Abstract:
Background: Contraceptive prevalence rate is relatively higher in Amhara region, as compared to other regions and national average in Ethiopia. On the other hand, various studies discussed minority communities have lower contraceptive use and high fertility rate. Despite this, no contraceptive related research was done on the specific population of Negede Woyto community in Bahir Dar city. Therefore, the purpose of this study was to assess the contraceptive prevalence rate and to explore socio cultural reasons for contraceptive non-use among reproductive age women of Negede Woyto community in Bahir Dar City.
Methods: A community-based cross-sectional study triangulated with qualitative study was conducted among 346 sexually active reproductive age women from November 9- December 20, 2018. Census method was used to reach all eligible women. Key informants were selected purposively for qualitative study. The in-depth interview consisted of five reproductive age women, two health extension workers and two religious leaders. The two focus group discussions on reproductive age women were composed of five and seven groups while the other the two focus group discussions on husbands contained five participants each. Frequencies and summary statistics (mean and percentage) were used to describe the study population using SPSS version 23.
The qualitative transcripts were coded, reduced and categorized in themes using excel and finally they were interpreted in line or against the quantitative results.
Results: Contraceptive prevalence among reproductive age women of Negede Woyto in Bahir Dar city was 65.3% (60%-70%). Majority (45.6%) were using implants followed by injectable (31%) and pills (17.3%). Among the commonest reasons for non-use were desire for more children, fear of side effects and not understanding risk of pregnancy while in qualitative part, indirect influence of religion and rumors affected contraceptive use.
Conclusion and Recommendation: Contraceptive prevalence was higher than the national target, as well as the national and regional prevalence. Despite this, there were women whose demand was not met due to fear of side effects and for not understanding risk of pregnancy. Therefore, health professionals should increase counseling about possible side effects and pregnancy risk circumstances.
Keywords- Bahir Dar, contraceptive utilization, Negede Woyto