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Geographic variation and associated factors of long-acting contraceptive use among reproductive-age women in Ethiopia: a multi-level and spatial analysis of Ethiopian Demographic and Health Survey 2016 data
Authors: Oumer Abdulkadir Ebrahim, Ejigu Gebeye Zeleke, and Atalay Goshu Muluneh
Source: Reproductive Health, Volume 18; DOI: https://doi.org/10.1186/s12978-021-01171-2
Topic(s): Contraception
Residence
Spatial analysis
Country: Africa
  Ethiopia
Published: JUN 2021
Abstract: High fertility rates and unintended pregnancies are public health concerns of lower and middle income countries such as Ethiopia. Long acting contraceptives (LACs) take the lion’s share in reducing unintended pregnancies and high fertility rates. Despite their numerous advantages, the utilization of LACs remains low in Ethiopia. This study is aimed to explore the geographic variation and associated factors of long acting contraceptive use among reproductive-age women in Ethiopia. This is a secondary data analysis of 2016 Ethiopian Demographic and Health Survey (EDHS) data. A total of weighted sample sizes of 10,439 reproductive-age women were included in the final analysis. To clean and analyze the none-spatial data Stata 14 was used while ArcGIS 10.6 and SaTScanTM version 9.6 software were used for spatial analysis. Multilevel Mixed-effect Logistic regression model was used to identify associated factors of LACs utilization. An Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was reported to identify significant variables. Long acting contraceptive utilization was non-random (Moran’s I: 0.30, p-value?
Web: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-021-01171-2