The Magnitude and Factors Associated with Unmet Need for Family Planning Among Married Women in Jigjiga City Administration, Somali Region, Eastern Ethiopia

Tahir Yousuf, Omer Moelin Ali, Nega Assefa, Tesfaye Gobana, Lathwal O. P

Abstract


Knowledge of family planning has increased to 87% among currently married women. However, it is uses still lagging as, about 22% of young married women and 26% of sexually active unmarried women in this country are reported having an unmet need for family planning. Ethiopia is one of the highest unmet need for family planning according to EDHS-2016 but the level and factors that determine unmet need for FP are not well understood. This study assess the magnitude and factors associated with unmet need for family planning among married women of urban and rural communities in Jigjiga city administration. A community based cross-sectional study design was used, with 375 households. Sampling frame was used listing all households in the selected kebeles (smallest administration units) in which married women resided. A structured questionnaire adopted from literature was used. Data was checked, edited, coded and entered into EPIDATA version 3.1 and transported to SPSS version 23 for analysis. Bivariate and multivariate logistic regression was carried out to see any associations between outcome and explanatory variables and P-Value of 0.05 was considered significant. This study revealed that 22.6 % of married women had unmet need for family planning out of which, 68(21.5%) was for spacing and 4(1.1%) for limiting.

In this study, unavailability of health facility that provide family planning services was 2.3 (AOR=2.31, 95%CI: 1.087, 4.912 1.042, 4.3) times more likely to have unmet need for FP than those who had. Women who desire to have more than or equal to ten children were 3.7 (AOR=3.7, 95%CI:1.427, 9.822) times more likely to have unmet need for FP than those who desired to have less than ten children and FP practice (non-user and ever-users) were 8 [(AOR=8.8, 95%CI: 1.327, 58.61) and (AOR=8.5, 95%CI: 1.552, 46.04)] times more likely to have unmet need for Family planning than those of current users. It also concluded that the overall prevalence of unmet need for FP among married women in Jigjiga city administration was high compared to EDHS-2016 of Somali region and availability of health facility providing FP services, desire to have more children, and family planning practice (Ever-users and Non-users) were associated with unmet need for Family planning.


Keywords


Unmet Needs; Family Planning; Jigjiga; Somali region; Ethiopia.

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