Abstract:
ABSTRACT
Background: Contraceptive use prevents unintended pregnancies, abortions and deaths related
to pregnancy and childbirth. Because of an unintended pregnancy, there was a child as well as
maternal mortality and morbidity. Hence, reducing unmet need among women can assure to
reduce maternal and children's health risks related to pregnancy by increasing contraceptive
use. In Ethiopia, Contraceptive prevalence rate was still low and unmet need for contraception
was higher than developed countries. Assess problems associated with unmet need for
contraception and determinants of unmet need are essential.
Objective: The objectives of this study was to assess the status of unmet need and investigate
determinant factors for unmet need for contraception among married women with unmet need
among married women reproductive age women in Ethiopia based on 2016 EDHS.
Methods: This study was a cross-sectional design using the quantitative research approach,
data obtained from 2016 EDHS women’s file (IR). To analyze the data bivariate and
multivariate techniques of data analysis were applied. Bivariate Chi-square test was employed
to see the association between the independent and outcome variable. A survey binomial and
multinomial logistic regression fitted to identify determinants of the total unmet need for
contraception and unmet need for spacing and limiting using STATA ver. 14.0 respectively.
Result: The level of unmet need for contraception in Ethiopia was 25.3% (14.7% for spacing
and 10.6% for limiting) is slightly smaller than the previous Ethiopian surveys. The logistic
regression showed that place of residence, religion, wealth index, region, fertility preference,
desire more children, number of living children and HEW visit in the last 12 months were a
significant determinant predictor of total unmet need. And Women’s fatalistic thinking,
breastfeeding, fear of side effects, postpartum and religious prohibition were the main and most
frequently cited reasons for non-using contraception method.
Conclusion: The total unmet need for contraception is still high. There should be an effort on
reducing unmet need and improving the contraceptive prevalence rate. Especially there should
be a national effort on rural women, older woman, a woman with five and above living
children, a woman with low wealth and Muslim and catholic religious follower women.
Key Words: Unmet need, Married women, Contraception, Determinant, Ethiopia