Awareness and determinants of family planning practice in jimma, ethiopia a. Sep 25, 2018 modern contraceptive use remains an important public health intervention and a costeffective strategy to reduce maternal mortality, avert unintended pregnancies and to control population explosion, especially in developing countries. Both the 2005 edhs and the 2011 edhs included hiv prevalence testing. Not much was known about family planning in ethiopia before the mid 1960s. Viable family planning programs could be devised through reliable and accurate estimates of the magnitude of unmet need for family planning. In ethiopia, the prevalence of modern contraceptive use is very low 27 % and the percentage of those with unmet needs for family planning is 25 %.
Contact of nonusers with family planning services 14 3. Sep 26, 20 in 1996, the ministry of health released guidelines for family planning services in ethiopia to guide health providers and managers, as well as to expand and ensure quality family planning services in the country. Pdf knowledge, attitude and practice of family planning. It will require almost doubling the pre2012 annual growth rate of modern contraceptive prevalence rates from an estimated 07 to 14 percentage points to achieve the. Ethiopia and kenyas successes in family planning programming are wellknown, but what about other african countries. Factors associated with longacting family planning.
Contraceptive prevalence by method, married and women in union, 2014. Understanding the magnitude of need for modern family planning. The hews provided an opportunity to expand family planning fp services to rural. Evaluation of program options to meet unmet need for. Jul 17, 2019 the aim of this study was to assess the prevalence of postpartum modern family planning utilization and associated factors among postpartum mothers in debre tabor town, north west ethiopia, 2018. Improve pregnancy planning and spacing, and prevent unintended pregnancy. The ethiopian ministry of health planned to increase contraceptive prevalence to 66% by 2015. Bar graph of prevalence of family planning utilization among reproductive age women in bahir dar town, northwest ethiopia, 2017.
Zambia is dedicated to improving sustainable access to family planning and achieving the goals it set out in 2012, specifically to increase the modern contraceptive prevalence rate among married women to 58% by 2020. The government will further increase its funding to uphold the rights of all people to access and choose voluntary family planning through the strong network of primary health care providers. Pregnancy in this category of women is associated with increased risk of. Family planning use and its associated factors among women in the. Unmet need for family planning and womens age 26 4. Pdf the prevalence of family planning practice and. Some indication of fertility transition began to emerge in the 1980s in some parts of africa. Dhs data on the evaluation of program options to meet unmet need for family planning will. The funding for the 2016 edhs was provided by the government of ethiopia, the united states agency for international development usaid, the government of.
It is hoped that this study will contribute to the improvement of family planning services in the country through appropriate service delivery approaches and strategies. Pdf prevalence and factors associated with unmet need for. The prevalence and determinants of preference of long term. This chapter presents information on family planning worldwide, a profile of haiti,fertility and family planning in haiti, family planning initiatives, and the social ecological framework. Contraceptive prevalence rate cpr measure evaluation. The 2016 ethiopia demographic and health survey 2016 edhs was implemented by the central statistical agency csa from january 18, 2016, to june 27, 2016. Determinants and crossregional variations of contraceptive. Therefore, this study assessed the contraceptive prevalence rate and its determinants among women in bale ecoregion, ethiopia. Providing family planning could prevent maternal deaths by allowing women to delay motherhood, space births, avoid unintended pregnancies and abortions, and stop childbearing when they reach their desired family size. A 2016 study showed that 86% of women in ethiopia accepted contraception following an abortion, one of the highest rates of the eight developing countries considered in the study14. Research open access determinants of low family planning. Three successful subsaharan africa family planning programs.
Official symbols of united nations documents are composed of capital letters combined with numbers, as. Factors associated with utilization of long acting and. Determinants of family planning use among married women in. Ethiopia s reproductive health strategy 20062015 identifies six priority areas. The ministry designed new outlets for family planning services in the form of communitybased distribution, social marketing, and. Prevalence, awareness and determinants of contraceptive use. In ethiopia, the progress of contraceptive prevalence rate cpr is increased to 42 percent and total fertility rate of four 6. The rapid population growth does not match with available resource in ethiopia.
Nutritional status of women in ethiopia 2000 52 table 310. In the nigerian study, almost 99% of men were aware of the existence of modern contraceptives, and most of them were aware of at least two modern methods. A commitment maker since 2012, ethiopia is focused on improving the health and development of its youthful population and providing youth friendly services and youth outreach related to sexual and reproductive health. Hiv is an issue of public health importance especially in resource limited countries including ethiopia with high hiv prevalence and high fertility rates. Awareness and determinants of family planning practice in. To assess the level of unmet need for family planning and related factors among currently married 1549 years old women in sibu sire district, november 2016. Factors associated with contraceptive use in tigray, north. The prevalence of postpartum family planning use was 80. Mar 12, 2018 family planning is the ability of individuals and couples to anticipate and attain their desired number of children and the spacing and timing of their births. In ethiopia, though there is an evidence of increased overall contraceptive prevalence, a substantial effort remains behind. Our findings of the ways in which aspects of the individual and household factors influence a womans use of modern contraception can be used by family planning program managers to shape the development of family planning provision. Womens andor couples fertility preferences, counseling about family planning methods by health workers, 15 and personal income or wealth were also considered factor. Total contraceptive prevalence was used to predict the percentage of women with an unmet need for family planning based on an expected and empirically observed statistical relation between total contraceptive prevalence and unmet need appendix p. Ethiopia has one of the highest fertility rates in africa, with 45 percent of its population under the age of 15.
In 2011, more than 28,000 women and men were tested for hiv as part of the edhs. Family planning use and associated factors among pastoralist. Evaluation of program options to meet unmet need for family planning in ethi opia. Thus, this study was designed to assess the prevalence and associated factors of unmet need for family planning in. It will require almost doubling the pre2012 annual growth rate of modern contraceptive prevalence rates from an estimated 07 to 14 percentage. Some of the lowest contraceptive prevalence rates in the world exist in these two subregions of africa.
Prevalence and associated factors of unmet need for family. Prevalence of post partum modern family planning utilization. Knowledge, attitudes and practices in family planning results from september 2004 survey of amhara, oromia, snnpr and tigray regions. Seven studies assess awareness of family planning methods in nigeria 1215 ethiopia 16, 17 and malawi. Pdf on jan 1, 2005, assefa hailemariam and others published family planning in ethio pia. Contraceptive use has doubled in ethiopia since 2005. In addition to improving access to family planning services and contraceptives, we also support.
Prevalence, awareness and determinants of contraceptive use in qatari women a. Evaluation of program options to meet unmet need for family. Modern contraceptive use remains an important public health intervention and a costeffective strategy to reduce maternal mortality, avert unintended pregnancies and to control population explosion, especially in developing countries. Purpose of this tool this flipchart is a tool to use during family planning counselling or in. Trends in contraceptive prevalence rates in subsaharan. The prevalence rate of unmet need for family planning in this study was 21. Jan 20, 2017 recent increases in family planning fp use have been reported among women of reproductive age in union wrau in senegal.
Prbs 2019 family planning data sheet provides the latest estimates of family planning indicators for approximately 160 countries around the world. Despite these benefits, there are reports of low usage among reproductiveaged women in most developing countries. Knowledge and utilization on long acting and reversible family planning plays a major role in reducing maternal and child morbidity and mortality rate. Makis family planning improves maternal health family planning plays an essential role in improving maternal health, which is one of the eight millennium development goals mdgs world leaders have pledged to achieve by 2015. A multilevel modeling approach, american journal of mathematics and statistics, vol.
The level of unmet need for family planning in the study area is still high compared to the target set 10 % in the national family planning guide plan of ethiopia to be achieved by the end of 2015. Pdf factors affecting unmet need for family planning in. A study of public family planning service usage found that use s from the wealthiest quintile outnumbered those from the poorest quintile in of the 20 developing countries examined, and that the contraceptive prevalence rate is significantly higher amongst the wealthiest quintile in all 20 countries. Although it initially faced objections in ethiopia from the government, religious groups, and the community, the country has seen the economic benefits that result from successful family planning, and the administration is now trying to expand services and reach its 2015 target prevalence rate of 44% 2. National guideline for family planning services in ethiopia fmoh 10 occur in ethiopia in the near future through a well organized family planning programs and services. Geographical variation and factors influencing modern.
Prevalence of modern contraceptive utilization and associated. Assessment of knowledge, attitude and utilization of long. This comprehensive study provides vibrant information of overall factors that limit utilization of longacting family planning services in ethiopia. Family planning in ethiopia november 2012 photo credit. A guide to family planning for community health workers and their clients adapted from the whos decisionmaking tool for family planning clients and providers. Determinants of family planning use among married women in bale. Official symbols of united nations documents are composed of capital letters combined with numbers, as illustrated in the above citation. Costed implementation plan for family planning in ethiopia 201516. Family planning is one of the 10 great public health achievements of the 20th century.
The unmet need for family planning nationwide lies at. Levels of fertility were high throughout subsaharan africa during the 1970s. Mona sharan, saifuddin ahmed, john may, and agnes soucat. Need for family planning fp for currently married women in ethiopia. This finding was lower than the prevalence of risky sexual behavior 75% demonstrated among male youth in latin america. Determinants of unmet need for family planning among. Tesfay gidey hailu, determinants and crossregional variations of contraceptive prevalence rate in ethiopia. Ethiopia is the second most populous country in africa with a total fertility rate. Prevalence and factors associated with unmet need for family planning among the currently married reproductive age women in shireenda slassie, northern west of tigray, ethiopia 2015. A decade of change in contraceptive use in ethiopia. Postabortion family planning is an excellent opportunity to increase contraceptive uptake and prevent repeat abortion. Nigerias commitments include training frontline health workers to deliver a range of contraceptives and action to improve equity and access to family planning for the poorest. The prevalence of family planning practice and associated factors among women in serdang, selangor article pdf available in malaysian journal of public health medicine 153. The overall prevalence of family planning utilization in afar region was 8.
Utilization of family planning services and influencing factors among women of child bearing age in assosa district, benishangul gumuz regional state, west ethiopia. In 2009 the total fertility rate tfr, or the average number of births per woman. The family planning 2020 fp2020 initiative, launched at the 2012 london summit on family planning, aims to enable 120 million additional women to use modern contraceptive methods by 2020 in the worlds 69 poorest countries. Mccabe 2 rgn, bns, ms c 1 lecturer in nursing, jimma university school of nur, sing, jimma, ethiopia, 2 lecturerresearch fellow,trinity college school of, nursing and midwifery dub, lin, ireland beekle a. Modern contraceptive use among reproductiveaged women in. Knowledge, attitude and practice of family planning methods among laboring mothers in adama hospital, oromia region, ethiopia article pdf available may 2015 with 3,367 reads how we measure. The findings of this study are important for use by program managers involved in family planning in ethiopia.
Patterns and trends of postpartum family planning in. Featured indicators include the percentage of married women using modern and traditional family planning methods, unmet need for family planning, use of modern contraception by wealth group, and demand for family planning. Desire to have more children and to limit childbearing 15 3. Some proposals on the major tasks of planning in the coming period have also been forwarded. This short paper briefly outlines the history of planning in ethiopia and the actual working mechanism of the planning process. Factors contributing to low utilization of family planning among. To fill these gaps, this study assesses the socioeconomic and demographic factors, as well as individual attitudes and perceptions, influencing use of family planning in ethiopia. Factors associated with longacting family planning service. Pdf prevalence and factors associated with unmet need. Despite ethiopias success in expanding access to family planning services. Household visits are another means by which health workers can discuss family planning with women. In addition, family planning encourages women to have better health and it.
Male involvement in family planning decision making in sub. Family planning is the ability of individuals and couples to anticipate and attain their desired number of children and the spacing and timing of their births. Utilization of family planning services and influencing. Our model assumed that as total contraceptive prevalence starts to increase from very low. The chart below shows recent trends in modern contraceptive prevalence mcpr among married women ages 15 49 years old. Predictors of unmet need for family planning among all women of. The government of nigeria will partner with the private sector, civil society, traditional and religious institutions and development partners. Englishresourcesdocumentshew%20profile%20final%2008%2007. Tanzania is committed to doubling the number of family planning users to 4. Family planning and adolescent sexual and reproductive health 3. Therefore, it is important to strengthen counseling and partner involvement in dangila town to reduce unmet need for family planning. Programs in kenya and ethiopia lead the way 3 aidstarone case study series scaleup.
Prevalence and factors associated with unmet need for. Jan 26, 2012 ethiopia is the second most populous country in subsaharan africa. Abdulmalik 4 abstract we determined the knowledge of, attitude to and practice of contraception and the associated sociodemographic factors among a representative sample 1 qatari married women aged 1849 years. Contraceptive utilization and associated factors among women. Information on contraceptive prevalence complements the indicator of. However, trends have not been monitored among hardertoreach groups. Family planning interventions are costeffective and have several crosscutting benefits. In the last few years, ethiopians have dramatically increased their use of modern family planning contraceptives. About 24% of married woman have unmet need for family planning in subsaharan africa and 25. Prevalence and determinants of risky sexual practice in. B to achieve universal access to reproductive health by 2015 united nations 2015. The overall pooled prevalence of risky sexual practice in ethiopia was 42. The efficiency of planning depends to an enormous scale on the ability to comprehend the mechanism of these economic laws. Ethiopia has the highest levels of unmet need for family planning among african countries.
Building on this new momentum, we work to improve the health of mothers, neonates, children, adolescents and youth by decreasing unintended and teenage pregnancies. Bmc womens health family planning use and associated factors among pastoralist community of afar region, eastern ethiopia mussie alemayehu 0 1 4 hailemariam lemma 0 kidan abrha 0 yohannes adama 0 girmatsion fisseha 0 henock yebyo 0 ejigu gebeye 2 kassahun negash 3 jemal yousuf 3 tigist fantu 3 tesfay gebregzabher 0 araya abrha. A situation analysis of family planning in ethiopia june. Trends in contraceptive use worldwide 2015 stesaser. Contraceptive prevalence modern methods 2000 2005 3034 3539 4044 4549 0 2 4 6 8 10 12 14 16 18. Bmc womens health family planning use and associated factors among pastoralist community of afar region, eastern ethiopia mussie alemayehu 0 1 4 hailemariam lemma 0 kidan abrha 0 yohannes adama 0 girmatsion fisseha 0 henock yebyo 0 ejigu gebeye 2 kassahun negash 3 jemal yousuf 3 tigist fantu 3 tesfay gebregzabher 0 araya abrha medhanyie 0 0 school of public health, mekelle. Health the potential health service coverage is 90%. To reduce high population growth and high fertility, the usage of modern contraceptive methods which classified as short term and long term methods is crucial among women. The purpose of this study is therefore, to assess modern family planning utilization and asso. Though household level family planning delivery has been put in place, the impact of such programs in densely populated rural areas was not studied. Still, modern contraceptive use persists to be low in most african countries where fertility, population growth, and unmet need for family planning are high. Despite these benefits of family planning, progress in ensuring universal access to family planning to women in developing countries has been slow. The ethiopia dhs provides data on fertility, family planning, maternal and child health, childhood mortality, nutrition, malaria, hiv knowledge and behaviour, and hiv prevalence. Providing family planning could prevent maternal deaths by allowing women to delay motherhood, space births, avoid unintended pregnancies and abortions, and stop childbearing when they reach their desired family.
Reasons for not using family planning methods 14 3. Modern family planning utilization and associated factors. Ethiopia is one of the subsaharan african countries with alarming population growth rate and high total fertility rate. Ethiopia is the second most populous country in subsaharan. Family planning is having the number of child you want to have and when you want them. A decade of change in contraceptive use in ethiopia 3 executive summary using data from the ethiopia demographic and health surveys, this study examines the trend and determinants of contraceptive use, the factors contributing to the recent change in contraceptive use, method mix and unmet need for family planning. Chapter 25 family planning trends in subsaharan africa. In contrast, in nigeria, not only there was no increase from 2008 to 20, but postpartum family planning prevalence has decreased. The proportion of postpartum modern contraceptive utilization in debre tabor town was 63% 95% ci 59%, 67. The overall demand for family planning in all three countries has increased in recent years, and even with this increase, unmet need has declined steadily see figure 2. Research open access determinants of low family planning use. Studies on modern family planning use among hiv positive reproductive age women are scarce in the specified study area. The overall family planning prevalence among married women. Successful community health worker models operate in ethiopia, ghana, rwanda, malawi, and zimbabwe, and their effectiveness in providing family planning services has been systematically assessed scott et al.
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