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Spatial variations and associated factors of modern contraceptive use in Ethiopia: a spatial and multilevel analysis

Tegegne, Teketo, Chojenta, C, Forder, PM, Getachew, T, Smith, R and Loxton, D 2020, Spatial variations and associated factors of modern contraceptive use in Ethiopia: a spatial and multilevel analysis, BMJ Open, vol. 10, no. 10, pp. 1-11, doi: 10.1136/bmjopen-2020-037532.

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Title Spatial variations and associated factors of modern contraceptive use in Ethiopia: a spatial and multilevel analysis
Author(s) Tegegne, TeketoORCID iD for Tegegne, Teketo orcid.org/0000-0002-9137-3632
Chojenta, C
Forder, PM
Getachew, T
Smith, R
Loxton, D
Journal name BMJ Open
Volume number 10
Issue number 10
Article ID e037532
Start page 1
End page 11
Total pages 11
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2020-10
ISSN 2044-6055
2044-6055
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
epidemiology
public health
reproductive medicine
statistics & research methods
BRIEF CONCEPTUAL TUTORIAL
SOCIAL EPIDEMIOLOGY
Summary ObjectiveTo assess spatial variations in modern contraceptive use and to identify factors associated with it among married women in Ethiopia.DesignCross-sectional analysis of population-based and health facility data.SettingEthiopia Demographic and Health Survey data linked to Service Provision Assessment data.Population8473 married women and 1020 facilities that reported providing family planning services.MethodsA linked secondary data analysis of population and health facility data was carried out. Both multilevel and spatial analyses were conducted to identify key determinants of women’s use of modern contraceptive and spatial clustering of modern contraceptive use.Main outcome measureModern contraceptive use.ResultsAbout 24% of the variation in the use of modern contraception was accounted for by location. A one-unit increase in the mean score of health facilities’ readiness to provide short-term modern contraceptives in a typical region was associated with a 20-fold increase in the odds of modern contraceptive use (adjusted OR (AOR) 20.49, 95% CI 1.44 to 29.54). In the spatial analysis, it was found that Addis Ababa and the Amhara region had high clusters of modern contraceptive use rates. On the other hand, low rates of contraceptive use were clustered in the Afar and Somali regions.ConclusionThere were significant variations in the use of modern contraceptives across the different regions of Ethiopia. Therefore, regions with low contraceptive rates and high fertility rates should be targeted for scaling up and tailoring of services to the culture and lifestyles of the population of those regions.
Language eng
DOI 10.1136/bmjopen-2020-037532
Indigenous content off
Field of Research 1103 Clinical Sciences
1117 Public Health and Health Services
1199 Other Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30149531

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.