- Volume 33 Issue 2
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Determinants of women's contraceptive use in rural Ethiopia using Andersen's model
앤더슨 모형을 이용한 에티오피아 농촌지역 거주 여성의 피임실천 영향요인
- Received : 2016.03.22
- Accepted : 2016.06.08
- Published : 2016.06.30
Objectives: This study was conducted to provide data in order to develop effective family planning programs by analyzing the factors which affect contraceptive use among women in Ethiopia. Methods: The community health survey was conducted on women of childbearing age. The research model was developed based on Andersen's Model. A total of 320 respondents were analyzed through Chi-square analysis, t-tests and logistic regression analysis. Results: Contraceptive prevalence rate was 43.1% and most of them were using modern and short-term methods. Among three factor categories, the need factor(unwanted pregnancy experience) was revealed as the most important factor, following enabling factor which was knowing the FP services in health center. Conclusions: These results lead to several conclusions. First, the results imply that programs should focus on women who are in the over 30yr. as well as the poorer economic group and urban residents. Second, to improve the effectiveness of the program, it is important to help them to be motivated themselves and to promote knowledge on various methods. Third, in terms of service delivery, community health workers are expected to take a crucial role. To improve the availability of services, they should provide practical services as those in health center.
family planning;Ethiopia;contraception prevalence rate;Andersen model;maternal mortality
- Abebaw, G. W., Gizachew, A. T., & Atinkut, A. Z. (2014). Trends and Determinants of Contraceptive Use among Young Married Women(Age15-24) Based on the 2000, 2005, and 2011 Ethiopian Demographic and Health Surveys: A Multivariate Decomposition Analysis. USAID DHS Working Papers, 103.
- Adam L. K. (Ed.) (2015). Operation health: surgical care in the developing world. Maryland, MD: Johns Hopkins University Press.
- Adebowale, S. A., Adedini, S. A., Ibisomi, L. D., & Palamuleni, M. E. (2014). Differential Effect of Wealth Quintile on Modern Contraceptive Use and Fertility: Evidence from Malawian Women. BMC Women’s Health, 14(1), 40. https://doi.org/10.1186/1472-6874-14-40
- Afolabi, B. M., Ogunwale, A., & Ajibade, A. A. (2015). Knowledge, non-use, use and source of information on contraceptive methods among women in various stages of reproductive age in rural lagos, southwest nigeria. Clin. Ophthalmol, 9, 885-887.
- Andersen, R.(1968). A behavioral model of families'use of health service. Chicago: Center for Health Administration Studies.
- Andreea, A. C., Duff, G., Sabrina, K., & Amy, O. T. (2011). Low use of contraception among poor women in Africa: an equity issue. Bulletin of the World health Organization, 89, 258-266. https://doi.org/10.2471/BLT.10.083329
- Addai, I. (2000). Determinants of use of maternal-child health services in rural Ghana. Journal of Biosocial Science, 32(1), 1-15.
- Asnake, M., Walie, L., & Melkamu, Y. (2006). Improving the range of contraceptive choices in rural Ethiopia. Ethiopian Journal of Health Development, 20(2), 74-78.
- Beekle, A. T., & McCabe, C. (2006). Awareness and determinants of family planning practice in Jimma, Ethiopia. International Nurse Review, 53(4), 269-276. https://doi.org/10.1111/j.1466-7657.2006.00492.x
- Central Intelligence Agency. (2014). The World Fact Book, Central Intelligence Agency. Retrieved from : https://www.cia.gov/library/publications/the-world-factbook/geos/et.html
- Ethiopia Central Statistical Agency & ICF International. (2012). Ethiopia demographic and health survey 2011. Ethiopia: Central Statistical Agency.
- Ethiopia Ministry of Health. (2010). Health Sector Development Program IV(HSDP IV) 2010/11-2014/15. Ethiopia: Ministry of Health.
- Fantahun, M. (2006). Comparative study of the characteristics of family planning service users and non-users in Northwest Ethiopia. African Journal of Reproductive Health, 10(1), 62-70. https://doi.org/10.2307/30032444
- Google Wikipia. (2014, June 13). The map of Ethiopia. Retrieved form http://en.wikipedia.org
- Guilkey, D. K., & Jayne, S. (1997). Fertility transition in Zimbabwe: Determinants of contraceptive use and method choice. Population Study, 51, 173-189. https://doi.org/10.1080/0032472031000149896
- Hadiza, A. A., Chikaike, O., Basil, N. O. (2013). Factors related to the uptake of contraceptive in a rural community in Plateau State Nigeria: A cross-sectional community study. Journal of Medicine in the Tropics, 15(2), 107-112. https://doi.org/10.4103/2276-7096.123583
- Hogan, D. P., Berhanu, B., & Hailemariam, A. (1999). Household organization, women's autonomy, and contraceptive behavior in southern Ethiopia. Studies in Family Planning, 30(4), 302-314. https://doi.org/10.1111/j.1728-4465.1999.t01-2-.x
- Holeta city hall. (2013). 2013 Development plan of Holeta town. Holeta city hall.
- International Monetary Fund. (2016, April). World Economic Outlook Database. International Monetary Fund. Retrieved from http://www.imf.org/external/pubs/ft/weo/2016/01/weodata/
- Jammeh, S. S., Liu, C. Y., Cheng, S. F., & Lee-Hsieh, J. (2014). Community based study on married couples' family planning knowledge, attitude and practice in rural and urban Gambia. African health sciences, 14(2), 273. https://doi.org/10.4314/ahs.v14i2.1
- Koc, I. (2000). Determinants of contraceptive use and method choice in turkey. Journal of Biosocial Science, 32(3), 329-342. https://doi.org/10.1017/S0021932000003291
- Korean Committee of International Cooperation Development. (2015.3.). Readjustment of Core countries for ODA cooperation. the 21th Korean Committee of International Cooperation Development.
- Lakew, Y., Reda, A. A., Tamene, H., Benedict, S., & Deribe, K. (2013). Geographical variation and factors influencing modern contraceptive use among married women in Ethiopia: evidence from a national population based survey. Reproductive Health, 10(52).
- Laraque, D., Mclean, D. E., Brown-Peterside, P., Ashton, D., & Diamond, B. (1997). Predictors of reported condom use in central Harlem youth as conceptualized by the health belief model. Journal of Adolescent Health, 21(5), 318-327. https://doi.org/10.1016/S1054-139X(97)00142-0
- Lee, H., Lee, T., Shin, H., Ahn, H., Kim, M., & Lee, M. (2013). Patterns and predictors of non-use of family planning methods in Ethiopian women: a panel survey. International Nurse Review, 60(3), 335-343. https://doi.org/10.1111/inr.12028
- Lee, J. K., Parisi, S. M., & Schwarz, E. B. (2013). Contraceptive counseling and use among women with poorer health. Journal of women's health, issues & care, 2(1), 103.
- Lutalo, T., Kidugavu, M., Wawer, M. J., Serwadda, D., Zabin, L. S., Gray, R. H. (2000). Trends and determinants of contraceptive use in Rakai District, Uganda, 1995-98. Studies in Family Planning, 31(3), 217-227. https://doi.org/10.1111/j.1728-4465.2000.00217.x
- Magadi, M. A., Curtis, & S. L. (2003). Trends and determinants of contraceptive method choice in Kenya. Studies in Family Planning, 34(3), 149-159. https://doi.org/10.1111/j.1728-4465.2003.00149.x
- Martin, E. P. (2013). Socio-Economic and Demographic Factors Affecting Contraceptive use in Malawi. Africa Journal of Reproductive Health, 17(3), 91-104.
- Mekonne, W., & Worku, A. (2011). Determinants of low family planning use and high unmet need in Butajira District, South Central Ethiopia. Reproductive Health, 8(37).
- Melka, A. S, Tekelab, T., & Wirtu, D. (2015). Determinants of long acting and permanent contraceptive methods utilization among married women of reproductive age groups in western Ethiopia: a cross-sectional study. The Pan African Medical Journal, 21.
- Nangendo, S. M. (2012). Knowledge and use of family planning methods and services in West Yimbo Division, Bondo district, Western Kenya. African Study Monographs, 33(4), 233-251.
- Nayer, I., Akter, S. F. U., Hossain, S., & Luci, R. H. (2004). Acceptance of long-term contraceptive methods and its related factors among the eligible couples in a selected union. Bangladesh Medical Research Council Bulletin, 30(1), 31-35.
- Pauline, B., Namuunda, M., Carol, M., Eva, K., Alex, E. & Richard, M. (2016). The influence of religion and ethnicity on family planning approval: a case for women in rural western Kenya. Journal of Religion and Health, 55(1), 192-205. https://doi.org/10.1007/s10943-015-0030-9
- Renjhen, P., Kumar, A., Pattanshetty, S., Sagir, A., & Samarasinghe, C. M. (2010). A study on knowledge, attitude and practice of contraception among college students in Sikkim, India. Journal of the Turkish German Gynecological Association, 11(2), 78-81. https://doi.org/10.5152/jtgga.2010.03
- Sony B. (Eds.) (2013). Health Behavior: Emerging Research Perspectives. New York, NY: Springer Science&Business Media.
- United Nations General Assembly. (2000). Resolution adopted by the General Assembly: United Nations Millenium Declaration. United Nations.
- United Nations Statistics Division. (2008). Official list of MDG indicators. UNSD.
- Valente, T. W., Watkins, S. C., Jato, M. N., van der Straten, A., & Tistsol, L. P. (1997). Social network associations with contraceptive use among Cameroonian women in voluntary associations. Social Science and Medicine, 45(5), 677-87. https://doi.org/10.1016/S0277-9536(96)00385-1
- WHO. (2013). Fact sheets-Family planning. World Health Organization. Retrieved from http://www.who.int/mediacentre/factsheets/fs351/en/
- WHO. (2015). Fact sheets-Family planning/Contraception. World Health Organization. Retrieved from http://who.int/mediacentre/factsheets/fs351/en/
- Withers, M., Kano, M., & Pinatih, G. N. I. (2010). Desire for more children, contraceptive use and unmet need for family planning in a remote area of Bali, Indonesia. Journal of biosocial science, 42(4), 549-562. https://doi.org/10.1017/S0021932010000052
- Yee, L., & Simon, M. (2010). The role of the social network in contraceptive decision-making among young, African American and Latina women. Journal of Adolescent Health, 47(4), 374-380. https://doi.org/10.1016/j.jadohealth.2010.03.014
Supported by : KOICA, 연세대학교, 한국연구재단