Determinants of Modern Hormonal Contraceptive Methods Utilization among Women within Reproductive Age Group in Dire Dawa City, Ethiopia

Abstract

Modern family planning methods are widely believed to influence fertility reduction worldwide. Family planning had a clear effect on the health of women, children, and families worldwide especially those in developing countries. It has been shown that there are many instances in which women might discontinue contraception or switch methods that put women at risk of unwanted pregnancies. In addition, studies showed that in countries with moderate to high contraceptive prevalence, the majority of unintended pregnancies are the result of contraceptive discontinuation or failure. This study intends to assess and identify determinants of reversible modern hormonal contraceptive method utilization among women of reproductive age group in Dire Dawa city, Dire Dawa Administration, Eastern Ethiopia. A cross-sectional study design was employed. A total of 811 women one year history of modern hormonal contraceptive method usage was studied. A stratified random sampling method was used to select the study subjects. Data was collected using structured questionnaire and to analyze the data descriptive statistics and binary logistic regression was employed. Result. This study showed that 574 (70.8%) of them continue using the method that they used before one year without changing. However, 237 (29.2%) of women discontinued using the method within a year. Switching account 97 (40.9%) of the discontinuation. Factors such as: age, number of children, who made the decision on choice of the used method, the type of contraceptive method used and taking training/ counseling before using the method were found to be significant at 5% level of significance. Women who are young, have no or small number of children and not the decision maker on the choice of the method are more likely to discontinue. Whereas women who didn’t took training/counseling are less likely to discontinue.  And compared to women who used implant those, women who used pills and injectables are more likely to discontinue. This study showed the factors that contribute to utilization of modern contraception methods.

Keywords: modern hormonal contraceptive method; binary logistic regression

DOI: 10.7176/DCS/13-3-01

Publication date:March 31^st 2023