Modern family planning method utilization and associated factors among women with disabilities in the Wolaita Zone, Ethiopia: a mixed methods study.

IF 3.4 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Reproductive Health Pub Date : 2025-09-30 DOI:10.1186/s12978-025-02125-8

Kidist Wosene Cherkose, Mihiretu Alemayehu Arba, Fanose Yonas, Worku Mimani Minuta, Wakgari Binu Daga

{"title":"Modern family planning method utilization and associated factors among women with disabilities in the Wolaita Zone, Ethiopia: a mixed methods study.","authors":"Kidist Wosene Cherkose, Mihiretu Alemayehu Arba, Fanose Yonas, Worku Mimani Minuta, Wakgari Binu Daga","doi":"10.1186/s12978-025-02125-8","DOIUrl":null,"url":null,"abstract":"Background: The utilization of modern family planning methods has improved maternal and child health and reduced population growth. However, modern family planning methods are utilized for only 10 percent of disabled women worldwide. In Ethiopia, the issue of family planning among women with disabilities has not been explicitly addressed or documented.Objective: To assess modern family planning method utilization and associated factors among women with disabilities in the Wolaita zone in Ethiopia, 2022.Method: A concurrent mixed study was employed. Quantitative data were collected from 332 women with disabilities by using a pretested structured questionnaire. Study participants were selected using a simple random sampling technique. The data were entered into Epi Data version 4.6 and subsequently exported to SPSS version 26.0 software. A logistic regression model was fitted to identify associated factors. A P value < 0.05 with a 95% confidence level was used to indicate statistical significance. Qualitative data were collected through individual in-depth interviews among 11 purposively selected study participants using interview-guided questions. Inductive thematic analysis was performed using open code software version 4.3. The findings were triangulated with the quantitative results and are presented in the text, table and chart.Results: Overall, 19.3% of women with disabilities utilized the modern family planning method. Being married (AOR=5.75, 95% CI=2.76-11.99), having good knowledge (AOR=5.25, 95% CI=2.36-11.68), and having a positive attitude (AOR=3.37, 95% CI=1.55-7.33) were significantly associated with hospital utilization. Information and communication problems, unfriendly health facility infrastructure, an unsupported services provision approach, undermining disable women, myths and misconceptions, and transportation-related issues were identified as barriers that hinder utilization.Conclusion: Theutilization of modern family planning methods among women with disabilities is low. Marital status, knowledge, and attitudes toward modern family planning were associated factors. It is crucial to address equity in the delivery of health care services, so a societal, attitudinal, and physical barrier must be addressed to increase the utilization of this method.","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"175"},"PeriodicalIF":3.4000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486489/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reproductive Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12978-025-02125-8","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The utilization of modern family planning methods has improved maternal and child health and reduced population growth. However, modern family planning methods are utilized for only 10 percent of disabled women worldwide. In Ethiopia, the issue of family planning among women with disabilities has not been explicitly addressed or documented.

Objective: To assess modern family planning method utilization and associated factors among women with disabilities in the Wolaita zone in Ethiopia, 2022.

Method: A concurrent mixed study was employed. Quantitative data were collected from 332 women with disabilities by using a pretested structured questionnaire. Study participants were selected using a simple random sampling technique. The data were entered into Epi Data version 4.6 and subsequently exported to SPSS version 26.0 software. A logistic regression model was fitted to identify associated factors. A P value < 0.05 with a 95% confidence level was used to indicate statistical significance. Qualitative data were collected through individual in-depth interviews among 11 purposively selected study participants using interview-guided questions. Inductive thematic analysis was performed using open code software version 4.3. The findings were triangulated with the quantitative results and are presented in the text, table and chart.

Results: Overall, 19.3% of women with disabilities utilized the modern family planning method. Being married (AOR=5.75, 95% CI=2.76-11.99), having good knowledge (AOR=5.25, 95% CI=2.36-11.68), and having a positive attitude (AOR=3.37, 95% CI=1.55-7.33) were significantly associated with hospital utilization. Information and communication problems, unfriendly health facility infrastructure, an unsupported services provision approach, undermining disable women, myths and misconceptions, and transportation-related issues were identified as barriers that hinder utilization.

Conclusion: Theutilization of modern family planning methods among women with disabilities is low. Marital status, knowledge, and attitudes toward modern family planning were associated factors. It is crucial to address equity in the delivery of health care services, so a societal, attitudinal, and physical barrier must be addressed to increase the utilization of this method.

查看原文本刊更多论文

埃塞俄比亚Wolaita地区残疾妇女中现代计划生育方法的使用及其相关因素：一项混合方法研究。

背景：现代计划生育方法的应用改善了孕产妇和儿童健康，减少了人口增长。然而，全世界只有10%的残疾妇女采用了现代计划生育方法。在埃塞俄比亚，残疾妇女的计划生育问题没有得到明确处理或记录。目的：了解2022年埃塞俄比亚沃莱塔地区残疾妇女现代计划生育方法的使用情况及其相关因素。方法：采用并行混合研究。采用预先测试的结构化问卷对332名残疾妇女进行了定量数据收集。研究参与者采用简单的随机抽样技术进行选择。数据录入Epi data 4.6版，导出至SPSS 26.0版软件。拟合逻辑回归模型以确定相关因素。P值< 0.05,95%置信水平表示差异有统计学意义。定性数据是通过对11名有目的选择的研究参与者的个人深度访谈收集的，使用访谈引导问题。采用开码软件4.3版进行归纳专题分析。这些发现与定量结果进行了三角测量，并以文本、表格和图表的形式呈现出来。结果：总体上，19.3%的残疾妇女采用了现代计划生育方法。已婚（AOR=5.75, 95% CI=2.76 ~ 11.99）、知识水平高（AOR=5.25, 95% CI=2.36 ~ 11.68）、态度积极（AOR=3.37, 95% CI=1.55 ~ 7.33）与医院使用率显著相关。信息和通信问题、不友好的保健设施基础设施、没有支助的服务提供办法、不利于残疾妇女、神话和误解以及与运输有关的问题被确定为阻碍利用的障碍。结论：现代计划生育方法在残疾妇女中的使用率较低。婚姻状况、现代计划生育知识和态度是相关因素。至关重要的是要解决卫生保健服务提供的公平性问题，因此必须解决社会、态度和物理障碍，以增加对这一方法的利用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Reproductive Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.00

自引率

5.90%

发文量

220

审稿时长

>12 weeks

期刊介绍： Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access. Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.