Amref Health Africa in Ethiopia, Bole Sub City, Woreda 03, P.O. Box 20855, Addis Ababa 1000, Ethiopia.
Faculty of Health, University of Canberra, 11 Kirinari St, Bruce, ACT 2617, Australia.
Int J Environ Res Public Health. 2024 Jun 30;21(7):859. doi: 10.3390/ijerph21070859.
This study aimed to explore the sociocultural determinants of family planning (FP) utilization among women in pastoralist areas of Ethiopia. A community-based cross-sectional survey was conducted involving 682 reproductive-aged women selected from three regions in pastoralist districts. Hierarchical logistic regression was used to identify factors associated with women who did not use FP. This study revealed that 47% of women did not use FP. Women who did not use FP were more likely to have shorter spacing between births, lack their partner's support, not be involved in decisions regarding large household purchases, and have low household expenditures. Overall, the prevalence of not using FP is significantly high in pastoralist communities in Ethiopia. The authors recommend that investment in women's health and FP be targeted at educational campaigns to raise awareness about FP and its importance. Engaging men and community leaders, promoting their support for FP and contraceptive use, and providing financial assistance to address financial barriers, such as transportation costs and healthcare fees, are important aspects that can increase the utilization of FP methods.
本研究旨在探讨埃塞俄比亚牧民地区妇女计划生育（FP）利用的社会文化决定因素。采用基于社区的横断面调查，从牧民地区的三个地区中选择了 682 名育龄妇女。使用分层逻辑回归来确定与未使用 FP 的妇女相关的因素。这项研究表明，47%的妇女未使用 FP。未使用 FP 的妇女更有可能生育间隔较短、缺乏伴侣的支持、不参与大笔家庭购买决策，并且家庭支出较低。总体而言，埃塞俄比亚牧民社区未使用 FP 的比例非常高。作者建议针对妇女健康和 FP 进行投资，开展宣传活动，提高对 FP 及其重要性的认识。让男性和社区领袖参与进来，促进他们对 FP 和避孕药具使用的支持，并提供财政援助以解决交通成本和医疗费用等经济障碍，这些都是增加 FP 方法利用率的重要方面。
