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- Title
Determinants of intention to use family planning methods in the four emerging regions of Ethiopia: an ideation score based assessment.
- Authors
Getinet, Tewodros; Surur, Feiruz; Nigatu, Balkachew; Meressa, Alula; Abesha, Yonas; Kassa, Munir; Gebremedhin, Merhawi; Bekele, Delayehu
- Abstract
Background: Ideation refers to the ideas and views that people hold; it has been identified as an important explanation for differences in contraceptive use within and across countries. This study aimed to identify ideational factors that influence intention to use family planning (FP) methods among women of reproductive age (WRA) in the four emerging regions of Ethiopia. Methods: A quantitative cross-sectional survey of 2891 WRA was carried out in the four emerging regions of Ethiopia. A multistage, stratified systematic random sampling technique was employed to select the study participants. Data were collected by trained enumerators, using tablets equipped with Open Data Kit. To assess the impact of ideation on intention to use FP, the research team used 41 items distributed across five broad ideational factors: contraception awareness, self-efficacy, rejection of myth and rumor, intra-family discussion and family support. Confirmatory factor analysis was employed to test the fit of these items into the five ideational factors. A multiple binary logistic regression analysis was employed to assess the combined effect of these ideational factors with different sociodemographic variables on intention to use contraceptive methods. In all the statistical analysis, a p-value < 0.05 was considered statistically significant. Results: Different proportions of women in the four regions intended to use contraceptives in the future: 74.9% in Benishangul-Gumuz, 50.1% in Gambela, 21.8% in Afar, and 20.1% in Somali. The proportion of women who intended to use contraceptives varied with ideation scores. The multiple binary logistic regression revealed that self-efficacy was an important ideational factor of intention to use contraception in all four regions. Rejection of myth and rumor was also an important factor in all regions except in Somali. Contraception awareness and family support were significant predictors of intention to use contraception in the Afar region only. Intra-family discussion was not found significant in any region. Conclusions: Regional/district health offices should focus on increasing self-efficacy for FP use. Demystifying rumors would contribute to improved intention to use FP among women in Afar, Benishangul-Gumuz, and Gambela regions. Raising contraception awareness and encouraging family support would improve intention to use FP in Afar region. Plain English summary: Contraceptive use shows sizeable differences within and across Ethiopia, and the situation is worsening in the country's emerging regions (Afar, Benishangul-Gumuz, Gambela, and Somali). Little or no progress in expanding access to family planning (FP) services in these emerging regions has been observed over the past years. Reasons for the disparity and the psychosocial factors expected to affect uptake of contraceptives are not clearly identified in Ethiopia's emerging regions. In this study, we explored intention to use family planning in the future and the impact of ideation on this intention among 2891 women of reproductive age in the four emerging regions of Ethiopia. Ideation is the concept that people's actions are influenced strongly by their beliefs, ideas, and feelings ("ideational factors") and provides a framework to understand behaviors, including contraceptive behavior. This study indicates that women's intention to use FP in the future increases with increases in their ideational factors: contraception awareness, self-efficacy, rejection of myth and rumor, intra-family discussion and family support. Findings from this study should inspire health officials to focus on the psychosocial factors to close the disparity and improve contraceptive utilization.
- Subjects
ETHIOPIA; FAMILY planning; CONTRACEPTION; SOCIAL support; CROSS-sectional method; CHILDBEARING age; POPULATION geography; QUANTITATIVE research; SURVEYS; SELF-efficacy; HEALTH literacy; DESCRIPTIVE statistics; FACTOR analysis; INTENTION; STATISTICAL sampling; LOGISTIC regression analysis; SOCIODEMOGRAPHIC factors; WOMEN'S health
- Publication
Reproductive Health, 2022, Vol 19, Issue 1, p1
- ISSN
1742-4755
- Publication type
Article
- DOI
10.1186/s12978-022-01385-y