The Effect of a Decade Implemented Project in Improving the Uptake of Comprehensive Contraception: Difference-In-Difference Analysis.

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2023-11-01 DOI:10.4314/ejhs.v33i6.2
Addisalem Titiyos, Jemal Kassaw, Kathryn A O'Connell
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Abstract

Background: Promotion and use of family planning in countries with high birth rates have the potential to avert a third of all maternal deaths and nearly a tenth of childhood deaths. To support government efforts in creating wider access to comprehensive contraceptive methods, EngenderHealth has contributed to the government of Ethiopia's long-term goal of improving maternal health outcomes through its Access to Better Reproductive Health Initiative project.

Methods: Difference-in-Difference approach is the main methodology in this analysis to estimate the "contribution" or "effect" of the ABRI intervention by comparing the changes in family planning outcomes from 2005 to 2016 between the ABRI and non-ABRI areas. This analysis was based on pooled data from the 2005 and 2016 Ethiopian Demographic and Health Surveys. To track temporal changes in the family planning indicators in the ABRI and non-ABRI areas, we employed simple trend analysis.

Results: The results show that overall contraceptive prevalence rate, use of injectables, women's knowledge of Long-Acting Reversible Contraception (LARC) methods, and their exposure to family planning information/messages from health workers all significantly improved in the ABRI intervention areas beyond what occurred in the non-ABRI areas. The greatest increase in the use of modern contraception was among adolescents aged 15-19 years, with a DID estimate of 22.4% (p=0.007), ABRI areas compared to no-ABRI areas.

Conclusion: In the ABRI areas, family planning indicators recorded positive and significant changes. EngenderHealth has contributed its part in improving access to the uptake of comprehensive contraception and supporting government programs.

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一个实施了十年的项目对提高全面避孕普及率的影响:差异分析。
背景:在高出生率国家推广和使用计划生育有可能避免三分之一的孕产妇死亡和近十分之一的儿童死亡。为了支持政府努力扩大综合避孕方法的普及范围,EngenderHealth 通过其 "获得更好的生殖健康倡议 "项目,为埃塞俄比亚政府改善孕产妇健康结果的长期目标做出了贡献:差分法是本分析的主要方法,通过比较 2005 年至 2016 年期间 ABRI 地区和非 ABRI 地区的计划生育结果变化,估算 ABRI 干预的 "贡献 "或 "效果"。该分析基于 2005 年和 2016 年埃塞俄比亚人口与健康调查的汇总数据。为了跟踪 ABRI 地区和非 ABRI 地区计划生育指标的时间变化,我们采用了简单趋势分析法:结果表明,ABRI 干预地区的总体避孕普及率、注射剂使用率、妇女对长效可逆避孕(LARC)方法的了解程度以及从卫生工作者那里获得计划生育信息/信息的机会都比非 ABRI 地区有显著提高。15-19岁青少年使用现代避孕方法的增幅最大,与非ABRI地区相比,ABRI地区的DID估计值为22.4%(P=0.007):在 ABRI 地区,计划生育指标发生了积极而显著的变化。EngenderHealth 为改善全面避孕措施的普及和支持政府方案做出了自己的贡献。
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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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