Department of Health Systems and Policy, University of Gondar, Gondar, Ethiopia
BMJ Open. 2022 Feb 2;12(2):e049341. doi: 10.1136/bmjopen-2021-049341.
Regardless of the local and international initiatives, excluding exempting services, demand satisfied for contraceptives remains low in Ethiopia. This circumstance is supposed to be attributed to different level factors; however, most were not well addressed in the previous studies. Therefore, this study aimed at assessing the magnitude and individual, household and community-level factors associated with demand satisfied for modern contraceptive (DSFMC) methods among married/in-union women of reproductive age.
Cross-sectional study.
A community-based study across the country.
Randomly selected 9126 married/in-union women had participated using a structured questionnaire.
DSFMC methods among married/in-union women of reproductive age.
DSFMC methods in Ethiopia was 39.5% (95% CI 38.5% to 40.5%). Women aged 35-49 years (adjusted OR (AOR): 0.43, 95% CI 0.32 to 0.58), Muslim religion (AOR: 0.58, 95% CI0.43 to 0.78), husband lived elsewhere (AOR: 0.42, 95% CI 0.29 to 0.60), joint decision making to use (AOR: 1.30, 95% CI 1.04 to 1.62), good knowledge (AOR: 1.57, 95% CI 1.32 to 1.86) and wealth status of poorer (AOR: 1.56, 95% CI 1.17 to 2.06), middle (AOR: 1.77, 95% CI 1.33 to 2.35), richer (AOR: 1.96, 95% CI 1.49 to 2.59), and richest (AOR: 1.49, 95% CI 1.05 to 2.08), pastoralist regions (AOR: 0.28, 95% CI 0.18 to 0.42), and agrarian regions (AOR: 1.72, 95% CI 1.21 to 2.44) and rural residency (AOR: 0.56, 95% CI 0.37 to 0.82) were factors significantly associated.
Women's age, religion, the current living place of husbands and women's knowledge were individual-level factors. Household wealth status and mutual decision making to use were household-level factors. Region and residency were households and community-level factors associated with DSFMCs. Increasing the accessibility of modern contraceptive methods to women in rural areas and pastoralist regions, those living separately, engaging religious leaders and men in the programme, would increase their satisfying demand.
尽管存在地方和国际倡议，但埃塞俄比亚的避孕需求仍然难以得到满足，除了豁免服务。这种情况可能归因于不同层面的因素；然而，在之前的研究中，大多数因素并没有得到很好的解决。因此，本研究旨在评估与已婚/同居育龄妇女对现代避孕方法（DSFMC）需求满足相关的规模和个人、家庭和社区层面的因素。
横断面研究。
全国范围内的社区基础研究。
使用结构化问卷随机选择了 9126 名已婚/同居的育龄妇女参与研究。
已婚/同居育龄妇女的 DSFMC 方法。
埃塞俄比亚的 DSFMC 方法为 39.5%（95%置信区间 38.5%至 40.5%）。35-49 岁的妇女（调整后的比值比（AOR）：0.43，95%置信区间 0.32 至 0.58）、穆斯林宗教（AOR：0.58，95%置信区间 0.43 至 0.78）、丈夫居住在其他地方（AOR：0.42，95%置信区间 0.29 至 0.60）、共同决策使用（AOR：1.30，95%置信区间 1.04 至 1.62）、知识良好（AOR：1.57，95%置信区间 1.32 至 1.86）和较贫困（AOR：1.56，95%置信区间 1.17 至 2.06）、中等（AOR：1.77，95%置信区间 1.33 至 2.35）、较富裕（AOR：1.96，95%置信区间 1.49 至 2.59）和最富裕（AOR：1.49，95%置信区间 1.05 至 2.08）、牧民地区（AOR：0.28，95%置信区间 0.18 至 0.42）和农业地区（AOR：1.72，95%置信区间 1.21 至 2.44）以及农村居住（AOR：0.56，95%置信区间 0.37 至 0.82）是与 DSFMC 显著相关的因素。
妇女的年龄、宗教信仰、丈夫目前的居住地和妇女的知识是个人层面的因素。家庭财富状况和共同决策使用是家庭层面的因素。地区和居住地点是与 DSFMC 相关的家庭和社区层面的因素。增加农村和牧民地区、分居的妇女获得现代避孕方法的机会，让宗教领袖和男性参与该计划，将增加他们对避孕的需求满足。
