Kedida Beimnet Desalegn, Morankar Sudhakar, Haile Tsegaye G, Gizaw Abraham Tamirat
School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Po Box: 138, Sodo, Ethiopia.
Department of Health, Behavior, and Society, Faculty of Public Health, Institute of Health, Jimma University, Jimma, Ethiopia.
Reprod Health. 2025 Sep 2;22(1):157. doi: 10.1186/s12978-025-02110-1.
Once women decide to use modern contraception, choosing among available methods becomes a decision that is fundamentally their right. While the World Health Organization (WHO) and Ethiopia's Ministry of Health promote long-acting reversible contraceptive (LARC) methods due to their significant health and economic benefits, short-acting injectables remain the most widely used method, accounting for use by over 50% of contraceptive users in Ethiopia. This persistent divergence highlights a crucial gap in understanding the factors that truly influence women's individual method selection. Comprehending these factors is essential to support informed and empowered contraceptive choices, improve reproductive health outcomes, and advance progress towards increasing LARC uptake.
To develop a comprehensive theoretical understanding of how married women select among modern contraceptive options in Wolaita, South Ethiopia.
This study used a grounded theory to collect and analyze data from 43 participants. The participants were recruited purposively and theoretically, included married women using modern contraception and healthcare workers. Data collection involved four focus group discussions (FGDs) with 35 participants and eight individual interviews with healthcare workers. The collected data were analyzed using Strauss and Corbin's mode of analysis, specifically employing the constant comparative method. The analysis process included open, axial, and selective coding to explore and categorize the data. ATLAS.ti-7 software was used to guide data analysis.
A theoretical model revealed that 'finding an appropriate method for mentality' is the core process driving married women's selection of modern contraceptive options. This process is primarily influenced by their 'Desire for an effective method,' alongside various underlying concerns such as fears related to method administration and side effects. Women navigated these concerns by consulting others and observing others' experiences. Additionally, intervening factors, such as method availability and the opinions of significant others, played a crucial role in shaping their method selection. Ultimately, women chose a contraceptive method that aligned with their perspectives and met their expectations.
A comprehensive approach is needed to improve the uptake and satisfaction with modern contraceptive methods while reducing reliance on a single option. By addressing the concerns and managing the intervening conditions identified within the process of 'finding an appropriate method for mentality', informed method selection can be promoted, ultimately enhancing reproductive health outcomes.
一旦女性决定采用现代避孕方法，在可用方法中进行选择就成为一项根本上属于她们权利的决定。虽然世界卫生组织（WHO）和埃塞俄比亚卫生部因长效可逆避孕（LARC）方法具有显著的健康和经济效益而加以推广，但短效注射剂仍然是使用最广泛的方法，在埃塞俄比亚超过50%的避孕使用者采用该方法。这种持续存在的差异凸显了在理解真正影响女性个人方法选择的因素方面存在的关键差距。理解这些因素对于支持明智且自主的避孕选择、改善生殖健康结果以及推动提高长效可逆避孕方法的采用率至关重要。
全面从理论上理解埃塞俄比亚南部沃莱塔地区已婚女性如何在现代避孕方法中进行选择。
本研究采用扎根理论收集和分析来自43名参与者的数据。参与者是经过有目的和理论性招募的，包括使用现代避孕方法的已婚女性和医护人员。数据收集包括与35名参与者进行的四次焦点小组讨论（FGD）以及与医护人员进行的八次个人访谈。使用施特劳斯和科宾的分析模式对收集到的数据进行分析，具体采用持续比较法。分析过程包括开放式、轴心式和选择性编码，以探索和分类数据。使用ATLAS.ti - 7软件指导数据分析。
一个理论模型表明，“为心态找到合适方法”是驱动已婚女性选择现代避孕方法的核心过程。这一过程主要受到她们“对有效方法的渴望”影响，同时还有各种潜在担忧，如对方法施用和副作用的恐惧。女性通过咨询他人和观察他人的经历来应对这些担忧。此外，诸如方法可得性和重要他人的意见等干预因素在塑造她们的方法选择方面发挥了关键作用。最终，女性选择了符合她们观点并满足她们期望的避孕方法。
需要一种全面的方法来提高对现代避孕方法的采用率和满意度，同时减少对单一选择的依赖。通过解决“为心态找到合适方法”过程中确定的担忧并管理干预条件，可以促进明智的方法选择，最终改善生殖健康结果。
