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. 2022 Nov 7:3:999860.
doi: 10.3389/fgwh.2022.999860. eCollection 2022.

Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern Ethiopia

Saba Hailu  1 , Nega Assefa  1 , Tariku Dingeta  1 , Chaltu Abdurahman  2 , Mewardi Adem  2
Affiliations

Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern Ethiopia

Saba Hailu et al. Front Glob Womens Health. .

Abstract

Background: The prevalence of unmet need for contraception is the highest in low- and middle-income countries (LMIC). Contraceptive use among young married or unmarried women is lower than that among older women in developing countries. Previous studies generalized the findings to all women of reproductive age and have not investigated psychosocial factors that influence contraceptive use. This study aimed to identify factors associated with unmet need for contraception among young married women in the Haramaya Health and Demographic Surveillance System (HDSS), eastern Ethiopia.

Methodology: A cross-sectional, community-based study of young married women aged 15-24 years was conducted. A simple random sampling method was used to select 550 young married women. Data were collected using a pretested structured questionnaire. Using adjusted odds ratio (AOR) with a 95% confidence interval (CI), factors associated with unmet need for contraception were identified using multivariable logistic regression analysis.

Results: The overall prevalence of unmet need for contraception was 154 (30.3%). Adolescents (15-19) (AOR = 2.05, 95% CI: 1.16-3.62), husbands' negative attitude toward contraception (AOR = 2.1, 95% CI: 1.05-4.46), and no previous use of contraception (AOR = 3.9, 95% CI: 2.29-6.71) were significantly and positively associated with unmet need for contraception. On the contrary, young women with secondary education or higher (AOR = 0.55, 95% CI: 0.28-1.084) were negatively and significantly associated with unmet need for contraception.

Conclusion: The prevalence of unmet need for contraception among young women in Haramaya was high. Unmet need was affected by age, husbands' attitude toward contraceptives, the educational status of women, and previous use of contraception. This study underscored the need to improve girls' educational status to empower them in making contraceptive use decisions with their partners. Programs should also engage male partners who are perceived as key decision-makers when it comes to contraceptive use.

Keywords: adolescents; contraception; perceived internalized stigma; unmet need; young married women.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Algorithm of unmet need for contraception among young married women in the Haramaya HDSS, eastern Ethiopia, 2020.
Figure 2
Figure 2
Agreement with perceived internalized stigma statements by 15–24-year-old young married women.
See this image and copyright information in PMC

References

    1. Prata N, Weidert K, Sreenivas A. Meeting the need: youth and family planning in sub-Saharan Africa. Contraception. (2013) 88:83–90. 10.1016/j.contraception.2012.10.001 - DOI - PubMed
    1. United Nations Department of Economic and Social Affairs . Definition of Youth. (2022). Available online at: http://www.un.org/esa/socdev/documents/youth/fact-sheets/youthdefinition...
    1. Wado YD, Bangha M, Kabiru CW, Feyissa GT. Nature of, and responses to key sexual and reproductive health challenges for adolescents in urban slums in sub-Saharan Africa: a scoping review. Reprod Health. (2020) 17:1–14. 10.1186/s12978-020-00998-5 - DOI - PMC - PubMed
    1. Ahinkorah BO. Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: a multilevel mixed effects analysis. PLoS ONE. (2020) 15:e0236352. 10.1371/journal.pone.0236352 - DOI - PMC - PubMed
    1. Union A. State of Africa's Population 2017. Second session of the Specialized Technical Committee on Health, Population and Drug Control (STC-HPDC-2). Addis Ababa, Ethiopia. (2017).

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