Volume 8, Issue 4, July 2020, Page: 49-59
Modern Contraceptive Utilization and Its Associated Factors Among Women Beggars in Bahir Dar Town, North West Ethiopia
Addisu Engdaw, Addis Ababa Health Office, Addis Ababa, Ethiopia
Received: Apr. 5, 2020;       Accepted: Jun. 1, 2020;       Published: Jul. 4, 2020
DOI: 10.11648/j.ajhr.20200804.11      View  69      Downloads  49
In Ethiopia the health extension packages as Ethiopia’s Health Extension Programs primarily targets to address maternal and child health problems specifically in addressing family planning services at household level. However women living on street, around churches and mosques living by begging cannot be addressed by health extension packages, only those beggars who have rented houses can be addressed by health extension packages, though modern contraceptive use among women beggars is scarce and not well known in the study area. This study aims to assess modern contraceptive utilization and associated factors among women beggars in Bahir Dar town, North Western Ethiopia. A quantitative cross-sectional study was conducted in March 2019 from Bahir Dar town, Northwestern Ethiopia on 238 women beggars using consecutive sampling technique with an interviewer administered structured questionnaire. Data was entered in to Epi-Info version 7 then, exported to SPSS version 23 for cleaning and analysis. Binary logistic regression analysis was used to determine the association between different factors and modern contraceptive service utilization. Those variables which had significant association with modern contraceptive service utilization were entered to multivariable logistic regression analysis. Finally odds ratio with 95% confidence intervals were used to identify the independent predictors of modern contraceptive utilization by women beggars. One hundred fifteen (48.9%) have ever used and seventy three (31.1%) with (95%CI=25.1-37.4%) were currently using modern contraceptives, 44 (60.3%) use injectable followed by implant 11 (15.1%). Being married (AOR=4.850 & 95%CI 2.285-6.971), being educated (AOR=5.771 & 95%CI 3.173-6.564), currently living in a rented house (AOR=2.155 & 95%CI 1.523-3.623), having a history of sexual assault/rape (AOR=3.846 & 95%CI 2.133-5.448) and having discussion with a HEW (AOR=3.173 95%CI 2.154-3.889) were more likely to be modern contraception users than their counter parts. The current contraceptive use among women beggars in Bahir Dar town Northwestern Ethiopia is lower considering the natures of their life styles and living conditions though working by including them in urban health extension program by targeting the identified factors is more helpful.
Women Beggars, Modern Contraceptive Utilization, Bahir Dar, Northwestern Ethiopia
To cite this article
Addisu Engdaw, Modern Contraceptive Utilization and Its Associated Factors Among Women Beggars in Bahir Dar Town, North West Ethiopia, American Journal of Health Research. Vol. 8, No. 4, 2020, pp. 49-59. doi: 10.11648/j.ajhr.20200804.11
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This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Foundation HJKF. the U.S. Government and International Family Planning & Reproductive Health Efforts fact sheets factsheets. 2017: 8.
United Nations DoEaSA, Population Division World Population Prospects: The 2017 Revision, Key Findings and Advance Tables. Working Paper No. ESA/P/WP/248. UN population devision. 2017.
ICF. CSACEa. Ethiopian Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF. 2017; 3 (3): 551.
Ahmed S, Li Q, Liu L, Tsui AO. Maternal deaths averted by contraceptive use: an analysis of 172 countries. The Lancet. 2012; 380 (9837): 111-25.
Biniam Getachew ZB. Projection of Family Planning service in Ethiopia – 2011 to 2035. researchGate. 2015.
HSTP. Federal Democratic Republic of ethiopia Ministry of Health, Health Sector Transformation Plan 2015/16-2019/20. HSTP 2015-2020. 2015: 184.
Sourisseau J-M, Bougnoux N, Bélières J-F, Bourgeois R, Soumaré M, Rasolofo P. Envisioning the future of territories to tackle demographic and employment challenges in sub-Saharan Africa. Perspective-Cirad. 2017 (44).
Wang H, Tesfaye R, Ramana GN, Chekagn CT. Ethiopia health extension program: an institutionalized community approach for universal health coverage: World Bank Publications; 2016.
Hailu DM. Begging in a Fast Growing City: Trends and Situations in Bahir Dar City, Ethiopia. Research on Humanities and Social Science 2017; 7 (03): 16.
Chimdessa A, Olayemi O, Akpa OM. Factors Associated with Vulnerability to HIV and Sexually Transmitted Infections among Street Children in Selected Towns of Ethiopia, 2016. World Journal of AIDS. 2017; 7 (03): 230.
Guttmacher Institute AIU. Investing in Contraception and Maternal and Newborn Health,. factsheets. 2017.
Groce N, Murray B, Kealy A. Disabled beggars in Addis Ababa: current situation and prospects for change. International Labour Office-Geneva: ILO. 2014.
Hailemariam A. Implementation of the Population Policy of Ethiopia: Achievements and Challenges. Population Horizons. 2016; 13 (1): 19-30.
United Nations DoEaSAPD. Trends in Contraceptive Use Worldwide. UN population devision 2015: 70.
Sharan M, Ahmed S, May J, Soucat A. Family planning trends in Sub-Saharan Africa: progress, prospects, and lessons learned. Yes Africa Can. 2011: 445.
ICF NSONMa. Malawi Demographic and Health Survey 2015-16. Zomba, Malawi, and Rockville, Maryland, USA NSO and ICF. 2017.
Ministry of Health CD, Gender, Elderly and Children Tanzania, National Bureau of Statistics (NBS) OotC, Government Statistician (OCGS) aI. Tanzania Demographic and Health Survey and Malaria Indicator Survey (TDHS-MIS) 2015-16.. Dar es Salaam, Tanzania, and Rockville, Maryland, USA: MoHCDGEC, MoH, NBS, OCGS, and ICF. 2017.
Envuladu E, Agbo H, Mohammed A, Chia L, Kigbu J, Zoakah A. Utilization of modern contraceptives among female traders in Jos South LGA of Plateau State, Nigeria. International Journal of Medicine and Biomedical Research. 2012; 1 (3): 224-31.
Tuhin Roy MTK, Md. Tanvir Hossain and Sohel Rana. Reproductive health care seeking behavior of female street dwellers of Dhaka Metropolitan, Bangladesh. ResearchGate 2013; 11 & !2 (1).
Stephen O. Kwankye PENCAT. Reproductive health implication of street hawking in Accra, Ghana International Journal of Academic Research in Education and Review. 2013.
Shibihon Debebe M. Sc. MALMS, Belete Biadgo M. Sc. Modern contraceptive methods utilization and associated factors among reproductive aged women in rural Dembia District, northwest Ethiopia: Community based cross-sectional study. International Journal of Reproductive BioMedicine. 2017; 15 (06): 367-74.
Feleke Gebremeskel, Dinkalem Getahun, Tesfaye Kanko. Prevalence of Modern Contraceptive Utilization and Associated Factors Among Women of Reproductive Age Group at Boditi Town, Wolayita Zone, SNNPR, Ethiopia. American Journal of Nursing Science. 2017; 06 (06): 447-53.
Andualem Samuel, Abraham Uliso, Birke Olle, Desalech Dambe, and MN, Sorato MM. Assessment of Modern Contraceptive Method Utilization and Associated Factors Among Women of Reproductive Age Group in Arba Minch Town, SNNPR, Ethiopia. Ec Gynaecology. 2017.
Mahamed K, Medhanyie AA, Liben ML, Shamie R. Modern family planning methods utilization and associated factors among female students in Aysaita town, Northeastern Ethiopia. Medico Research Chronicles. 2017 (44): 411-9.
Belda SS, Haile MT, Melku AT, Tololu AK. Modern contraceptive utilization and associated factors among married pastoralist women in Bale eco-region, Bale Zone, South East Ethiopia. BMC health services research. 2017; 17 (1): 194.
Megabiaw B. Awareness and utilization of modern contraceptives among street women in North-West Ethiopia. BMC women's health. 2012; 12 (1): 31.
Kaware AC, Kamble NH, Mangulikar SK. Prevalence of usage of different contraceptive methods among married women of reproductive age in an urban slum area. International Journal of Medical Science and Public Health 2017; 06 (1): 29-33.
Ndayizigiye M, Fawzi MS, Lively CT, Ware N. Understanding low uptake of contraceptives in resource-limited settings: a mixed-methods study in rural Burundi. BMC health services research. 2017; 17 (1): 209.
Dias JG, de Oliveira IT. Multilevel effects of wealth on women's contraceptive use in Mozambique. PloS one. 2015; 10 (3): e0121758.
Habtamu D, Adamu A. Assessment of sexual and reproductive health status of street children in Addis Ababa. Journal of sexually transmitted diseases. 2013; 2013.
Misganaw AC, Worku YA. Assessment of sexual violence among street females in Bahir-Dar town, North West Ethiopia: a mixed method study. BMC public health. 2013; 13 (1): 825.
Commission FDRoEPC. Summary and Statistical report of the 2007 population and housing census. Addis Ababa, Ethiopia. 2008.
Gómez AM Sexual Violence as a Predictor of Unintended Pregnancy, Contraceptive Use and Unmet Need Among Female Youth in Colombia Journal of Women’s Health 2017 20 (9), 1349-56.
MOLSA. Ministry of Labour and Social Affairs of Bahir Dar Northwest Ethiopia Report MOLSA Report 2017.
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