Family planning is the most effective method to control the continuing growth of the population. Ethiopia is currently one of the fastest growing countries in the world, with a growth rate of 3.02% per year. In the next forty to fifty years, Ethiopia is predicted to account for a significant portion of the population growth expected throughout Africa. According to Ethiopia Mini Demographic and Health Survey (EMDHS) 2019, the intended use of family planning is only 36% in the country. Therefore, this study aimed to assessing the socio-demographic determinants of use of family planning among the community and regions in Ethiopia. A total of five thousand four hundred forty-three women in the age group 15 to 49 years were considered in the final data analysis. Descriptive statistics, chi-square test of independency and multilevel random coefficient model were used in the study. Sixty-four percent of the eligible women who were included in the study did not use family planning. The outcome also shows that regional and community differences accounted for almost 20% (18.6) and 22.2% (14.1) of the variation in family planning use, respectively. Women’s preceding birth interval, residence (rural/urban), their educational level, number of living children, wealth status, educational level of their husbands, currently wanted pregnancy, sex of household head, their employment status, regions and exposure to mass media have been identified as an important determinant of intended use of family planning among women of Ethiopia. To address identified concerns and assure improved levels of family planning use, decisive action is needed. This action may include educational intervention, ongoing monitoring and evaluation of family planning services, and scheduling training for providers. This information is crucial for developing strategic policies and raising the standard of family planning services. This research is crucial for developing strategic policies and raising the standard of family planning services. To ensure the success of the national family planning initiatives, the government and relevant organizations must put plans into place that target these effects.
Published in | International Journal of Science, Technology and Society (Volume 12, Issue 1) |
DOI | 10.11648/j.ijsts.20241201.14 |
Page(s) | 35-43 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Family Planning Methods, Multilevel Analysis, EMDHS, 2019
[1] | M. Admassu and A. S. Tegegne, “Factors Affecting Contraceptive Use in Ethiopian: A Generalized Linear Mixed Effect Model.,” Ethiop. J. Health Sci., vol. 31, no. 3, pp. 457–466, May 2021, doi: 10.4314/ejhs.v31i3.2. |
[2] | M. Alemayehu et al., “Family planning use and associated factors among pastoralist community of afar region, eastern Ethiopia,” BMC Womens. Health, vol. 16, pp. 1–9, 2016. |
[3] | T. Mulatu, Y. Sintayehu, Y. Dessie, and M. Deressa, “Modern Family Planning Utilization and Its Associated Factors among Currently Married Women in Rural Eastern Ethiopia: A Community-Based Study,” Biomed Res. Int., vol. 2020, 2020, doi: 10.1155/2020/6096280. |
[4] | EMDHS, Ethiopia Mini Demographic and Health Survey 2019: Final Report. 2019. [Online]. Available: https://dhsprogram.com/pubs/pdf/FR363/FR363.pdf |
[5] | A. Sonfield, K. Hasstedt, and R. B. Gold, “Moving forward: family planning in the era of health reform,” 2014. |
[6] | U. Nations, “Family planning and the 2030 agenda for sustainable development,” Dep Econ Soc Aff Popul Div [Internet], 2019. |
[7] | V. Kantorová, M. C. Wheldon, P. Ueffing, and A. N. Z. Dasgupta, “Estimating progress towards meeting women’s contraceptive needs in 185 countries: A Bayesian hierarchical modelling study,” PLoS Med., vol. 17, no. 2, p. e1003026, 2020. |
[8] | J. J. Frost, L. B. Finer, and A. Tapales, “The impact of publicly funded family planning clinic services on unintended pregnancies and government cost savings,” J. Health Care Poor Underserved, vol. 19, no. 3, pp. 778–796, 2008. |
[9] | I. C. F. CSA, “Ethiopia demographic and health survey: key indicators report,” Cent. Stat. Agency, Addis Ababa, Ethiop., 2016. |
[10] | A. Agresti and Y. Min, “On sample size guidelines for teaching inference about the binomial parameter in introductory statistics,” Dep. Stat. Univ. Florida. Gainesville, Florida, vol. 32611, p. 38545, 2002. |
[11] | H. G. Mengesha, H. Vatanparast, C. Feng, and P. Petrucka, “Modeling the predictors of stunting in Ethiopia: analysis of 2016 Ethiopian demographic health survey data (EDHS),” BMC Nutr., vol. 6, no. 1, pp. 1–11, 2020. |
[12] | H. K. Kasaye, F. T. Bobo, M. T. Yilma, and M. Woldie, “Poor nutrition for under-five children from poor households in Ethiopia: Evidence from 2016 Demographic and Health Survey,” PLoS One, vol. 14, no. 12, p. e0225996, 2019. |
[13] | H. Goldstein, “Multilevel statistical models: John Wiley & Sons,” Chichester, UK, 2011. |
[14] | Z. Öztürk and M. A. Cengiz, “Comparisons of markov chain monte carlo convergence diagnostic tests for bayesian logistic random effect models,” 2016. |
[15] | A. Agresti, Categorical data analysis, vol. 792. John Wiley & Sons, 2012. |
[16] | A. Shumye, W. Girma, and A. R. Muralidharan, “A STATISTICAL ANALYSIS OF FAMILY PLANNING PRACTICES IN ETHIOPIA: AN APPLICATION OF MULTINOMIAL REGRESSION,” Eur. J. Mol. Clin. Med., vol. 7, no. 11, pp. 1458–1475, 2020. |
[17] | E. Ngome and C. Odimegwu, “The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis,” Reprod. Health, vol. 11, no. 1, pp. 1–14, 2014. |
[18] | M. Kassim and F. Ndumbaro, “Factors affecting family planning literacy among women of childbearing age in the rural Lake zone, Tanzania,” BMC Public Health, vol. 22, no. 1, p. 646, 2022. |
[19] | S. N. Dwivedi and K. R. Sundaram, “Epidemiological models and related simulation results for understanding of contraceptive adoption in India,” Int. J. Epidemiol., vol. 29, no. 2, pp. 300–307, 2000. |
[20] | J. E. Potter, “Does Family Planning Reduce Infant Mortality?: Comment,” Popul. Dev. Rev., vol. 14, no. 1, pp. 179–187, 1988. |
[21] | M. F. Asif and Z. Pervaiz, “Socio-demographic determinants of unmet need for family planning among married women in Pakistan.,” BMC Public Health, vol. 19, no. 1, p. 1226, Sep. 2019, doi: 10.1186/s12889-019-7487-5. |
[22] | Y. D. Guracho et al., “Women’s Decision-Making Power on Modern Family Planning Use and Its Associated Factors in Northwest Ethiopia.,” Biomed Res. Int., vol. 2022, p. 9060809, 2022, doi: 10.1155/2022/9060809. |
[23] | I. Mosha, R. Ruben, and D. Kakoko, “Family planning decisions, perceptions and gender dynamics among couples in Mwanza, Tanzania: A qualitative study,” BMC Public Health, vol. 13, no. 1, 2013, doi: 10.1186/1471-2458-13-523. |
APA Style
Gagabo, S. Y., Kuse, K. A. (2024). Determinants of the Use of Family Planning Methods in Ethiopia Using a Multilevel Approach. International Journal of Science, Technology and Society, 12(1), 35-43. https://doi.org/10.11648/j.ijsts.20241201.14
ACS Style
Gagabo, S. Y.; Kuse, K. A. Determinants of the Use of Family Planning Methods in Ethiopia Using a Multilevel Approach. Int. J. Sci. Technol. Soc. 2024, 12(1), 35-43. doi: 10.11648/j.ijsts.20241201.14
AMA Style
Gagabo SY, Kuse KA. Determinants of the Use of Family Planning Methods in Ethiopia Using a Multilevel Approach. Int J Sci Technol Soc. 2024;12(1):35-43. doi: 10.11648/j.ijsts.20241201.14
@article{10.11648/j.ijsts.20241201.14, author = {Sisay Yohannes Gagabo and Kenenisa Abdisa Kuse}, title = {Determinants of the Use of Family Planning Methods in Ethiopia Using a Multilevel Approach}, journal = {International Journal of Science, Technology and Society}, volume = {12}, number = {1}, pages = {35-43}, doi = {10.11648/j.ijsts.20241201.14}, url = {https://doi.org/10.11648/j.ijsts.20241201.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijsts.20241201.14}, abstract = {Family planning is the most effective method to control the continuing growth of the population. Ethiopia is currently one of the fastest growing countries in the world, with a growth rate of 3.02% per year. In the next forty to fifty years, Ethiopia is predicted to account for a significant portion of the population growth expected throughout Africa. According to Ethiopia Mini Demographic and Health Survey (EMDHS) 2019, the intended use of family planning is only 36% in the country. Therefore, this study aimed to assessing the socio-demographic determinants of use of family planning among the community and regions in Ethiopia. A total of five thousand four hundred forty-three women in the age group 15 to 49 years were considered in the final data analysis. Descriptive statistics, chi-square test of independency and multilevel random coefficient model were used in the study. Sixty-four percent of the eligible women who were included in the study did not use family planning. The outcome also shows that regional and community differences accounted for almost 20% (18.6) and 22.2% (14.1) of the variation in family planning use, respectively. Women’s preceding birth interval, residence (rural/urban), their educational level, number of living children, wealth status, educational level of their husbands, currently wanted pregnancy, sex of household head, their employment status, regions and exposure to mass media have been identified as an important determinant of intended use of family planning among women of Ethiopia. To address identified concerns and assure improved levels of family planning use, decisive action is needed. This action may include educational intervention, ongoing monitoring and evaluation of family planning services, and scheduling training for providers. This information is crucial for developing strategic policies and raising the standard of family planning services. This research is crucial for developing strategic policies and raising the standard of family planning services. To ensure the success of the national family planning initiatives, the government and relevant organizations must put plans into place that target these effects. }, year = {2024} }
TY - JOUR T1 - Determinants of the Use of Family Planning Methods in Ethiopia Using a Multilevel Approach AU - Sisay Yohannes Gagabo AU - Kenenisa Abdisa Kuse Y1 - 2024/01/18 PY - 2024 N1 - https://doi.org/10.11648/j.ijsts.20241201.14 DO - 10.11648/j.ijsts.20241201.14 T2 - International Journal of Science, Technology and Society JF - International Journal of Science, Technology and Society JO - International Journal of Science, Technology and Society SP - 35 EP - 43 PB - Science Publishing Group SN - 2330-7420 UR - https://doi.org/10.11648/j.ijsts.20241201.14 AB - Family planning is the most effective method to control the continuing growth of the population. Ethiopia is currently one of the fastest growing countries in the world, with a growth rate of 3.02% per year. In the next forty to fifty years, Ethiopia is predicted to account for a significant portion of the population growth expected throughout Africa. According to Ethiopia Mini Demographic and Health Survey (EMDHS) 2019, the intended use of family planning is only 36% in the country. Therefore, this study aimed to assessing the socio-demographic determinants of use of family planning among the community and regions in Ethiopia. A total of five thousand four hundred forty-three women in the age group 15 to 49 years were considered in the final data analysis. Descriptive statistics, chi-square test of independency and multilevel random coefficient model were used in the study. Sixty-four percent of the eligible women who were included in the study did not use family planning. The outcome also shows that regional and community differences accounted for almost 20% (18.6) and 22.2% (14.1) of the variation in family planning use, respectively. Women’s preceding birth interval, residence (rural/urban), their educational level, number of living children, wealth status, educational level of their husbands, currently wanted pregnancy, sex of household head, their employment status, regions and exposure to mass media have been identified as an important determinant of intended use of family planning among women of Ethiopia. To address identified concerns and assure improved levels of family planning use, decisive action is needed. This action may include educational intervention, ongoing monitoring and evaluation of family planning services, and scheduling training for providers. This information is crucial for developing strategic policies and raising the standard of family planning services. This research is crucial for developing strategic policies and raising the standard of family planning services. To ensure the success of the national family planning initiatives, the government and relevant organizations must put plans into place that target these effects. VL - 12 IS - 1 ER -