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Adolescents' Contraceptive Uptake in Ethiopia: A Meta-Analysis

INTRODUCTION: Ethiopia has made significant efforts to enhance family planning services despite variations in the community's use of modern contraception in different parts of the country. Various studies have reported the proportion and determinant factors of adolescents' contraceptive up...

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Autores principales: Mekonnen, Alemayehu Gonie, Odo, Daniel Bogale, Nigatu, Dabere
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398775/
https://www.ncbi.nlm.nih.gov/pubmed/36017384
http://dx.doi.org/10.1155/2022/6104467
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author Mekonnen, Alemayehu Gonie
Odo, Daniel Bogale
Nigatu, Dabere
author_facet Mekonnen, Alemayehu Gonie
Odo, Daniel Bogale
Nigatu, Dabere
author_sort Mekonnen, Alemayehu Gonie
collection PubMed
description INTRODUCTION: Ethiopia has made significant efforts to enhance family planning services despite variations in the community's use of modern contraception in different parts of the country. Various studies have reported the proportion and determinant factors of adolescents' contraceptive uptake in Ethiopia. These studies are not consistent in terms of size, scope, and geographic coverage, and the results need to be systematically collated to inform policies. Therefore, this review was aimed at analyzing the findings of those primary studies to obtain more representative evidence of adolescents' contraceptive uptake in Ethiopia. METHODS: Five databases (MEDLINE via PubMed, Google Scholar, Scopus, ScienceDirect, and CINAHL) were searched for papers published from January 2000 up to June 2022 in English. Of thirty eligible studies, eight papers were included in this meta-analysis. Between-study heterogeneity was evaluated by the forest plot and inconsistency index (I(2)). A random-effects model was used to calculate the pooled estimates of adolescents' contraceptive uptake. RESULTS: The overall pooled proportion of adolescents' contraceptive uptake was 40% (I(2) = 99.70, p ≤ 0.001; 95%CI = 19, 61). Adolescents' usage of contraception was influenced by a number of factors: individual-, sociocultural-, knowledge- (about contraceptive methods), and healthcare service-related factors. Individual-related factors include the educational status of adolescents, being of young age, and the income status of adolescents' families. Sociocultural-related factors comprise discussion with the family/relatives, parent disapproval and pressure from partners, and being married or having a partner. Healthcare service-related factors include the availability of youth clubs and inconvenient service hours for SRH services. Knowing contraceptive methods and SRH services was also positively associated with adolescents' contraceptive utilization. CONCLUSIONS: The proportion of adolescents who used contraception in Ethiopia was 40%. Adolescents' use of contraceptives was influenced by a variety of factors: individual-, sociocultural-, healthcare-, and knowledge-related factors. Hence, integrated interventions targeted at tackling barriers to contraceptive uptake may be helpful to improve adolescents' contraceptive utilization in Ethiopia.
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spelling pubmed-93987752022-08-24 Adolescents' Contraceptive Uptake in Ethiopia: A Meta-Analysis Mekonnen, Alemayehu Gonie Odo, Daniel Bogale Nigatu, Dabere Biomed Res Int Review Article INTRODUCTION: Ethiopia has made significant efforts to enhance family planning services despite variations in the community's use of modern contraception in different parts of the country. Various studies have reported the proportion and determinant factors of adolescents' contraceptive uptake in Ethiopia. These studies are not consistent in terms of size, scope, and geographic coverage, and the results need to be systematically collated to inform policies. Therefore, this review was aimed at analyzing the findings of those primary studies to obtain more representative evidence of adolescents' contraceptive uptake in Ethiopia. METHODS: Five databases (MEDLINE via PubMed, Google Scholar, Scopus, ScienceDirect, and CINAHL) were searched for papers published from January 2000 up to June 2022 in English. Of thirty eligible studies, eight papers were included in this meta-analysis. Between-study heterogeneity was evaluated by the forest plot and inconsistency index (I(2)). A random-effects model was used to calculate the pooled estimates of adolescents' contraceptive uptake. RESULTS: The overall pooled proportion of adolescents' contraceptive uptake was 40% (I(2) = 99.70, p ≤ 0.001; 95%CI = 19, 61). Adolescents' usage of contraception was influenced by a number of factors: individual-, sociocultural-, knowledge- (about contraceptive methods), and healthcare service-related factors. Individual-related factors include the educational status of adolescents, being of young age, and the income status of adolescents' families. Sociocultural-related factors comprise discussion with the family/relatives, parent disapproval and pressure from partners, and being married or having a partner. Healthcare service-related factors include the availability of youth clubs and inconvenient service hours for SRH services. Knowing contraceptive methods and SRH services was also positively associated with adolescents' contraceptive utilization. CONCLUSIONS: The proportion of adolescents who used contraception in Ethiopia was 40%. Adolescents' use of contraceptives was influenced by a variety of factors: individual-, sociocultural-, healthcare-, and knowledge-related factors. Hence, integrated interventions targeted at tackling barriers to contraceptive uptake may be helpful to improve adolescents' contraceptive utilization in Ethiopia. Hindawi 2022-08-16 /pmc/articles/PMC9398775/ /pubmed/36017384 http://dx.doi.org/10.1155/2022/6104467 Text en Copyright © 2022 Alemayehu Gonie Mekonnen et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Mekonnen, Alemayehu Gonie
Odo, Daniel Bogale
Nigatu, Dabere
Adolescents' Contraceptive Uptake in Ethiopia: A Meta-Analysis
title Adolescents' Contraceptive Uptake in Ethiopia: A Meta-Analysis
title_full Adolescents' Contraceptive Uptake in Ethiopia: A Meta-Analysis
title_fullStr Adolescents' Contraceptive Uptake in Ethiopia: A Meta-Analysis
title_full_unstemmed Adolescents' Contraceptive Uptake in Ethiopia: A Meta-Analysis
title_short Adolescents' Contraceptive Uptake in Ethiopia: A Meta-Analysis
title_sort adolescents' contraceptive uptake in ethiopia: a meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398775/
https://www.ncbi.nlm.nih.gov/pubmed/36017384
http://dx.doi.org/10.1155/2022/6104467
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