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BMC Pregnancy and Childbirth

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Open Access 01-12-2021 | Research article

Factors associated with unintended pregnancy in Ethiopia; further analysis of the 2016 Ethiopian demographic health survey data

Authors: Yibeltal Alemu Bekele, Gedefaw Abeje Fekadu

Published in: BMC Pregnancy and Childbirth | Issue 1/2021

Abstract

Background

Unintended pregnancy an important public health problem in Ethiopia. It is associated with adverse physical, mental, social and economic outcomes. Identifying factors associated with unintended pregnancy may help to reduce unintended pregnancy and hence adverse outcomes. There are few studies about the prevalence and associated factors of unintended pregnancy in Ethiopia. But these studies were based on small sample size and fragmented. Therefore, this analysis was done to identify factors associated with unintended pregnancy in Ethiopia based on nationally representative data.

Methods

The study used the 2016 Ethiopian demographic and health survey data. The data was downloaded from The DHS program with permission. A total of 1135 women were included in the final model. Data was weighted to consider disproportionate sampling and non-response. Multivariable logistic regression was used to identify factors associated with unintended pregnancy among women.

Result

About 30% (95% CI: 25.33–34.39) pregnancies were unintended. Married women (Adjusted odds ratio (AOR); 0.34; 95% CI: (0.01–0.14), woman living in developing regions AOR; 0.14; 95% CI: (0.07–0.27) and women who reported distance was not a big problem to get medical care AOR; 0.59; 95% CI: (0.36–0.99) had lower odds of unintended pregnancy. On the other hand, multiparous AOR; 3.77; 95% CI: (1.71–8.33), grand multiparous AOR; 6.72; 95% CI: (2.74–16.49) women and women who ever used contraceptives AOR; 1.86 95% CI: (1.06–3.26) had higher odds of unintended pregnancy.

Conclusion

Although high, the magnitude of unintended pregnancy in Ethiopia was lower compared to the global level. Marital status, region, perceived distance to seek medical care, parity and history of contraceptive use were found significant predictors of unintended pregnancy in Ethiopia.

Centers for Disease Control and Prevention (CDC). Unintended Pregnancy Prevention 2015. Available from: https://www.cdc.gov/reproductivehealth/unintendedpregnancy/index.htm.

Being The Parent. 2018. Unplanned Pregnancy And Its Effects 2018. Available from: https://www.beingtheparent.com/unplanned-pregnancy-and-its-effects/.

Bearak J, Popinchalk A, Alkema L, Sedgh G. Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model. Lancet Glob Health. 2018;6(4):e380–e9. https://doi.org/10.1016/S2214-109X(18)30029-9.CrossRefPubMedPubMedCentral

Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN maternal mortality estimation inter-agency group. Lancet. 2016;387(10017):462–74. https://doi.org/10.1016/S0140-6736(15)00838-7.CrossRefPubMed

Unintended Pregnancy in Ethiopia, 2014 [Internet]. 2017. Available from: https://www.guttmacher.org/infographic/2017/unintended-pregnancy-ethiopia-2014. Accessed 6 July 2020.

Facts on Unintended Pregnancy and Abortion in Ethiopia [Internet]. 2010. Available from: https://www.guttmacher.org/sites/default/files/factsheet/fb-up-ethiopia.pdf. Accessed 20 July 2020.

Induced Abortion and Postabortion Care in Ethiopia [Internet]. 2017. Available from: https://www.guttmacher.org/fact-sheet/induced-abortion-ethiopia. Accessed 30 June 2020.

Ikamari L, Izugbara C, Ochako R. Prevalence and determinants of unintended pregnancy among women in Nairobi, Kenya. BMC Pregnancy Childbirth. 2013;13(1):69. https://doi.org/10.1186/1471-2393-13-69.CrossRefPubMedPubMedCentral

Mohamed EA-EB, Hamed AF, Yousef FM, Ahmed EA. Prevalence, determinants, and outcomes of unintended pregnancy in Sohag district, Egypt. J Egypt Public Health Assoc. 2019;94(1):14. https://doi.org/10.1186/s42506-019-0014-9.CrossRefPubMedPubMedCentral

10.

Lamina M. Prevalence and determinants of unintended pregnancy among women in South-Western Nigeria. Ghana Med J. 2015;49(3):187–94. https://doi.org/10.4314/gmj.v49i3.10.CrossRefPubMedPubMedCentral

11.

Haffejee F, O’Connor L, Govender N, Reddy P, Sibiya MN, Ghuman S, et al. Factors associated with unintended pregnancy among women attending a public health facility in KwaZulu-Natal, South Africa. South Afr Fam Pract. 2018;60(3):1–5.

12.

Fite RO, Mohammedamin A, Abebe TW. Unintended pregnancy and associated factors among pregnant women in Arsi Negele Woreda, west Arsi zone, Ethiopia. BMC Res Notes. 2018;11(1):671. https://doi.org/10.1186/s13104-018-3778-7.CrossRefPubMedPubMedCentral

13.

Yenealem F, Niberet G. Prevalence and associated factors of unintended pregnancy among pregnant woman in Gondar town, north West Ethiopia, 2014. BMC Res Notes. 2019;12(1):161. https://doi.org/10.1186/s13104-019-4203-6.CrossRefPubMedPubMedCentral

14.

Beyene GA. Prevalence of unintended pregnancy and associated factors among pregnant mothers in Jimma town, Southwest Ethiopia: a cross sectional study. Contracept Reprod Med. 2019;4(1):8. https://doi.org/10.1186/s40834-019-0090-4.CrossRefPubMedPubMedCentral

15.

Melese KG, Gebrie MH, Badi MB, Mersha WF. Unintended pregnancy in Ethiopia: community based cross-sectional study. Obstetrics and gynecology international. 2016;2016. https://www.hindawi.com/journals/ogi/2016/4374791/.

16.

Tsegaye AT, Mengistu M, Shimeka A. Prevalence of unintended pregnancy and associated factors among married women in west Belessa Woreda, Northwest Ethiopia, 2016. Reprod Health. 2018;15(1):201. https://doi.org/10.1186/s12978-018-0649-6.CrossRefPubMedPubMedCentral

17.

Kassahun EA, Zeleke LB, Dessie AA, Gersa BG, Oumer HI, Derseh HA, et al. Factors associated with unintended pregnancy among women attending antenatal care in Maichew town, northern Ethiopia, 2017. BMC Res Notes. 2019;12(1):381. https://doi.org/10.1186/s13104-019-4419-5.CrossRefPubMedPubMedCentral

18.

Goshu YA, Yitayew AE. Prevalence and determinant factors of unintended pregnancy among pregnant women attending antenatal clinics of Addis Zemen hospital. Plos One. 2019;14(1):e0210206. https://doi.org/10.1371/journal.pone.0210206.CrossRefPubMedPubMedCentral

19.

Tebekaw Y, Aemro B, Teller C. Prevalence and determinants of unintended childbirth in Ethiopia. BMC Pregnancy Childbirth. 2014;14(1):326. https://doi.org/10.1186/1471-2393-14-326.CrossRefPubMedPubMedCentral

20.

Moore AM, Gebrehiwot Y, Fetters T, Wado YD, Bankole A, Singh S, et al. The estimated incidence of induced abortion in Ethiopia, 2014: changes in the provision of services since 2008. Int Perspect Sex Reprod Health. 2016;42(3):111–20. https://doi.org/10.1363/42e1816.CrossRefPubMedPubMedCentral

21.

Women 2017. Women’s Reproductive Rights Is One of the Biggest Issues of the Century. It is Being Violated Almost Everywhere in the World 2018. Available from: https://women-s.net/womens-reproductive-rights/. Accessed 1 Aug 2020.

22.

Sustainable Development Goal 3, Ensure healthy lives and promote well-being for all at all ages. 2015. Available from: https://sustainabledevelopment.un.org/SDG3. Accessed 17 Aug 2020.

23.

The Federal Democratic Republic of Ethiopia Ministry of Health (FDRE-MOH). Health Sector Transformation Plan (HSTP) 2015/16–2019/20. 2015.

24.

Central Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopia Demographic and Health Survey 2016. Addis Ababa, and Rockville: CSA and ICF; 2016.

25.

National Population Commission (NPC) [Nigeria] and ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville: NPC and ICF International; 2014.

26.

Ezire O, Idogho O, Theophilus A, Ikani S, Oluigbo O. Study on the patterns and trend in contraceptive use in south-south and North-Western zones of Nigeria: 2003–2011. Open Access J Contracept. 2014;5:65.CrossRef

27.

National Department of Health (NDoH) SSASS, South African Medical Research Council (SAMRC), and ICF. South Africa demographic and health survey 2016 key findings. Pretoria and Rockville: NDoH, Stats SA, SAMRC, and ICF; 2018.

28.

National Council for Population and Development (NCPD) [Kenya] and ICF International. Kenya Demographic and Health Survey 2014. Nairobi and Rockville: NPC and ICF International; 2015.

29.

Mohammed F, Musa A, Amano A. Prevalence and determinants of unintended pregnancy among pregnant woman attending ANC at Gelemso general hospital, Oromiya region, East Ethiopia: a facility based cross-sectional study. BMC Womens Health. 2016;16(1):56.

30.

iproject Master. THE INFLUENCE OF SOCIO-CULTURAL VARIABLES ON MARITAL STABILITY AMONG COUPLES IN LAGOS METROPOLIS [Available from: https://www.iprojectmaster.com/EDUCATION/final-year-project-materials/the-influence-of-socio-cultural-variables-on-marital-stability-among-couples-in-lagos-metropolis. Accessed 17 Aug 2020.

31.

Single-Parent Family Social Problems. 2019. Available from: https://www.livestrong.com/article/536203-single-parent-family-social-problems/.

32.

Jenbere RL, Likassa HT. Multilevel logistic regression analysis on predictors of Women’s intention to limit child-bearing in rural Ethiopia. Sci J Public Health. 2017;5(3):162–71. https://doi.org/10.11648/j.sjph.20170503.12.CrossRef

33.

Kassa N, Berhane Y, Worku A. Predictors of unintended pregnancy in Kersa, eastern Ethiopia, 2010. Reprod Health. 2012;9(1):1. https://doi.org/10.1186/1742-4755-9-1.CrossRefPubMedPubMedCentral

34.

Gonie A, Wudneh A, Nigatu D, Dendir Z. Determinants of family planning use among married women in bale eco-region, Southeast Ethiopia: a community based study. BMC Womens Health. 2018;18(1):50. https://doi.org/10.1186/s12905-018-0539-7.CrossRefPubMedPubMedCentral

35.

Awoyemi T, Obayelu O, Opaluwa H. Effect of distance on utilization of health care services in rural Kogi state, Nigeria. J Hum Ecol. 2011;35(1):1–9. https://www.tandfonline.com/doi/abs/10.1080/09709274.2011.11906385.

36.

Girma F, Jira C, Girma B. Health services utilization and associated factors in jimma zone, South west ethiopia. Ethiopian J Health Sci. 2011;21(3).

37.

Eugène KY, Harvey A-T, Orsot TE, Simplice DNC. Correlates of Unintended Pregnancies in Ivory Coast: Results from a National Survey. Science. 2018;6(1):6-14. http://www.sciencepublishinggroup.com/j/sjph.

38.

Cherie N, Adane B. Kenkyu Journal of Epidemiology & Community Medicine 4: 11–17 (2018). 2018.

39.

Malalu PK, Alfred K, Too R, Chirchir A. Determinants of use of modern family planning methods: a case of Baringo North District, Kenya. Sci J Public Health. 2014;2(5):424–30. https://doi.org/10.11648/j.sjph.20140205.18.CrossRef

Title: Factors associated with unintended pregnancy in Ethiopia; further analysis of the 2016 Ethiopian demographic health survey data
Authors: Yibeltal Alemu Bekele
Gedefaw Abeje Fekadu
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: BMC Pregnancy and Childbirth / Issue 1/2021
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-021-03924-0

2024 ASCO Annual Meeting

Springer Medicine

Factors associated with unintended pregnancy in Ethiopia; further analysis of the 2016 Ethiopian demographic health survey data

Abstract

Background

Methods

Result

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Result

Conclusion

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