Effective Coverage of Modern Contraceptive Use in Ethiopia: An Ecological Linking Analysis of Service Provision Assessment and National Health Equity Surveys
2024

Effective Coverage of Modern Contraceptive Use in Ethiopia

Sample size: 1044 publication 10 minutes Evidence: moderate

Author Information

Author(s): Getnet Misrak, Gebremedhin Samson, Melesse Dessalegn Y., Munos Melinda K., Hazel Elizabeth A., Wado Yohannes D., Zeru Arega, Worku Alemayehu, Prata Ndola

Primary Institution: Ethiopian Public Health Institute

Hypothesis

This study aimed to estimate the effective coverage of modern contraceptive methods in Ethiopia, considering the quality of care.

Conclusion

The effective coverage of family planning services using modern methods in Ethiopia was estimated at only 16%, indicating a significant gap in service quality.

Supporting Evidence

  • 78% of health facilities in Ethiopia were ready to provide Family Planning services.
  • Met FP need was 48%, with the quality of services assessed at 36%.
  • Effective coverage of family planning services was low, largely due to poor service quality.

Takeaway

In Ethiopia, many women need family planning services, but only a small number are getting the help they need because the quality of care is not good enough.

Methodology

The study used data from two nationally representative surveys, the Ethiopia Service Provision Assessment and the National Health Equity Survey, to analyze service quality and utilization.

Potential Biases

The study may have biases due to the exclusion of certain regions and reliance on secondary data.

Limitations

The study did not include data from the Tigray region due to conflict and could not use the standard definition of demand satisfied.

Participant Demographics

The mean age of respondents was 29, with a majority being married and a significant portion uneducated.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI: 35.2, 37.0

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/ijerph21121570

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