Institute of Health, Department of Population and Family Health, Jimma University, Jimma, Ethiopia.
Department of Statistics, College of Natural Sciences, Jimma University, Jimma, Ethiopia.
PLoS One. 2024 Sep 26;19(9):e0308633. doi: 10.1371/journal.pone.0308633. eCollection 2024.
Despite progress in national reproductive health programs, pastoralist regions like Fentale District in Eastern Ethiopia face challenges with low contraceptive coverage, attributed to insufficient positive attitudes and uptake among couples.
This cross-sectional study was conducted from October 1 to December 25, 2021, in Fentale District, Eastern Ethiopia. It involved 1,496 couples selected using multistage sampling. Data were entered into EPI Data and analyzed with SPSS (v23.0) and STATA (v14.0), employing descriptive statistics, bivariate analysis, and binary logistic regression to identify predictors of contraceptive attitudes and use.
The study's response rate was 93.8%, with 1,404 pastoralist couples participating, equally split between women and men. A nomadic-pastoralist lifestyle was common (64.6%), and family planning discussions were rare (93.2%). Gender disparities in contraceptive attitudes and use were evident. Contraception use was reported by 27.4%, with women (41.2%) outnumbering men (13.5%). Women showed more positive attitudes towards contraception (87.9% vs. 31.9% for men). Only 33% had favorable attitudes towards different contraceptive methods, with women more likely to be positive. Modern contraception use was low (18.2%), with women (34.8%) predominating over men (1.7%). Among users, women had a more favorable attitude (78.5% vs. 6.6% for men). Health extension workers were key information providers. Predictors of contraceptive attitudes and use included sex, education, occupation, electronic device ownership, migration frequency, treatment preferences, and family planning discussions.
The limited positive attitude towards and use of family planning in Fentale District may stem from unfavorable attitudes, low adoption, and couple disparities. Key factors include gender, education, occupation, electronic device ownership, migration, treatment preferences, and family planning discussions. Targeted educational campaigns for men are needed to address these issues and reduce the gender gap in contraceptive attitudes and use.
尽管国家生殖健康计划取得了进展，但像埃塞俄比亚东部芬塔莱区这样的牧民地区仍然面临着避孕普及率低的挑战，这归因于夫妻之间的态度不够积极和接受程度不高。
本横断面研究于 2021 年 10 月 1 日至 12 月 25 日在埃塞俄比亚东部芬塔莱区进行，涉及使用多阶段抽样选择的 1496 对夫妇。数据输入 EPI Data 并使用 SPSS（v23.0）和 STATA（v14.0）进行分析，采用描述性统计、双变量分析和二元逻辑回归来确定影响避孕态度和使用的因素。
该研究的回复率为 93.8%，共有 1404 对牧民夫妇参与，男女各占一半。游牧牧民的生活方式很常见（64.6%），而计划生育讨论很少（93.2%）。避孕态度和使用方面存在明显的性别差异。报告使用避孕措施的有 27.4%，其中女性（41.2%）多于男性（13.5%）。女性对避孕的态度更为积极（87.9%对男性的 31.9%）。只有 33%的人对不同的避孕方法有好感，女性更有可能持积极态度。现代避孕方法的使用率很低（18.2%），女性（34.8%）多于男性（1.7%）。在使用者中，女性的态度更为积极（78.5%对男性的 6.6%）。卫生推广工作者是主要的信息提供者。避孕态度和使用的预测因素包括性别、教育、职业、电子设备拥有情况、迁移频率、治疗偏好和计划生育讨论。
芬塔莱区对计划生育的态度和使用有限，可能源于态度不利、采用率低以及夫妻之间的差异。主要因素包括性别、教育、职业、电子设备拥有情况、迁移、治疗偏好和计划生育讨论。需要针对男性开展有针对性的教育宣传活动，以解决这些问题，缩小避孕态度和使用方面的性别差距。
