Family Planning Knowledge, Attitude and Practice among Married Couples in Jimma Zone, Ethiopia
Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using con...
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| Published in | PloS one Vol. 8; no. 4; p. e61335 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Public Library of Science
23.04.2013
Public Library of Science (PLoS) |
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| Abstract | Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia.
Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis.
The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR(women )= 2.77 vs. aOR(men) = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively.
The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered. |
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| AbstractList | Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia.BACKGROUNDUnderstanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia.Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis.METHODSData were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis.The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR(women )= 2.77 vs. aOR(men) = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively.RESULTThe concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR(women )= 2.77 vs. aOR(men) = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively.The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered.CONCLUSIONThe high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered. Background Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia. Methods Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis. Result The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aORwomen = 2.77 vs. aORmen = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively. Conclusion The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered. Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia. Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis. The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR.sub.women = 2.77 vs. aOR.sub.men = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively. The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered. Background Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia. Methods Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis. Result The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR.sub.women = 2.77 vs. aOR.sub.men = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively. Conclusion The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered. Background Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia. Methods Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis. Result The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aORwomen = 2.77 vs. aORmen = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively. Conclusion The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered. Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia. Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis. The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR(women )= 2.77 vs. aOR(men) = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively. The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered. BACKGROUND: Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia. METHODS: Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis. RESULT: The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR(women )= 2.77 vs. aOR(men) = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively. CONCLUSION: The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered. |
| Audience | Academic |
| Author | Coene, Gily Kassahun, Wondwosen Degomme, Olivier Temmerman, Marleen Leye, Els Tilahun, Tizta Luchters, Stanley |
| AuthorAffiliation | 3 International Centre for Reproductive Health, Department of Obstetrics and Gynecology, Ghent University, Ghent, Belgium 1 College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia 4 Burnet Institute, Monash University, Victoria, Australia 2 Rhea, Research Center on Gender and Diversity, Brussels University, Bussels, Belgium Tehran University of Medical Sciences, Iran (Islamic Republic of) |
| AuthorAffiliation_xml | – name: 1 College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia – name: Tehran University of Medical Sciences, Iran (Islamic Republic of) – name: 3 International Centre for Reproductive Health, Department of Obstetrics and Gynecology, Ghent University, Ghent, Belgium – name: 4 Burnet Institute, Monash University, Victoria, Australia – name: 2 Rhea, Research Center on Gender and Diversity, Brussels University, Bussels, Belgium |
| Author_xml | – sequence: 1 givenname: Tizta surname: Tilahun fullname: Tilahun, Tizta – sequence: 2 givenname: Gily surname: Coene fullname: Coene, Gily – sequence: 3 givenname: Stanley surname: Luchters fullname: Luchters, Stanley – sequence: 4 givenname: Wondwosen surname: Kassahun fullname: Kassahun, Wondwosen – sequence: 5 givenname: Els surname: Leye fullname: Leye, Els – sequence: 6 givenname: Marleen surname: Temmerman fullname: Temmerman, Marleen – sequence: 7 givenname: Olivier surname: Degomme fullname: Degomme, Olivier |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23637815$$D View this record in MEDLINE/PubMed |
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| Copyright | COPYRIGHT 2013 Public Library of Science 2013 Tilahun et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2013 Tilahun et al 2013 Tilahun et al |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Critically reviewed drafts of the report: TT GC SL WK EL MT OD. Conceived and designed the experiments: TT MT GC SL. Performed the experiments: TT. Analyzed the data: TT OD. Wrote the paper: TT OD. Competing Interests: The authors have declared that no competing interests exist. |
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| References | ref13 ref15 ref14 AT Beekle (ref23) 2006; 53 K Fuse (ref19) 2010; 23 C Giusti (ref22) 2006; 15 O Campbell (ref7) 2006; 368 ref2 ref1 ref17 ref16 ref18 ref9 ref4 M Gebrekidan (ref10) 2002; 16 ref3 LO Omo-Aghoja (ref20) 2009; 43 V Sharma (ref21) 2012; 1 ref6 S Becker (ref8) 1999; 25 J Frost (ref11) 2007; 39 S Elias (ref5) 2005; 19 I Speizer (ref12) 2009; 6 H Nuruzzaman (ref24) 2010; 9 19925660 - Reprod Health. 2009 Nov 19;6:19 17083415 - Int Nurs Rev. 2006 Dec;53(4):269-76 24479000 - J Family Med Prim Care. 2012 Jan;1(1):43-7 17027735 - Lancet. 2006 Oct 7;368(9543):1284-99 17565622 - Perspect Sex Reprod Health. 2007 Jun;39(2):90-9 21985493 - BMC Public Health. 2011;11:782 18957355 - Int Fam Plan Perspect. 2008 Sep;34(3):127-37 20126323 - Ghana Med J. 2009 Sep;43(3):115-21 |
| References_xml | – volume: 43 start-page: 115 year: 2009 ident: ref20 article-title: Factors associated with the knowledge, practice and perceptions of contraception in rural southern Nigeria publication-title: Ghana Medical Journal – volume: 23 start-page: 1031 year: 2010 ident: ref19 article-title: Variations in attitudinal gender preferences for children across 50 less-developed countries publication-title: Demographic Research doi: 10.4054/DemRes.2010.23.36 – ident: ref1 – ident: ref4 – ident: ref2 – ident: ref3 – volume: 19 start-page: 37 year: 2005 ident: ref5 article-title: Prevalence and associated risk factors of Induced Abortion in northwest publication-title: Ethiopia EthiopJHealth Dev – ident: ref6 – volume: 53 start-page: 269 year: 2006 ident: ref23 article-title: Awareness and determinants of family planning practice in Jimma, Ethiopia publication-title: International Nursing Review doi: 10.1111/j.1466-7657.2006.00492.x – volume: 15 start-page: 89 year: 2006 ident: ref22 article-title: Determinants of contraceptive use in Egypt: a multilevel approach publication-title: Statistical Methods and Applications doi: 10.1007/s10260-006-0010-z – volume: 39 start-page: 90 year: 2007 ident: ref11 article-title: Factors Associated with Contraceptive Use and Nonuse, United States, 2004, publication-title: Perspectives on Sexual and Reproductive Health doi: 10.1363/3909007 – volume: 368 start-page: 1284 year: 2006 ident: ref7 article-title: Strategies for reducing maternal mortality: getting on with what works publication-title: Lancet doi: 10.1016/S0140-6736(06)69381-1 – volume: 1 start-page: 43 year: 2012 ident: ref21 article-title: Socio- demographic determinants and knowledge, attitude, practice: survey of family planning, Sharma publication-title: Journal of family medicine and primary care doi: 10.4103/2249-4863.94451 – volume: 9 start-page: 029 year: 2010 ident: ref24 article-title: Unmet Need For Contraceptive: The Case Of Married Adolescent Women In Bangladesh International Journal Of Current Research publication-title: Unmet Need For Contraceptive: The Case Of Married Adolescent Women In Bangladesh International Journal Of Current Research – volume: 25 start-page: 172 year: 1999 ident: ref8 article-title: Measuring Unmet Need: Wives, Husbands or Couples? publication-title: International Family Planning Perspectives doi: 10.2307/2991881 – ident: ref9 – volume: 6 year: 2009 ident: ref12 article-title: Inconsistent fertility motivations and contraceptive use behaviors among women in Honduras publication-title: Reproductive Health doi: 10.1186/1742-4755-6-19 – ident: ref18 doi: 10.1023/A:1021185812984 – ident: ref13 doi: 10.1363/3412708 – volume: 16 start-page: 247 year: 2002 ident: ref10 article-title: The role of men in fertility and family planning program in Tigray Region publication-title: Ethiop J Health Dev – ident: ref16 – ident: ref17 – ident: ref15 – ident: ref14 – reference: 17027735 - Lancet. 2006 Oct 7;368(9543):1284-99 – reference: 21985493 - BMC Public Health. 2011;11:782 – reference: 17565622 - Perspect Sex Reprod Health. 2007 Jun;39(2):90-9 – reference: 18957355 - Int Fam Plan Perspect. 2008 Sep;34(3):127-37 – reference: 17083415 - Int Nurs Rev. 2006 Dec;53(4):269-76 – reference: 24479000 - J Family Med Prim Care. 2012 Jan;1(1):43-7 – reference: 20126323 - Ghana Med J. 2009 Sep;43(3):115-21 – reference: 19925660 - Reprod Health. 2009 Nov 19;6:19 |
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| Title | Family Planning Knowledge, Attitude and Practice among Married Couples in Jimma Zone, Ethiopia |
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