Alemayehu Geta Asrade, Fekadu Abel, Yitayal Mezgebu, Kebede Yigzaw, Abebe Solomon Mekonnen, Ayele Tadesse Awoke, Gizaw Zemichael, Wubeshet Mamo, Muchie Kindie Fentahun, Gelagay Abebaw Addis, Azmeraw Temesgen, Birku Melkamu, Alemu Kassahun, Tariku Amare, Derso Terefe, Tesfahun Adino, Tebeje Nigusie Birhan, Tigabu Zemene, Gebeyehu Abebaw, Debalkie Getu, Biks Gashaw Andargie
Department of Health Service Management and Health Economics, Institute of Public Health College of Medicine, University of Gondar, Gondar, Ethiopia.
Dabat Research Centre Health and Demographic Surveillance System, Institute of Public Health College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
BMC Womens Health. 2018 Jul 3;18(1):118. doi: 10.1186/s12905-018-0611-3.
Despite the enormous benefits of family planning services, the contraceptive utilization still remains low in Sub-Saharan Africa. There is regional variation in modern contraceptive utilization in Ethiopia. Therefore, this study was aimed to determine the prevalence of modern contraceptive utilization and determinants in Dabat demographic and health surveillance system site, northwest Ethiopia.
A re-census was carried out in Dabat Health and Demographic Surveillance System (HDSS) site from October to December 2014. Data of 8271 married women collected in the re-census was used. The outcome variable was current utilization of any modern contraceptive methods whereas socio demographic and economic variables were the potential determinants considered. Bi-variable and multivariable binary logistic regression along with odds ratio and 95% confidence interval were used to describe the strength of association.
Prevalence of modern contraceptive utilization among married women in Dabat DHSS site was found to be 32.5% (95%CI: 31.5, 33.5%). After adjusting for covariates; the odds of using modern contraceptive were 2.35 times, 1.91 times, and 1.39 times higher among women of secondary and above educational level, urban residents, and women having six and above living children, respectively.
Modern contraceptive utilization was found to be very low. Effort has to be applied to improve women's educational level that increases their understanding of reproductive health issues. It is also important to give special emphasis for rural residents, those aged 20-40 years, and those with six or more living children while serving for modern contraceptive methods.
尽管计划生育服务带来了巨大益处，但撒哈拉以南非洲地区的避孕药具使用率仍然很低。埃塞俄比亚现代避孕药具的使用存在地区差异。因此，本研究旨在确定埃塞俄比亚西北部达巴特人口与健康监测系统站点现代避孕药具的使用 prevalence 及其决定因素。
2014年10月至12月在达巴特健康与人口监测系统（HDSS）站点进行了重新普查。使用了在重新普查中收集的8271名已婚妇女的数据。结果变量是当前使用的任何现代避孕方法，而社会人口统计学和经济变量是考虑的潜在决定因素。采用双变量和多变量二元逻辑回归以及优势比和95%置信区间来描述关联强度。
在达巴特DHSS站点的已婚妇女中，现代避孕药具的使用率为32.5%（95%CI：31.5，33.5%）。在对协变量进行调整后；受过中等及以上教育水平的妇女、城市居民以及有六个及以上存活子女的妇女使用现代避孕药具的几率分别高出2.35倍、1.91倍和1.39倍。
发现现代避孕药具的使用率非常低。必须努力提高妇女的教育水平，以增强她们对生殖健康问题的理解。在提供现代避孕方法时，特别关注农村居民、20 - 40岁的人群以及有六个或更多存活子女的人群也很重要。
