Ahmed Beyan, Jibro Usmael, Ashenafi Wondimye, Shiferaw Kasiye
Girawa District Health Office, Eastern, Ethiopia.
College of Health and Medical Science, School of Public Health, Haramaya University, Harar, Ethiopia.
BMC Public Health. 2024 Dec 25;24(1):3584. doi: 10.1186/s12889-024-21154-9.
Women's decision-making power on contraceptive use is crucial for increasing modern contraceptive uptake. However, evidence in Ethiopia regarding this topic is limited and inconclusive.
To assess the prevalence and factors associated with women's decision-making power on modern contraceptive use in Girawa district, Eastern Ethiopia, January 1-30, 2024.
A community-based cross-sectional study was conducted among 510 married contraceptive users in Girawa district selected through multistage sampling. Descriptive statistics and logistic regression analyses were employed. The questionnaire was developed reviewing different literature, and pretested before actual data collection. Trained data collectors were collected the data. Face-to-face interview was conducted to collect data from study participants. Data cleaned and entered to Epidata, transferred to SPSS version 20 for analysis. Descriptive statistics were computed for all variables and the results were presented using frequency, tables and percentages. Using binary logistic regression, bivariate analysis was conducted to recruit variables for multivariable analysis at p-value of less than 0.25. Then multivariable analysis was conducted to control confounding variables. The strength of associations of variables was reported using odds ratio, with its 95% confidence interval, and p-value less than 0.05 used to declare significant association of explanatory with outcome variable.
The prevalence of women's decision-making power on modern contraceptive use was 78% (95%CI: 74.4, 81.6). Factors significantly associated with increased decision-making power included: women's education (primary: AOR = 10.51[5.37, 20.56]; secondary and above: AOR = 2.58[1.35, 4.93]), husband's education (primary: AOR = 2.53[1.33, 4.81]; secondary and above: AOR = 2.25[1.08, 4.68]), government employment (AOR = 5.29[1.44, 19.57]), ANC visits (1-3: AOR = 2.16[1.18, 3.95]; ≥4: AOR = 1.86[1.85, 4.05]), positive attitude (AOR = 2.83[1.28, 6.25]), and good knowledge about modern contraceptives (AOR = 3.67[1.78, 7.56]).
Three in four married women in Girawa district have decision-making power on modern contraceptive use. Education, employment, Antenatal care (ANC) utilization, positive attitudes, and good knowledge about contraceptives were associated with increased decision-making power. Interventions targeting these factors could further empower women in contraceptive decision-making.
女性在避孕措施使用方面的决策权对于提高现代避孕方法的采用率至关重要。然而，埃塞俄比亚关于这一主题的证据有限且尚无定论。
评估2024年1月1日至30日在埃塞俄比亚东部吉拉瓦区已婚避孕使用者中，女性对现代避孕措施使用的决策权的患病率及相关因素。
采用多阶段抽样方法，对吉拉瓦区510名已婚避孕使用者进行了一项基于社区的横断面研究。采用描述性统计和逻辑回归分析。通过查阅不同文献制定问卷，并在实际数据收集前进行了预测试。由经过培训的数据收集人员收集数据。通过面对面访谈从研究参与者那里收集数据。数据经过清理后录入EpiData，然后转移到SPSS 20版进行分析。对所有变量进行描述性统计，并使用频率、表格和百分比呈现结果。使用二元逻辑回归进行双变量分析，以招募p值小于0.25的变量进行多变量分析。然后进行多变量分析以控制混杂变量。使用比值比报告变量关联的强度，及其95%置信区间，p值小于0.05用于表明解释变量与结果变量之间存在显著关联。
女性对现代避孕措施使用的决策权患病率为78%（95%CI：74.4，81.6）。与决策权增加显著相关的因素包括：女性教育程度（小学：调整后比值比[AOR]=10.51[5.37，20.56]；中学及以上：AOR=2.58[1.35，4.93]）、丈夫的教育程度（小学：AOR=2.53[1.33，4.81]；中学及以上：AOR=2.25[1.08，4.68]）、政府工作（AOR=5.29[1.44，19.57]）、产前检查次数（1 - 3次：AOR=2.16[1.18，3.95]；≥4次：AOR=1.86[1.85，4.05]）、积极态度（AOR=2.83[1.28，6.25]）以及对现代避孕方法的良好了解（AOR=3.67[1.78，7.56]）。
吉拉瓦区四分之三的已婚女性在现代避孕措施使用方面拥有决策权。教育、就业、产前保健利用、积极态度以及对避孕方法的良好了解与决策权增加相关。针对这些因素的干预措施可以进一步增强女性在避孕决策方面的能力。
