative 2016 EDHS data collected between January 18/ 2016 to June 27/2016 were used. Descriptive studies and logistic regression models were used to summarize descriptive data and measure statistical association respectively. Adjusted odds ratio and confidence interval were respectively used to measure association and its statistical significance. Finally, statistical significance was declared using a confidence interval.

Result

In the current study, the overall modern contraceptive utilization among reproductive-age women in Ethiopia was 3203 (20.42%). The injectable contraceptive method was the most commonly used modern contraceptive method, 1886(58.88%) followed by implant/Norplant, 779 (24.32%). The results of multivariable logistic regression showed that age, residence, region, woman’s occupation, number of living children, husband’s education, age at first sexual intercourse, husband’s desire for more children, wealth index and watching TV were independently associated to modern contraceptive utilization among reproductive-age women in Ethiopia.

Conclusions

The magnitude of modern contraceptive utilization among reproductive-age women in Ethiopia in the current study is unexpectedly low. Age, residence, region, woman’s occupation, number of living children, husband’s education, age at first sexual intercourse, husband’s desire for more children, wealth index and watching TV were independent predictors of modern contraceptive use among reproductive-age women in Ethiopia. Any intervention strategy that promotes modern contraceptive method utilization should consider these factors for its better success.

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Identifying factors influencing contraceptive use in Bangladesh: evidence from BDHS 2014 data

MB Hossain, MHR Khan, F Ababneh … (2018)

Background Birth control is the conscious control of the birth rate by methods which temporarily prevent conception by interfering with the normal process of ovulation, fertilization, and implantation. High contraceptive prevalence rate is always expected for controlling births for those countries that are experiencing high population growth rate. The factors that influence contraceptive prevalence are also important to know for policy implication purposes in Bangladesh. This study aims to explore the socio-economic, demographic and others key factors that influence the use of contraception in Bangladesh. Methods The contraception data are extracted from the 2014 Bangladesh Demographic and Health Survey (BDHS) data which were collected by using a two stage stratified random sampling technique that is a source of nested variability. The nested sources of variability must be incorporated in the model using random effects in order to model the actual parameter effects on contraceptive prevalence. A mixed effect logistic regression model has been implemented for the binary contraceptive data, where parameters are estimated through generalized estimating equation by assuming exchangeable correlation structure to explore and identify the factors that truly affect the use of contraception in Bangladesh. Results The prevalence of contraception use by currently married 15–49 years aged women or their husbands is 62.4%. Our study finds that administrative division, place of residence, religion, number of household members, woman’s age, occupation, body mass index, breastfeeding practice, husband’s education, wish for children, living status with wife, sexual activity in past year, women amenorrheic status, abstaining status, number of children born in last five years and total children ever died were significantly associated with contraception use in Bangladesh. Conclusions The odds of women experiencing the outcome of interest are not independent due to the nested structure of the data. As a result, a mixed effect model is implemented for the binary variable ‘contraceptive use’ to produce true estimates for the significant determinants of contraceptive use in Bangladesh. Knowing such true estimates is important for attaining future goals including increasing contraception use from 62 to 75% by 2020 by the Bangladesh government’s Health, Population & Nutrition Sector Development Program (HPNSDP). Electronic supplementary material The online version of this article (10.1186/s12889-018-5098-1) contains supplementary material, which is available to authorized users.

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Factors influencing contraceptive use among women in Afghanistan: secondary analysis of Afghanistan Health Survey 2012

Ahmad Kamran Osmani, JOSHUA A. REYER, Ahmad Reshad Osmani … (2015)

ABSTRACT The increase in contraceptive use in Afghanistan has been frustratingly slow from 7.0% in 2003 to 11.3% in 2012. Data on contraceptive use and influencing factors were obtained from Afghanistan Health Survey (AHS) 2012, which had been collected through interview-led questionnaire from 13,654 current married women aged 12–49 years. Odds ratio (OR) and 95% confidence interval (CI) of contraceptive use were estimated by logistic regression analysis. When adjusted for age, residence, region, education, media, and wealth index, significant OR was obtained for parity (OR of 6 or more children relative to 1 child was 3.45, and the 95%CI 2.54–4.69), number of living sons (OR of 5 or more sons relative to no son was 2.48, and the 95%CI 1.86–3.29), wealth index (OR of the richest households relative to the poorest households was 2.14, and the 95%CI 1.72–2.67), antenatal care attendance (OR relative to no attendance was 2.13, and the 95%CI 1.74–2.62), education (OR of secondary education or above relative to no education was 1.62, and the 95%CI 1.26–2.08), media exposure (OR of at least some exposure to electronic media relative to no exposure was 1.15, and the 95%CI 1.01–1.30), and child mortality experience (OR was 0.88, and the 95%CI 0.77–0.99), as well as age, residence (rural/urban), and region. This secondary analysis based on AHS 2012 showed the findings similar to those from the previous studies in other developing countries. Although the unique situation in Afghanistan should be considered to promote contraceptive use, the background may be common among the areas with low contraceptive use.

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Determinants of Modern Contraceptive Uptake among Nigerian Women: Evidence from the National Demographic and Health Survey

Ofonime E. Johnson (2017)

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Author and article information

Contributors

Mamo Nigatu Gebre: mamogebre14@gmail.com

Zerihun Kura Edossa: zerihunkura2007@gmail.com

Journal

Journal ID (nlm-ta): BMC Womens Health

Journal ID (iso-abbrev): BMC Womens Health

Title: BMC Women's Health

Publisher: BioMed Central (London )

ISSN (Electronic): 1472-6874

Publication date (Electronic): 26 March 2020

Publication date PMC-release: 26 March 2020

Publication date Collection: 2020

Volume: 20

Electronic Location Identifier: 61

Affiliations

GRID grid.411903.e, ISNI 0000 0001 2034 9160, Department of Epidemiology, Faculty of Public Health, Institute of Health, , Jimma University, ; Jimma, Ethiopia

Article

Publisher ID: 923

DOI: 10.1186/s12905-020-00923-9

PMC ID: 7098091

PubMed ID: 32216823

SO-VID: 6d015254-e588-44f1-9954-a5b75cf678d5

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 15 October 2019

Date accepted : 10 March 2020

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ScienceOpen disciplines: Obstetrics & Gynecology

Keywords: modern contraceptive method,reproductive age women,2016 edhs,ethiopia

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ScienceOpen disciplines: Obstetrics & Gynecology

Keywords: modern contraceptive method, reproductive age women, 2016 edhs, ethiopia

Modern contraceptive utilization and associated factors among reproductive-age women in Ethiopia: evidence from 2016 Ethiopia demographic and health survey

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SDG 3: Good Health and Well-Being

Most cited references 6

Identifying factors influencing contraceptive use in Bangladesh: evidence from BDHS 2014 data

Factors influencing contraceptive use among women in Afghanistan: secondary analysis of Afghanistan Health Survey 2012

Determinants of Modern Contraceptive Uptake among Nigerian Women: Evidence from the National Demographic and Health Survey

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