Abera, Solen (2016) The Assessment of Determinants of Family Planning Use and Unmet Need among Women of Reproductive Age Group with Disabilities in Addis Ababa. Masters thesis, Addis Ababa University.
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Abstract
Background: The 2007 Census of Ethiopia revealed 32630 of the 2739551 Addis Ababa population was persons with disability among which 7,835 are reproductive aged women. Persons with disabilities are the most marginalized groups concerning reproductive health services. Unmet need for family planning (FP) and Contraceptive Prevalence Rate (CPR) in Ethiopia was estimated at 25.3% and 29% in 2011 respectively. It may be difficult to achieve sustainable development goal without a focus on including people with disabilities. Objectives: This study is designed to assess levels and determinants of family planning use and unmet need among women of reproductive age group with disabilities in Addis Ababa. Method: Cross sectional study based on associations of persons with disabilities with stratified sampling was used to select 727 women’s with disability. Data were collected using structured questionnaire by eight trained females who completed grade twelve; two of which communicate by speaking and sign language. Data were cleaned and analyzed using Epi data and Stata 12. Descriptive statistics, binary and multivariate logistic regression analyses was employed to identify factors associated with contraceptive use and unmet need for family planning. Cut-off point for the detection of significance is p<0.05. Result: Current CPR among all reproductive age women and sexually active women with disability in Addis Ababa was 44.4% and 64.5% respectively. Unmet need of contraception was 20% among sexually active women with disabilities (10.6% for spacing and 9.4% for limiting) making percentage of demand satisfied 68.9%. Contraception was 6.8 (95% CI: 1.47, 31) times higher in women aged 30-34 compared to age group 45-49. Women whose partners attained primary education had about 3.1 (95% CI: 1.04, 9.5) times more likely to use FP compared with uneducated partners. Unemployed women were 0.8: (95% CI 0.3, 2.04) less likely to use FP methods compared with employed. Women discussing about contraception with partners were 3.3 (95% CI: 1.08, 10.34) times more likely to use FP. While unmet need is less likely among women aged 30-34, 0.05 (95% CI 0.04, 0.7) compared to age group 45-49. Besides women who discuss with their partner about contraception were less likely to have unmet need compared to counterparts 0.23 (95% CI 0.07, 0.7). Those women with number of living children above two are 3.3 (95% CI: 1.03, 10.7) times more likely to have unmet need compared to women with living children less or equal to two. Conclusion and recommendation: Unmet need is found to be high among women with disabilities in Addis Ababa, therefore public and private sectors should promote targeting programs for women with disabilities and their partner for the uptake of the family planning services. Focus should be given to women with disabilities who are unemployed and those whose partners have never been into school.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 09 Aug 2018 13:20 |
| Last Modified: | 09 Aug 2018 13:20 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8050 |
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