Kebede Alemu, Abaya Sileshi G, Merdassa Elias, Bekuma Tariku Tesfaye
1Department of Public Health, Institute of Health Sciences, Wollega University, P. O. Box: 395, Nekemte, Ethiopia.
Public Health, Adama Hospital Medical College, Adama, Ethiopia.
Contracept Reprod Med. 2019 Dec 5;4:21. doi: 10.1186/s40834-019-0103-3. eCollection 2019.
Family planning plays a key role in improving the health of the mother and the child. Yet there are still significant levels of demand for family planning that are unmet and these can lead to unintended pregnancy. So, women's demand for contraceptive utilization to limit, space, or delay the number of family size can be increased by integrating family planning service at each service delivery points.
The main aim of this study was to assess the demand for modern contraceptive and associated factors among currently married women of the reproductive age group in rural kebeles of Nunu Kumba District, 2015.
A community-based cross-sectional study design was conducted from January 15-30, 2015 among 584 systematically selected currently married women of reproductive age in six rural kebeles of Nunu Kumba District. A pre-tested and interviewer-administered questionnaire was used to collect the data. Data were analyzed using SPSS version 20. Descriptive statistics were done to summarize the data. A multivariate logistic regressions analysis method was employed and odds ratio with 95% confidence interval was used to control for possible confounders. -value < 0.05 was used to declare a significant association.
The total demand for modern methods of contraceptive was 450 (77.1%) of which 325 (55.7%) of them were current user and 125 (21.4%) of them were had unmet need for modern contraceptive methods. Being in the younger age group (15-24 and 25-34 years [AOR = 0.196; 95% CI: 0.055, 0.692] and [AOR = 0.179, 95% CI: 0.043, 0.745] respectively, husband having no intention for more children [AOR = 4.124, 95% CI: 1.891, 8.996], number of children alive [AOR = 2.617, 95% CI: 1.056, 6.486], and couples ever not discussed on family planning [AOR = 0.340, 95% CI: 0.187, 0.619] were factors associated with demand for modern methods of contraception.
The total demand for modern methods of contraceptive was high in the study area except for long-acting and permanent methods with high unmet need for spacing than for limiting. Therefore, any program aimed at promoting family planning at the district level should look for ways and means of increasing demand for long-acting and permanent family planning methods and encouraging husband involvement to increase its utilization.
计划生育在改善母婴健康方面发挥着关键作用。然而，仍有大量未满足的计划生育需求，这些需求可能导致意外怀孕。因此，通过在每个服务提供点整合计划生育服务，可以提高妇女对避孕措施的需求，以限制、间隔或推迟生育子女数量。
本研究的主要目的是评估2015年努努昆巴区农村社区已婚育龄妇女对现代避孕方法的需求及相关因素。
2015年1月15日至30日，在努努昆巴区6个农村社区对584名系统选取的已婚育龄妇女进行了一项基于社区的横断面研究。采用经过预测试且由访谈员实施的问卷收集数据。使用SPSS 20版软件进行数据分析。进行描述性统计以汇总数据。采用多因素logistic回归分析方法，使用95%置信区间的比值比来控制可能的混杂因素。P值<0.05被用来判定存在显著关联。
对现代避孕方法的总需求为450人（77.1%），其中325人（55.7%）为当前使用者，125人（21.4%）有未满足的现代避孕方法需求。年龄较小（分别为15 - 24岁和25 - 34岁[AOR = 0.196；95%CI：0.055，0.692]和[AOR = 0.179，95%CI：0.043，0.745]）、丈夫不打算再要孩子[AOR = 4.124，95%CI：1.891，8.996]、存活子女数量[AOR = 2.617，95%CI：1.056，6.并6]以及夫妻从未讨论过计划生育[AOR = 0.340，95%CI：0.187，0.619]是与现代避孕方法需求相关的因素。
除长效和永久性方法外，研究地区对现代避孕方法的总需求较高，间隔生育的未满足需求高于限制生育的未满足需求。因此，任何旨在在地区层面推广计划生育的项目都应寻找方法来增加对长效和永久性计划生育方法的需求，并鼓励丈夫参与以提高其使用率。
