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. 2017:2017:9389072.
doi: 10.1155/2017/9389072. Epub 2017 Mar 7.

Women's Joint Decision on Contraceptive Use in Gedeo Zone, Southern Ethiopia: A Community Based Comparative Cross-Sectional Study

Akine Eshete  1 , Yohannes Adissu  1
Affiliations

Women's Joint Decision on Contraceptive Use in Gedeo Zone, Southern Ethiopia: A Community Based Comparative Cross-Sectional Study

Akine Eshete et al. Int J Family Med. 2017.

Abstract

A community based comparative cross-sectional study design was employed to assess the mutual consent of women about family planning use in urban and rural villages of Gedeo zone. Two-thirds (67.4%) of women made joint decision on contraceptive use, varying between urban (70.9%) and rural (63.4%) settings. This difference was statistically significant where women in urban setup had a 41% (AOR, 1.41; 95% CI (1.15, 2.01) added chance of making joint decision than the rural counterpart. In both settings, attitude towards contraceptive method was an independent predictor of joint contraceptive decision (AOR = 2.85) in urban and (AOR = 2.81) rural women. Contrarily, different factors were found to be associated with joint contraceptive decision in either setup. In urban, having better knowledge about contraceptive methods (AOR = 2.9) and having lower age difference (AOR = 2.2) were found to be strong predictors of joint decision on contraceptive use, while having too many children (AOR = 2.2) and paternal support (AOR = 7.1) in rural setups. Lower level of joint decision making on contraceptive use was reported in both setups. Factors associated with joint decision varied between the two setups, except for attitude towards contraceptive methods. Future family planning program should address sociocultural, knowledge and attitude factors.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Women's group on contraceptive use in urban and rural districts of Gedeo zone, South Ethiopia, 2015.
Figure 2
Figure 2
Contraceptive method used in urban and rural districts of Gedeo zone, South Ethiopia, 2015.
Figure 3
Figure 3
Reasons for not using contraceptive methods among married women in urban and rural districts of Gedeo zone, South Ethiopia, 2015 (n.b. Multiple responses were possible).
Figure 4
Figure 4
Married women's joint decision-making on contraceptive use in urban and rural districts of Gedeo zone, South Ethiopia, 2015.
See this image and copyright information in PMC

References

    1. Population Reference Bureau. World Population Data Sheet. 2015.
    1. Population Reference Bureau. World Data Sheet. Washington, DC, USA: Population Reference Bureau; 2013.
    1. Transitional Government of Ethiopia [TGE] National Population Policy of Ethiopia. Addis Ababa, Ethiopia: TGE; 1993.
    1. Central Statistical Agency. Ethiopia Demographic and Health Survey 2011. Calverton, Md, USA: Central Statistical Agency, Addis Ababa, Ethiopia; ORC Macro; 2011.
    1. UNFPA. A Decade of Change in Contraceptive Use in Ethiopia. In-Depth Analysis of the EDHS 2000–2011. Addis Ababa, Ethiopia: UNFPA; 2012.

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