Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie City, Ethiopia.
Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie City, Ethiopia.
Sci Rep. 2023 Nov 28;13(1):20902. doi: 10.1038/s41598-023-48176-4.
Ensuring universal access to family planning services is a proven strategy to improve reproductive health as well as economic development. Assessing the trend and identifying the factors for the change in modern contraceptive utilization is crucial to design effective measures, but trend analysis was not conducted previously. Thus, this study aimed to assess the trend and determinants of modern contraceptive utilization change among married women in emerging regions of Ethiopia. This study used the 2000 Ethiopia Demographic and Health Survey and the 2019 Ethiopia Min Demographic and Health Survey datasets for analysis. A total of 2555 and 1916 married women in the 2000 and 2019 surveys were included in the analysis, respectively. The data were analyzed using Stata version 17.0. Logit-based decomposition analysis was executed to identify factors for modern contraceptive utilization change. Statistical significance was declared at a P value of less than 0.05. The trend of contraceptive utilization change increased from 6.26% in 2000 to 21.97% in 2019. About - 65.87% and 165.87% of the change in contraceptive utilization was due to changes in composition and behavior, respectively. The change in composition was due to the change in the composition of women according to religion, educational status, region, and the number of living children. The change in behaviors of not educated women, rural women, Muslim women, and those who resided in the afar region was the source of change in modern contraceptive utilization. Modern contraceptive utilization has increased in the last two decades. The change in modern contraceptive utilization is due to changes in population composition and behavior. Interventions targeting uneducated and rural women are vital to increasing contraceptive utilization. Strategic interventions are also required for the Somali regions of Ethiopia.
确保普及计划生育服务是改善生殖健康和经济发展的一项经过验证的策略。评估现代避孕方法利用变化的趋势并确定变化的因素对于设计有效的措施至关重要，但之前没有进行趋势分析。因此，本研究旨在评估埃塞俄比亚新兴地区已婚妇女现代避孕方法利用变化的趋势和决定因素。本研究使用了 2000 年埃塞俄比亚人口与健康调查和 2019 年埃塞俄比亚最小人口与健康调查数据集进行分析。共有 2555 名和 1916 名分别在 2000 年和 2019 年调查中已婚的妇女被纳入分析。使用 Stata 版本 17.0 分析数据。执行基于对数的分解分析，以确定现代避孕方法利用变化的因素。统计显著性定义为 P 值小于 0.05。避孕方法利用变化的趋势从 2000 年的 6.26%增加到 2019 年的 21.97%。大约 -65.87%和 165.87%的避孕方法利用变化归因于构成和行为的变化，分别。构成的变化归因于根据宗教、教育程度、地区和活产子女数量改变妇女的构成。不接受教育的妇女、农村妇女、穆斯林妇女和居住在 afar 地区的妇女行为的变化是现代避孕方法利用变化的来源。在过去的二十年中，现代避孕方法的利用有所增加。现代避孕方法利用的变化是由于人口构成和行为的变化。针对未受过教育的妇女和农村妇女的干预措施对于增加避孕方法的使用至关重要。还需要针对埃塞俄比亚的索马里地区采取战略干预措施。
