Cargando…

Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019

INTRODUCTION: Contraception is the most effective method of preventing unwanted pregnancies and their associated disadvantages. It is critical to recognize one's desire to utilize contraceptives before drafting and implementing a good family planning program, especially in developing nations li...

Descripción completa

Detalles Bibliográficos
Autores principales: Terefe, Bewuketu, Getnet, Mihret, Akalu, Yonas, Belsti, Yitayeh, Diress, Mengistie, Gela, Yibeltal Yismaw, Getahun, Amare Belete, Bitew, Desalegn Anmut, Belay, Daniel Gashaneh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556865/
https://www.ncbi.nlm.nih.gov/pubmed/37811535
http://dx.doi.org/10.3389/fgwh.2023.1151031
_version_ 1785116961287438336
author Terefe, Bewuketu
Getnet, Mihret
Akalu, Yonas
Belsti, Yitayeh
Diress, Mengistie
Gela, Yibeltal Yismaw
Getahun, Amare Belete
Bitew, Desalegn Anmut
Belay, Daniel Gashaneh
author_facet Terefe, Bewuketu
Getnet, Mihret
Akalu, Yonas
Belsti, Yitayeh
Diress, Mengistie
Gela, Yibeltal Yismaw
Getahun, Amare Belete
Bitew, Desalegn Anmut
Belay, Daniel Gashaneh
author_sort Terefe, Bewuketu
collection PubMed
description INTRODUCTION: Contraception is the most effective method of preventing unwanted pregnancies and their associated disadvantages. It is critical to recognize one's desire to utilize contraceptives before drafting and implementing a good family planning program, especially in developing nations like Ethiopia. OBJECTIVE: This study aimed to identify the geospatial variations and determinants affecting the utilization of contraceptives among married reproductive age women in Ethiopia. METHOD: This study was based on an extensive national survey, the Ethiopian Demographic and Health Survey. A total weighted sample of 5,743 married reproductive-age women was included. Because of the hierarchical nature of the DHS data, a spatial analysis multilevel logistic regression model was used to study individual and community-level factors that may influence contraceptives. The Bernoulli model was used by applying Kulldorff methods using the SaTScan software to analyze the purely spatial clusters of contraceptive usage. ArcGIS version 10.3 was used to visualize the distribution of contraceptives. A 95% confidence interval and a p-value of less than 0.05 were used to declare statistical significance. RESULT: The overall utilization of contraceptives was discovered at 41.25% (39.98, 42.53). Participants age range of 25–34 years [AOR = 0.80, CI: (0.66, 0.96,)] and 35–49 years [AOR = 0.50, CI 95%:(0.66, 0.96)] times less likely to use contraceptives than 15–24 years old respectively. Having primary [AOR = 1.47, CI 95%: (1.25, 1.73)], secondary [AOR = 1.42, CI 95%: (1.09, 1.83)] and higher education level [AOR = 1.92, CI 95%: (1.41, 2.60)], middle wealth [AOR = 1.48, CI 95%: (1.14, 1.90)], richer [AOR = 1.41, CI 95%: (1.07, 1.86)] and richest [AOR = 2.17, CI 95%: (1.52, 3.11)], having 1–4 ANC follow up have [AOR = 1.60, CI 95%: (1.26, 2.03)], gave birth at age of 35–44 [AOR = 0.29, CI 95%: (0.22, 0.37)], having 3–5 children [AOR = 1.26, CI 95%: (1.03, 1.52)], being from community of high level women education [AOR = 1.61, CI 95%: (1.21, 2.15)] were associated positively. Participants from Amhara, Oromia, Benishangul and SNNPR regions have revealed [AOR = 2.40, CI 95%: (1.53, 3.77)], [AOR = 1.64, CI 95%: (1.05, 2.56)], [AOR = 1.62, CI 95%: (1.01, 2.62)] and [AOR = 2.04, CI 95: (1.31, 3.19)], in contrast, Somali and Afar regions have shown [AOR = 011, CI 95%: (0.05, 0.22)] and [AOR = 0.31, CI 95%: (0.18, 0.54)] times less likely to use contraceptive services than Tigray Region respectively. The spatial analysis of contraceptive usage discovered that the northern, central and southern parts of the country had higher utilization of contraceptives than the eastern and northeastern of the country. CONCLUSION: The study revealed that contraceptive usage among married women is comparatively low, with wide regional variation. Raising awareness among mothers about the importance of antenatal care and assisting mothers who are financially disadvantaged or do not have access to health facilities will aid in providing better family planning services. Improving contraceptive information dissemination at community and regional levels is key to averting potential barriers.
format Online
Article
Text
id pubmed-10556865
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-105568652023-10-07 Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019 Terefe, Bewuketu Getnet, Mihret Akalu, Yonas Belsti, Yitayeh Diress, Mengistie Gela, Yibeltal Yismaw Getahun, Amare Belete Bitew, Desalegn Anmut Belay, Daniel Gashaneh Front Glob Womens Health Global Women's Health INTRODUCTION: Contraception is the most effective method of preventing unwanted pregnancies and their associated disadvantages. It is critical to recognize one's desire to utilize contraceptives before drafting and implementing a good family planning program, especially in developing nations like Ethiopia. OBJECTIVE: This study aimed to identify the geospatial variations and determinants affecting the utilization of contraceptives among married reproductive age women in Ethiopia. METHOD: This study was based on an extensive national survey, the Ethiopian Demographic and Health Survey. A total weighted sample of 5,743 married reproductive-age women was included. Because of the hierarchical nature of the DHS data, a spatial analysis multilevel logistic regression model was used to study individual and community-level factors that may influence contraceptives. The Bernoulli model was used by applying Kulldorff methods using the SaTScan software to analyze the purely spatial clusters of contraceptive usage. ArcGIS version 10.3 was used to visualize the distribution of contraceptives. A 95% confidence interval and a p-value of less than 0.05 were used to declare statistical significance. RESULT: The overall utilization of contraceptives was discovered at 41.25% (39.98, 42.53). Participants age range of 25–34 years [AOR = 0.80, CI: (0.66, 0.96,)] and 35–49 years [AOR = 0.50, CI 95%:(0.66, 0.96)] times less likely to use contraceptives than 15–24 years old respectively. Having primary [AOR = 1.47, CI 95%: (1.25, 1.73)], secondary [AOR = 1.42, CI 95%: (1.09, 1.83)] and higher education level [AOR = 1.92, CI 95%: (1.41, 2.60)], middle wealth [AOR = 1.48, CI 95%: (1.14, 1.90)], richer [AOR = 1.41, CI 95%: (1.07, 1.86)] and richest [AOR = 2.17, CI 95%: (1.52, 3.11)], having 1–4 ANC follow up have [AOR = 1.60, CI 95%: (1.26, 2.03)], gave birth at age of 35–44 [AOR = 0.29, CI 95%: (0.22, 0.37)], having 3–5 children [AOR = 1.26, CI 95%: (1.03, 1.52)], being from community of high level women education [AOR = 1.61, CI 95%: (1.21, 2.15)] were associated positively. Participants from Amhara, Oromia, Benishangul and SNNPR regions have revealed [AOR = 2.40, CI 95%: (1.53, 3.77)], [AOR = 1.64, CI 95%: (1.05, 2.56)], [AOR = 1.62, CI 95%: (1.01, 2.62)] and [AOR = 2.04, CI 95: (1.31, 3.19)], in contrast, Somali and Afar regions have shown [AOR = 011, CI 95%: (0.05, 0.22)] and [AOR = 0.31, CI 95%: (0.18, 0.54)] times less likely to use contraceptive services than Tigray Region respectively. The spatial analysis of contraceptive usage discovered that the northern, central and southern parts of the country had higher utilization of contraceptives than the eastern and northeastern of the country. CONCLUSION: The study revealed that contraceptive usage among married women is comparatively low, with wide regional variation. Raising awareness among mothers about the importance of antenatal care and assisting mothers who are financially disadvantaged or do not have access to health facilities will aid in providing better family planning services. Improving contraceptive information dissemination at community and regional levels is key to averting potential barriers. Frontiers Media S.A. 2023-09-22 /pmc/articles/PMC10556865/ /pubmed/37811535 http://dx.doi.org/10.3389/fgwh.2023.1151031 Text en © 2023 Terefe, Getnet, Akalu, Belsti, Diress, Gela, Getahun, Bitew and Belay. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Global Women's Health
Terefe, Bewuketu
Getnet, Mihret
Akalu, Yonas
Belsti, Yitayeh
Diress, Mengistie
Gela, Yibeltal Yismaw
Getahun, Amare Belete
Bitew, Desalegn Anmut
Belay, Daniel Gashaneh
Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019
title Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019
title_full Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019
title_fullStr Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019
title_full_unstemmed Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019
title_short Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019
title_sort geospatial variations and determinants of contraceptive utilization among married reproductive age women in ethiopia: spatial and multilevel analysis of ethiopian demographic and health survey, 2019
topic Global Women's Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556865/
https://www.ncbi.nlm.nih.gov/pubmed/37811535
http://dx.doi.org/10.3389/fgwh.2023.1151031
work_keys_str_mv AT terefebewuketu geospatialvariationsanddeterminantsofcontraceptiveutilizationamongmarriedreproductiveagewomeninethiopiaspatialandmultilevelanalysisofethiopiandemographicandhealthsurvey2019
AT getnetmihret geospatialvariationsanddeterminantsofcontraceptiveutilizationamongmarriedreproductiveagewomeninethiopiaspatialandmultilevelanalysisofethiopiandemographicandhealthsurvey2019
AT akaluyonas geospatialvariationsanddeterminantsofcontraceptiveutilizationamongmarriedreproductiveagewomeninethiopiaspatialandmultilevelanalysisofethiopiandemographicandhealthsurvey2019
AT belstiyitayeh geospatialvariationsanddeterminantsofcontraceptiveutilizationamongmarriedreproductiveagewomeninethiopiaspatialandmultilevelanalysisofethiopiandemographicandhealthsurvey2019
AT diressmengistie geospatialvariationsanddeterminantsofcontraceptiveutilizationamongmarriedreproductiveagewomeninethiopiaspatialandmultilevelanalysisofethiopiandemographicandhealthsurvey2019
AT gelayibeltalyismaw geospatialvariationsanddeterminantsofcontraceptiveutilizationamongmarriedreproductiveagewomeninethiopiaspatialandmultilevelanalysisofethiopiandemographicandhealthsurvey2019
AT getahunamarebelete geospatialvariationsanddeterminantsofcontraceptiveutilizationamongmarriedreproductiveagewomeninethiopiaspatialandmultilevelanalysisofethiopiandemographicandhealthsurvey2019
AT bitewdesalegnanmut geospatialvariationsanddeterminantsofcontraceptiveutilizationamongmarriedreproductiveagewomeninethiopiaspatialandmultilevelanalysisofethiopiandemographicandhealthsurvey2019
AT belaydanielgashaneh geospatialvariationsanddeterminantsofcontraceptiveutilizationamongmarriedreproductiveagewomeninethiopiaspatialandmultilevelanalysisofethiopiandemographicandhealthsurvey2019