Determinants of long-acting family planning utilization among reproductive-age women in Ethiopia: further analysis of recent demographic and health survey data.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-04-10 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1480509
Melsew Setegn Alie, Gossa Fetene Abebe, Yilkal Negesse, Desalegn Girma
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引用次数: 0

Abstract

Background: Despite advancements in modern contraceptive use in Ethiopia, the uptake of long-acting family planning services remains low due to various factors. To our knowledge, there is currently no national evidence regarding the prevalence of long-acting family planning methods. Therefore, this study aimed to identify the determinants of long-acting family planning utilization among women of reproductive age in Ethiopia.

Method: A secondary data analysis was conducted using the 2019 Ethiopian Demographic and Health Survey data. The data were extracted from the child record file using STATA version 15. A total of 4,782 reproductive-age women were selected for the study. After applying appropriate weighting, generalized estimating equation modeling was performed using the xtgee command in STATA. Model selection was based on the quasi-likelihood criteria, and model fitting was carried out using two proposed working correlation structures: exchangeable and independent. The generalized estimating equations modeling of the study parameters was assessed accordingly.

Result: The magnitude of long-acting family planning utilization in this study was 8.6 [95% confidence interval (CI): 7.8-9.4]. Determinants of long-acting family planning utilization were age of women 40-49 years [odds ratio (OR) = 1.87, 95% CI: 1.7-4.7], rural residence (OR = 0.47, 95% CI: 0.19-0.89], female head of household (OR = 1.67, 95% CI: 1.5-2.2), family size ≥13 (OR = 0.04, 95 CI: 0.003-0.68), and number of children aged under 5 years ≥4 (OR = 0.26, 95% CI: 0.09-0.68).

Conclusion: The utilization of long-acting family planning methods among women in Ethiopia is relatively low compared to the Ethiopian government's plan. Key factors influencing this utilization include age, place of residence, head of household, family size, and number of children aged under 5 years. These findings suggest that the country should enhance the use of long-acting family planning by focusing on improving access for young and adolescent women, empowering women, and addressing the needs of households with larger family sizes. Reproductive health interventions, including family planning services, should specifically target rural, male-headed households with young women who have more than four children aged under 5 years to increase the uptake of long-acting family planning methods.

埃塞俄比亚育龄妇女长期实施计划生育的决定因素:对最近人口和健康调查数据的进一步分析。
背景:尽管埃塞俄比亚在现代避孕措施的使用方面取得了进展,但由于各种因素,长期计划生育服务的使用率仍然很低。据我们所知,目前还没有关于长效计划生育方法普遍存在的全国性证据。因此,本研究旨在确定埃塞俄比亚育龄妇女长期计划生育利用的决定因素。方法:利用2019年埃塞俄比亚人口与健康调查数据进行二次数据分析。使用STATA版本15从子记录文件中提取数据。共有4782名育龄妇女被选为研究对象。在适当赋值后,利用STATA中的xtgee命令进行广义估计方程建模。模型选择基于准似然准则,模型拟合使用两种工作相关结构:可交换和独立。对研究参数的广义估计方程建模进行了评价。结果:本研究长效计划生育使用率为8.6[95%可信区间(CI): 7.8-9.4]。长效计划生育实施的决定因素为女性年龄40-49岁[比值比(OR) = 1.87, 95% CI: 1.7-4.7]、农村居住(OR = 0.47, 95% CI: 0.19-0.89)、女性户主(OR = 1.67, 95% CI: 1.5-2.2)、家庭规模≥13人(OR = 0.04, 95 CI: 0.003-0.68)、5岁以下儿童人数≥4人(OR = 0.26, 95% CI: 0.09-0.68)。结论:与埃塞俄比亚政府的计划相比,埃塞俄比亚妇女对长效计划生育方法的使用率相对较低。影响这种利用的关键因素包括年龄、居住地、户主、家庭规模和5岁以下儿童人数。这些调查结果表明,该国应加强长期计划生育的使用,重点是改善青年和少女妇女的获得机会,赋予妇女权力,并解决家庭规模较大的家庭的需求。生殖健康干预措施,包括计划生育服务,应专门针对有四个以上5岁以下子女的年轻妇女的农村男性户主家庭,以增加对长效计划生育方法的采用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
3.70
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