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Modern contraceptive use and influencing factors in Amhara: further analysis of 2016 Ethiopian demographic health survey data

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Document pages: 8 pages

Abstract: Background Ethiopia is one of the countries in sub Saharan Africa. It is difficult to meet the demand for contraceptives. Contraception is a good indicator of couples access to reproductive health services. Research on contraceptives can provide overall guidance and help identify obstacles to overcome in society and weaknesses in services. However, little is known about the situation in Amhara. Therefore, the purpose of this analysis is to evaluate the use of modern contraceptives and its influencing factors in Amhara, Ethiopia. method. We used the secondary data analysis of the regional representative sample of women aged 15-49 in the 2016 Ethiopian population and Health Survey (EDHS). A total of 2207 married women of childbearing age (aged 15-49) chose usng a two-stage stratified cluster sampling technique were included in this analysis. Both descriptive and logistic regression analyses were performed using STATA V.14. A 95 confidence interval was used to declare statistical significance. Results. Modern contraceptive use among married reproductive-age women was 51.3 (95 CI: 47.0–55.6). Being from households with rich wealth index (AOR = 1.6; 95 CI: 1.1–2.5), a secondary or higher level of education (AOR = 3.0; 95 CI: 1.4–6.2), and desire to space (AOR = 2.6; 95 CI: 1.9–3.7) or want no more child (AOR = 2.4; 95 CI: 1.6–3.5) were found positively associated with modern contraceptive use. On the other hand, modern contraceptive use was negatively associated with women aged 35–49 years (AOR = 0.7; 95 CI: 0.5–0.9). Conclusion. Modern contraceptive use was relatively high in the Amhara region. The odds of modern contraceptive use were higher among women with secondary or more educational levels. Women from households with rich wealth index and those who want to delay or avoid pregnancy had also more odds of using modern contraceptives. Therefore, strengthening women’s and community education could improve modern contraceptive use. Moreover, more emphasis should be given for income generation activities.

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