TY - JOUR
T1 - Family planning practice and related factors of married women in Ethiopia
AU - Ko, I. S.
AU - You, M. A.
AU - Kim, E. S.
AU - Lee, T. W.
AU - Kim, S.
AU - Kim, Y. M.
AU - Nam, J. J.
AU - Lee, H. K.
PY - 2010/9
Y1 - 2010/9
N2 - Background: The family planning (FP) practice rate of Ethiopian women of reproductive age is lower than in most other sub-Saharan African countries. Aim: To examine the status of FP practice and identify intrapersonal, interpersonal and community factors associated with FP practice among married Ethiopian women in a rural area. Methods: A cross-sectional survey was conducted with a convenient sample of 193 married women of reproductive age. A structured questionnaire, which was modified based on the Ethiopian Demographic Health Survey, was used. Multiple logistic regression analysis was conducted to identify factors associated with FP practice at three levels: intrapersonal, interpersonal and community. Results: Almost 67% of women were currently using at least one FP method and most women obtained FP methods from the public health sector. Short-term methods such as pills and injections were most commonly used. FP practice was significantly associated with willingness to use long-term or permanent FP methods in future and spousal discussion about FP. Conclusions: Both intrapersonal and interpersonal factors were related to FP practice. Community factors, however, need to be further assessed using various methods to plan a comprehensive and more culturally acceptable community-based FP program. Caution is needed to generalize the findings because of the convenient sample, but community-based FP programs emphasizing long-term or permanent methods and male involvement in FP counseling would be successful strategies to increase FP practice. Implications for nursing practice: Nurses and midwives need to be trained to provide knowledge and skills for long-term or permanent FP methods for service quality.
AB - Background: The family planning (FP) practice rate of Ethiopian women of reproductive age is lower than in most other sub-Saharan African countries. Aim: To examine the status of FP practice and identify intrapersonal, interpersonal and community factors associated with FP practice among married Ethiopian women in a rural area. Methods: A cross-sectional survey was conducted with a convenient sample of 193 married women of reproductive age. A structured questionnaire, which was modified based on the Ethiopian Demographic Health Survey, was used. Multiple logistic regression analysis was conducted to identify factors associated with FP practice at three levels: intrapersonal, interpersonal and community. Results: Almost 67% of women were currently using at least one FP method and most women obtained FP methods from the public health sector. Short-term methods such as pills and injections were most commonly used. FP practice was significantly associated with willingness to use long-term or permanent FP methods in future and spousal discussion about FP. Conclusions: Both intrapersonal and interpersonal factors were related to FP practice. Community factors, however, need to be further assessed using various methods to plan a comprehensive and more culturally acceptable community-based FP program. Caution is needed to generalize the findings because of the convenient sample, but community-based FP programs emphasizing long-term or permanent methods and male involvement in FP counseling would be successful strategies to increase FP practice. Implications for nursing practice: Nurses and midwives need to be trained to provide knowledge and skills for long-term or permanent FP methods for service quality.
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U2 - 10.1111/j.1466-7657.2010.00805.x
DO - 10.1111/j.1466-7657.2010.00805.x
M3 - Article
C2 - 20796069
AN - SCOPUS:77955761576
VL - 57
SP - 377
EP - 382
JO - International Nursing Review
JF - International Nursing Review
SN - 0020-8132
IS - 3
ER -