Exploring the Influence of Sociocultural Factors on the Non-Utilization of Family Planning amongst Women in Ethiopia’s Pastoralist Regions

Author:

Muluneh Muluken Dessalegn1ORCID,Kidane Woldu1ORCID,Stulz Virginia2ORCID,Ayele Mhiret1,Abebe Sintayehu13,Rossetti Andrea4,Amenu Gedefa1,Tesfahun Azmeraw Ayehu5,Berhan Makida1

Affiliation:

1. Amref Health Africa in Ethiopia, Bole Sub City, Woreda 03, P.O. Box 20855, Addis Ababa 1000, Ethiopia

2. Faculty of Health, University of Canberra, 11 Kirinari St, Bruce, ACT 2617, Australia

3. Melbourne School of Population & Global Health, Melbourne University, Carlton, VIC 3053, Australia

4. Amref Health Africa in Italy Via (St.) Volta n.10, Pregnana Milanese (Milan), 00198 Roma, Italy

5. College of Agriculture and Natural Science, Debre Berhan University, Debre Berhan P.O. Box 445, Ethiopia

Abstract

This study aimed to explore the sociocultural determinants of family planning (FP) utilization among women in pastoralist areas of Ethiopia. A community-based cross-sectional survey was conducted involving 682 reproductive-aged women selected from three regions in pastoralist districts. Hierarchical logistic regression was used to identify factors associated with women who did not use FP. This study revealed that 47% of women did not use FP. Women who did not use FP were more likely to have shorter spacing between births, lack their partner’s support, not be involved in decisions regarding large household purchases, and have low household expenditures. Overall, the prevalence of not using FP is significantly high in pastoralist communities in Ethiopia. The authors recommend that investment in women’s health and FP be targeted at educational campaigns to raise awareness about FP and its importance. Engaging men and community leaders, promoting their support for FP and contraceptive use, and providing financial assistance to address financial barriers, such as transportation costs and healthcare fees, are important aspects that can increase the utilization of FP methods.

Funder

European Union

Publisher

MDPI AG

Reference26 articles.

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2. WHO (2019). Ensuring Human Rights in the Provision of Contraceptive Information and Services: Guidance and Recommendations, WHO.

3. UN (2019). Family Planning and the 2030 Agenda for Sustainable Development, UN.

4. Family planning: The unfinished agenda;Cleland;Lancet,2006

5. Fragile, threatened, and still urgently needed: Family planning programs in sub-Saharan Africa;Jacobstein;Stud. Fam. Plan.,2009

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