Unmet need of longacting and permanent family planning. Task sharing in ethiopia international conference on family. Factors associated with modern contraceptive use among young. This was assessed by using data from the 2011 uganda demographic and health survey.
Factors affecting unmet need for family planning in southern nations, nationalities and peoples region, ethiopia. Twentyfive percent of currently married women have an unmet need for family planning edhs, 2011. Jul 25, 2014 in ethiopia, family planning increasingly an article of faith leaders from all religious traditions smooth the way for contraception on the idea that sprawling families in poor conditions are not. In this paper, the major structural determinants of family planning service were analyzed using a multilevel model from 8906 individual women observation in the 2011 edhs data. Socio demographic factors age and wealth status and obstetric factor. Factors influencing use of family planning in women living.
Graduate school of public health in partial fulfillment. The underutilisation of family planning methods in these regions is attributed to low literacy and low socioeconomic status of women 7. Levels, trends, and determinants of fertility and family planning in amhara indepth analysis of edhs 2011 june 2014 background with a total population of more than 19 million in 2012, amhara is the second most populous regional state in ethiopia csa, 20. 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. Factors associated with utilization of long acting and. This study therefore, aims at identifying those factors affecting the utilization of fp services in padibe town council, lamwo district. Limited choice and access to methods, attitudes of men towards family planning, perceived fear of sideeffects, poor quality of available services, cultural. Usaid deliver project final country report ethiopia 2016. This handbook outlines modern family planning and reproductive health practices such as child spacing by. This week i attended the inauguration of a new marie stopes family planning clinic in woldia in northern ethiopia. Assessment of factors affecting long acting of family. In ethiopia, family planning increasingly an article of faith.
Structural determinants in family planning service. Assessment of factors affecting long acting of family planning utilization in adigrat town, tigray, northeast ethiopia. Questionnaire and family planning attitude scale were used to collect data. From the analysis, half 51% of the women currently used modern family planning. The rapid population growth may increase poverty and environmental stress. Thus, the main objective of this paper is to identify the key demographic and socioeconomic factors affecting unmet need for family planning in southern nations, nationalities and peoples region snnpr of. Research article open access factors affecting unmet need for.
In addition to sociodemographic and cultural factors, the quality of care in. Addis adera gebru 1, atsede fantahun areas 2, kahsu gebrekirstos gebrekidan 2, woldegebriel gebregziabher kahsay 3,weldegebral gebru tekle 2, yefter woldemicheal hailu 2. Factors associated with longacting family planning service. Family planning coverage has improved in ethiopia in the last decade, though fertility is still about 5. Family planning needs during the extended postpartum. Attitudes toward family planning and reasons for nonuse among. Awareness and determinants of family planning practice in. Attitudes toward family planning and reasons for nonuse. Task sharing in ethiopia improving access to family planning in ethiopia by task sharing services to midlevel providers there are approximately 8. Pills, injectable, such as depoprovera are considered shortacting family planning methods because their lengths of action are only from 1 to 3 months. Aug 24, 2012 specifically, to raise awareness among parliamentary health committees on the linkages between improving family planning reproductive health and achieving national development goals, ppd aro is developing and disseminating policy briefs on family planning in ethiopia, ghana, malawi, and uganda. Its development benefitted from extensive inputs from the family planning task sharing technical working group and other partner organizations. In the last few years, ethiopians have dramatically increased their use of modern family planning contraceptives. Limited choice and access to methods, attitudes of men towards family planning, perceived fear of sideeffects, poor quality of available.
About 24% of married woman have unmet need for family planning in subsaharan africa and 25. Hussein abstract access to family planning fp, quality of care and exploring barriers to utilization of services are key factors in the adoption and continuation of contraception in egypt. Building on this new momentum, we work to improve the health of mothers, neonates, children, adolescents and youth by decreasing unintended and teenage pregnancies. Factors influencing utilisation of family planning. The practice and determinants of family planning practice for preg. May 03, 2015 utilization of family planning services and influencing factors among women of child bearing age in assosa district, benishangul gumuz regional state, west ethiopia. The project provided technical assistance to ethiopias health system by strengthening logistics system performance, increasing national commitment to commodity security, and building sustainable ca pacity. Three successful subsaharan africa family planning programs the usaids bureau for africa and the bureau for global healthoffice of population and reproductive health prh organized this project and recognize the important contributions of the three usaid missions, ministries of health, and country teams from ethiopia, malawi, and. Thus, the main objective of this paper is to identify the key demographic and socioeconomic factors affecting unmet need for family planning in southern nations, nationalities and peoples region snnpr of ethiopia. Thus, assessing status and factors affecting contraceptive utilization among women of reproductive age group was found key step for program improvement.
Under the presidents global health initiative in ethiopia, maternal and child health is a number one priority reflecting the governments goal of reducing maternal mortality and increasing access to family planning. Perceptions and behaviour related to family planning in a rural area in the oromia region, ethiopia from 20th century, the rapid population growth in developing countries has been viewed as a big problem in the international society. Over the last decade, family planning fp services and investments essential. Frequency distributions and chisquare tests were used. Family planning needs during the extended postpartum period in ethiopia this analysis is based on the 2005 demographic and health survey dhs data from ethiopia, and summarizes key findings related to birth spacing and postpartum family planning during the extended postpartum period. Subsaharan african, which is known to have high fertility, reports 25% of women have an unmet need for family planning or childspacing. The family planning system in ethiopia is hugely dependent on donors for contraceptives. Three successful subsaharan africa family planning programs. Specifically, to raise awareness among parliamentary health committees on the linkages between improving family planningreproductive health and achieving national development goals, ppd aro is developing and disseminating policy briefs on family planning in.
Long acting contraceptive method associated factors among. Research open access determinants of low family planning use. The rapid population growth does not match with available resource in ethiopia. This was assessed by using data from the 2011 uganda demographic and health survey udhs. Assessment of male involvement in family planning use. Although the government has a supportive policy toward fertility reduction, the family planning system is highly entangled with macrolevel operational barriers that have compromised the provision of effective family planning services in the country. Contraceptive utilization and associated factors among women.
This call to action is in support of family planning 2020 goals. Community based crosssectional study was conducted from march to april, 2015 in southern. Kale district is a low socioeconomical slum area of the capital city of turkey. A majority of the respondents had at least four years of formal education, and the more education a respondent had the more likely they were to. Factors affecting demand for modern contraceptives among. The overall prevalence of family planning utilization in afar region was 8. Family planning factors included in the study are knowledge of contraceptive methods and being visited by a family planning worker. In ethiopia, meeting the demand for family planning is likely to lead to achieving one of the national population policy objectives, i. Pdf factors associated with utilization of long acting and. However, family planning fp could prevent as many as one in every three maternal deaths by allowing women to delay motherhood, space birth, avoid unintended pregnancies and abortion and stop childbearing when they reached their desired family size. Overall awareness of family planning methods is high, at 87%. This chapter assesses the implementation of the 1993 national population policy npp of ethiopia. A sample of 110 women was selected from hoima town council for interviews.
Perceptions and behaviour related to family planning in a. The results indicate that knowledge of family planning methods among the respondents is high although the actual use of the methods is relatively low. Long term family planning ltfp methods had low failure rate, safer and. Advancing reproductive health and family planning through. Unmet need for family planning has remained relatively unchanged since 2000. Nearly all 99% of maternal death occur in the developing countries. A community based crosssectional study was conducted from april 519, 2012, in 4 randomly selected administrative areas of gondar town. One in four married women in ethiopia has an unmet need for family planning. The ulama conducted an exhaustive search of islamic writings, including the koran, todevelop reproductive health issues in nigeria. However, in ethiopia studies addressing determinant factors of long acting contraceptive utilization are scarce. Though household level family planning delivery has been put in place, the impact of such programs in densely populated rural areas was not studied. Ethiopia is the second most populous country in africa with a total fertility rate tfr of 4. Research article open access factors affecting unmet. Community based crosssectional study was conducted from march to april.
Unmet need is greatest among the youngest women, age 15 to 19 38 percent and among women with only primary education 37 percent. Even though the modern contraceptive use was improved in ethiopia, the utilization of longacting family planning services is still low because. Alem hospital the detail sampling procedure attached as additional file 1. Factors affecting unmet need for family planning in southern. To identify predictors of unmet need of family planning in ethiopia. Three successful subsaharan africa family planning. Client and facility level determinants of quality of care in family. Research article open access factors affecting unmet need for family planning in eastern sudan abdel aziem a ali1,2 and amira okud1 abstract background. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in mekelle town, tigray region, north ethiopia. In subsaharan africa like ethiopia the population growth increases.
These are two dramatic illustrations of a family planning success story that has emerged over the last two decades and is still emerging. Research open access determinants of low family planning. Mens participation is crucial to the success of family planning programs and womens empowerment and associated with better outcomes in reproductive health such as contraceptive acceptance and continuation, and safer sexual behaviors. Ethiopia is a second populous country in africa with a total population of 90,076,000 7, 8. Pdf family planning attitudes of women and affecting factors. From 1990 to 2011, contraceptive use in ethiopia increased ninefold and the. Factors affecting unmet need for family planning in. Assessment of factors affecting long acting of family planning utilization in adigrat town, tigray, northeast ethiopia article pdf available january 2015 with 2,591 reads how we measure reads. Ethiopia is the second most populous country in subsaharan africa. Utilization of and factors affecting individuals saving in.
Ethiopia unmet need for family planning, 2005 one in three currently married women in ethiopia has an unmet need for family planning, with the highest rates of unmet need occurring in oromia 41. Universe of the study has been composed of women who are married and older than 15 years and living in ankara kale district. Predictors of unmet need for family planning among all women of. As a result of ethiopias commitment to reducing infant and child mortality, improving reproductive health and family planning, and the subsequent fertility decline, the country is on the right path to a population age structure that may enable a demographic dividend. Khadiagala introduction widespread variations in geography, socioeconomic structures, and culture, cannot. Pdf assessment of factors affecting long acting of family.
Viable family planning programs could be devised through reliable and accurate estimates of the magnitude of unmet need for family planning. In ethiopia, family planning increasingly an article of faith leaders from all religious traditions smooth the way for contraception on the idea that sprawling families in poor conditions are not. A majority of the respondents had at least four years of formal education, and the more education a respondent had the more likely they were to use contraceptives. Utilization of family planning services and influencing. Barriers affecting utilization of family planning services. Sep 23, 2010 this week i attended the inauguration of a new marie stopes family planning clinic in woldia in northern ethiopia. Policy documents, censuses, survey results, research findings, development plans and program reports are used as sources of data in writing the chapter. Jan 26, 2012 ethiopia is the second most populous country in subsaharan africa. Factors associated with utilization of long term family planning. Hussein abstract access to family planning fp, quality of care and exploring barriers to utilization of services are key factors in the adoption and. Much of the research literature about the use of family planning generalizes contraceptive use among all women, using age as a covariate. Reproductive health service utilization and associated.
Health the potential health service coverage is 90%. Contraceptive use has doubled in ethiopia since 2005. The prevalence rates of contraceptives cprs were 8. Macrolevel operational barriers to family planning services. Bs of health science, slippery rock university, 2005. Younger women face unnecessary health risks on both the timing and spacing of pregnancies.
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. Although family planning use among women of reproductive age has been increased from its virtual nonexistence level, it is still low in ethiopia. This report highlights work carried out by the usaid deliver project in ethiopia from 2006 2016. Utilization of family planning services and influencing factors among women of child bearing age in assosa district, benishangul gumuz regional state, west ethiopia. To assess factors affecting of long acting family planning utilization in adigrat town, tigray, ethiopia. Pdf factors affecting unmet need for family planning in southern. In the developing countries millions of women in the reproductive age who dont use contraceptives. This paper, therefore, aims to determine the level of utilization of long acting contraceptive. Pdf factors affecting unmet need for family planning in. Level of male involvement and associated factors in family.
In bangladesh 2 in 5 women 43% have begun childbearing by the time they are 18 years old and 35% of births to women aged 1519 are of too short intervals. In addition to improving access to family planning services and contraceptives, we also support strengthening the. Factors affecting the utilization of family planning methods. Respondents were asked to indicate their awareness of speci. Barriers affecting utilization of family planning services among rural egyptian women e. Due to this, assessing adolescent reproductive health service utilization and associated factors has its own contribution in achieving the national millennium development goals mdg, especially goals 4 to 6. Though contraceptive utilization has comprehensive benefit for women, it was one of underutilized public intervention in ethiopia and in the study area. Knowledge, attitudes and practices in family planning. In gulu, kitgum and lamwo districts, only 18 percent of women use family planning compared to the national average of 40 percent, shifa mwesigye, 2012.
Khadiagala introduction widespread variations in geography, socioeconomic structures, and. To determine the level and determinants of family planning awareness and practice in one ethiopian town. Currently, the countrys population is growing at a rate of 3%, one of the highest rates in the world and if it continues unabated, the population will have doubled in 23 years, preventing any gain in the national development effort. In uganda, a country with divergent trends in modern family planning use, this study was set to explore whether or not the predictors of contraceptive use differ by age.