The Magnitude and Factors Associated with Unmet Need for Family Planning Among Married Women in Jigjiga City Administration, Somali Region, Eastern Ethiopia
AbstractKnowledge of family planning has increased to 87% among currently married women. However, it is uses still lagging as, about 22% of young married women and 26% of sexually active unmarried women in this country are reported having an unmet need for family planning. Ethiopia is one of the highest unmet need for family planning according to EDHS-2016 but the level and factors that determine unmet need for FP are not well understood. This study assess the magnitude and factors associated with unmet need for family planning among married women of urban and rural communities in Jigjiga city administration. A community based cross-sectional study design was used, with 375 households. Sampling frame was used listing all households in the selected kebeles (smallest administration units) in which married women resided. A structured questionnaire adopted from literature was used. Data was checked, edited, coded and entered into EPIDATA version 3.1 and transported to SPSS version 23 for analysis. Bivariate and multivariate logistic regression was carried out to see any associations between outcome and explanatory variables and P-Value of 0.05 was considered significant. This study revealed that 22.6 % of married women had unmet need for family planning out of which, 68(21.5%) was for spacing and 4(1.1%) for limiting.In this study, unavailability of health facility that provide family planning services was 2.3 (AOR=2.31, 95%CI: 1.087, 4.912 1.042, 4.3) times more likely to have unmet need for FP than those who had. Women who desire to have more than or equal to ten children were 3.7 (AOR=3.7, 95%CI:1.427, 9.822) times more likely to have unmet need for FP than those who desired to have less than ten children and FP practice (non-user and ever-users) were 8 [(AOR=8.8, 95%CI: 1.327, 58.61) and (AOR=8.5, 95%CI: 1.552, 46.04)] times more likely to have unmet need for Family planning than those of current users. It also concluded that the overall prevalence of unmet need for FP among married women in Jigjiga city administration was high compared to EDHS-2016 of Somali region and availability of health facility providing FP services, desire to have more children, and family planning practice (Ever-users and Non-users) were associated with unmet need for Family planning.
K. L. D. MacQuarrie-USAID, "Unmet Need for Family Planning among Young Women: Levels and Trends," DHS Comparative Reports No. 34, 2014.
Sapna S.Patil, Abdul Rashid K, and KA Narayan, "Unmet needs for Contraceptive in Married Women in a tribal area of India," Malaysian Journal of Public Health Medicine, vol. Vol.10 (2): 44-51, 2010.
United Nations, "World Contraceptive Use 2009 (POP/DB/CP/Rev2009)." Department of Economic and Social Affairs, Population Division (2009)2009.
Casterline, "Unmet Need for Family Planning in Developing Countries and Implications for Population Policy. Population and Development Review," 2000.
Gobopamang Letamo and Kannan Navaneetham, "Levels, trends and reasons for unmet need for family planning among married women in Botswana," Journal online (http://dx.doi.org/10.1136/bmjopen-2014-006603). 2014, 2014.
USAIDS, "Revising unmet need for Family Planning," DHS ANALYTICAL STUDIES 25, 2012.
CSA, "Ethiopian Demographic and Health Survey," CSA2016.
Timothy C. Okech, "Contraceptive Use among Women of Reproductive Age in Kenya’s City Slums," International Journal of Business and Social Science, vol. Vol. 2 No. 1, 2011.
UNFPA, "Challenges in achieving the MDG for maternal mortality In-depth Analysisof the EDHS 2000-2011December," UNFPA2012.
WHO, "Fact sheet '' Family planning/Contraceptive'' http://who.int/mediacentre/factsheets/fs351/en/," 2015.
USAID, "Unmet need for Family Planning at http://dhsprogram.com/topics/Unmet-Need.cfm," 2014.
Leontine Alkema, Vladimira Kantorova, Clare Menozzi, and Ann Biddlecom, "National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis," Lancet 2013, 2013.
USAIDS, "Three Successful Sub-Saharan Africa Family Planning Programs: Lessons for Meeting the MDGs," 2012.
Weyzer T Tsehaye, Daniel Mengistu, and KalayouK Berhe, "Assessment of Modern Contraceptive methods utilization and its determinant factors among women of reproductive age groups at Shire Endaslasie town, Tigray, Northern Ethiopia " J.Bio.Innov3, vol. Vol.3(3), pp. pp:144-169, 2011.
CSA, "Population and Housing Census of 2007," 2007.
Kelemu Chafo and Feleke Doyore, "Unmet Need for Family Planning and Associated Factors among Currently Married Women in Misha District, Southern Ethiopia: A Cross Sectional Study," Chafo and Doyore, J Women’s Health Care, vol. 3, 2014.
Girma Temam Shifa and Mekdes Kondale, "High Unmet Need for Family Planning and Factors Contributing to it in Southern Ethiopia: A Community Based Cross-Sectional Study," Global Journal of Medical research: kInterdisciplinary, vol. 14, 2014.
Atem Bethel Ajong, Philip Nana Njotang, M. N. Y. , Marie José Essi, Felix Essiben, Filbert Eko Eko, et al., "Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé," BMC women's Health Journal, vol. 16, 2015.
N. Mihret, "Magnitude and Associated Factors of Unmet Need for Contraceptive Methods among Currently Married Women in West Belessa District, North Western Ethiopia," International Journal Of innovative research & Development, vol. Vol 4, 2015.
Bahiya Sulthana, Hemant Deepak Shewade, Bhuvaneswary Sunderamurthy, Keerthana Manoharan, and Manimozhi Subramanian, "Unmet need for contraception among married women in an urban area of Puducherry, India," Indian J Med Res 141, pp. pp 115-118, 2013.
Peter Decat, Wei-Hong Zhang, Eileen Moyer, Yimin Cheng, Zhi-jin Wangx, Ci-yong Lux, et al., "Determinants of unmet need for contraception among Chinese migrants: A worksite-based survey," The European Journal of Contraception and Reproductive Health Care, 2011.
Stephen A. Adebowale and Martin E. Palamuleni, "Determinants of Unmet Need for Modern Contraception and Reasons for Non-use among Married Women in Rural Areas of Burkina Faso," African Population Studies, vol. Vol. 28, 2014.
Gelawdiwos Gebre, Nigussie Birhan, and K. Gebreslasie, "Prevalence and factors associated with unmet need for family planning among the currently married reproductive age women in Shire-Enda- Slassie, Northern West of Tigray, Ethiopia 2015: a community based cross-sectional study," Pan-African Medical Journal, 2015.
Getiye Dejenu, Mekonnen Ayichiluhm, and A. A. Abajobir., "Prevalence and Associated Factors of Unmet need for Family Planning among Married Women in Enemay District, Northwest Ethiopia: A Comparative Cross-Sectional Study," Global Journal of Medical research Interdsciplinary, vol. Volume 13, 2013.
Assefa Hailemariam and Fikrewold Haddis, "Factors Affecting Unmet need for Family Planning in SNNPR, Ethiopia," Ethiop J Health Sci., vol. Vol. 21, 2011.
Mussie Alemayehu, Hailemariam Lemma, Kidan Abrha, Yohannes Adama, Girmatsion Fisseha, Henock Yebyo, et al., "Family planning use and associated factors among pastoralist community of afar region, eastern Ethiopia," BMC women's Health 2013.
Siddig Omer Handady, Khalid Naseralla, Hajar Hassan Sakin, and Awad Ali M. Alawad, "Knowledge, Attitude and Practice of Family Planning Among Married Women Attending Primary Health Center in Sudan," International Journal of Public Health, vol. 3, pp. 243-247, 2015.
Mahadeen A.I, Khalil A.O, Hamdan-Mansour A.M, Sato T., and Imoto A, "Knowledge, attitudes and practices towards family planning among women in the rural southern region of Jordan," Eastern Mediterranean Health Journal, vol. Vol. 18, pp. 567-572, 2012.
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