Association between women empowerment and contraceptive utilization in Ethiopia.

Yonas Abebe, Robera Demissie Berhanu, Lencho Kajela, Yadeta Babu Bayane
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Abstract

Background: Women's empowerment is essential for achieving sustainable development goals. It involves enabling women to take control of their lives by giving them the agency, resources, and opportunities they need to make their own choices and reach their full potential. If more women are empowered to use modern contraceptives, greater reductions in maternal mortality will follow. By understanding this association, we can identify key women empowerment dimensions that have an association with family planning utilization and consider ways forward to improve reproductive health outcomes for women.

Objective: This study aimed to investigate the association between women's empowerment and modern contraceptive utilization among married mothers in Ethiopia.

Design: A facility-based quantitative study was employed.

Methods: A facility-based quantitative cross-sectional study was employed among 305 mothers selected by systematic random sampling at Jimma Town Public Hospital from July 1 to August 31, 2022. The interviewer-administered questionnaire was used for data collection. The collected data were entered into EpiData Manager, version 4.6.0.6, and then exported to SPSS, version 26. Bivariate and multivariate logistic regression analyses were used to investigate the associations between the dependent and independent variables.

Results: Among a total of 305 study subjects, 301 were used in the analysis. Approximately 65% (95% CI = 59.8, 70.8) of the women utilized modern contraceptive methods. High general self-efficacy (AOR = 4.17; 95% CI = 2.11, 8.23), an internal locus of control (AOR = 3.92; 95% CI = 2.01, 7.65), labor work participation (AOR = 4.53; 95% CI = 1.99, 10.31), and enrollment in elementary education (AOR = 8.30; 95%; CI = 2.96, 23.27) have a statistically significant association with modern contraceptive utilization.

Conclusion: Numerous dimensions of women's empowerment are significantly associated with modern contraceptive utilization. The dimension of women's empowerment needs considerable focus from stakeholders to empower women and enable them to utilize contraceptives and other maternal healthcare services.

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埃塞俄比亚妇女赋权与避孕药具利用之间的关系。
背景:赋予妇女权力对于实现可持续发展目标至关重要。它包括使妇女能够掌握自己的生活,给予她们作出自己的选择和充分发挥其潜力所需的代理、资源和机会。如果更多的妇女有权使用现代避孕药具,产妇死亡率就会进一步降低。通过了解这种联系,我们可以确定与计划生育利用有关的赋予妇女权力的主要方面,并考虑如何改善妇女的生殖健康结果。目的:本研究旨在调查埃塞俄比亚已婚母亲中妇女赋权与现代避孕药具利用之间的关系。设计:采用以设施为基础的定量研究。方法:采用系统随机抽样的方法,于2022年7月1日至8月31日在吉马镇公立医院抽取305名产妇进行定量横断面研究。数据收集采用访谈者填写的问卷。将收集到的数据输入EpiData Manager(4.6.0.6版本),导出到SPSS(26版本)。使用双变量和多变量逻辑回归分析来调查因变量和自变量之间的关联。结果:在305名研究对象中,301名被纳入分析。大约65% (95% CI = 59.8, 70.8)的妇女使用现代避孕方法。一般自我效能感高(AOR = 4.17;95% CI = 2.11, 8.23),内部控制点(AOR = 3.92;95% CI = 2.01, 7.65),劳动参与率(AOR = 4.53;95% CI = 1.99, 10.31),初等教育入学率(AOR = 8.30;95%;CI = 2.96, 23.27)与现代避孕措施的使用有统计学意义。结论:妇女赋权的许多方面与现代避孕药具的使用显著相关。增强妇女权能方面需要利益攸关方相当重视,以增强妇女权能,使她们能够利用避孕药具和其他孕产妇保健服务。
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