A complete of 703 married ladies of reproductive age had been interviewed, yielding a 90.89% response fee; 352 of those ladies are in monogamous relationships, whereas the remaining 351 had been in polygamous relationships.
Socio-demographic character
For monogamy and polygamy, the imply age of respondents with normal deviation had been 32.77 (± 7.68) and 37.65 (± 6.59), respectively. Regarding the academic standing of the respondents, 44.3% and 51.6% of monogamous and polygamous ladies didn’t have any formal training, respectively, and the consequence exhibits a statistically important distinction at (X2 = 13.88, P-value = 0.002) between the 2 teams. With regard to respondent occupation, 47.4% and 53.0% Monogamous and polygamous ladies are farmers, respectively. Faith kind 64.2% of monogamous ladies and 70.9% of Polygamous lady’s are Muslim. When it comes to residence, 56% of monogamous ladies and 71.5% of polygamous ladies reside in rural areas, respectively (Desk 1).
Reproductive character
Amongst all married ladies, 91.5% of monogamous and 78.3% of polygamous ladies have a historical past of being pregnant. Amongst these ladies, 22.2% and 21.4% of monogamous and polygamous ladies had 3–4 pregnancies, respectively. The consequence additionally exhibits that there’s a statistically important distinction (X2 = 43.16, P-value = 0.001) between the 2 teams and the variety of pregnancies that they had. When it comes to abortion historical past, 7.7% and 14.5% of monogamous and polygamous ladies, respectively, had a historical past of abortion. With regard to the variety of kids a respondent has, 18.2% and 34.8% of monogamous and polygamous ladies have greater than or equal to 5 kids, respectively (Desk 2).
Information on trendy contraception
From the entire respondents, 94.8% and 91.5% of monogamous and polygamous ladies have heard about trendy contraceptive, respectively, and for a lot of the respondents, the supply of knowledge was Well being extension staff, which is 29.0% and 31.1%, respectively. With regard to the varieties of trendy contraceptive strategies, injectables had been probably the most generally talked about by 70.7% and 60.7% of monogamous and polygamous ladies, respectively. Lastly, once we compute the data of the respondents primarily based on data associated questions, 55.1% and 48.1% of monogamous and polygamous ladies have good data of recent contraceptive strategies (Desk 3).
The qualitative a part of the examine additionally discovered that as a result of discussions with Well being extension staff and well being training classes in well being posts and well being facilities, most key informant moms had consciousness about trendy contraceptives and the advantages they yield for ladies and kids’s well being.
The important thing informants said that “I’ve heard about household planning at healthcare facility, at residence and thru dialog with buddies.”
Utilization of recent contraceptive
With regard to the present utilization of recent contraceptive strategies, 45.7% and 43.0% of Monogamous and polygamous ladies use trendy contraceptive strategies. Among the many monogamous ladies who use trendy contraceptive strategies, 57.7% depend on injectables, 17.4% on implants, 16.8% on tablets, and eight.1% on IUCD, whereas amongst polygamous ladies, 43.7% depend on Injectable, 36.4% on Implants, 4.0% on tablets, and 15.9% on IUCD ( Fig. 1) Regarding causes for not utilizing the strategy 23.5% since they observe intercourse occasionally, 3.1% due to health-related issues, 16.1% due to concern of unwanted effects, 22.8% due to associate opposition, 11.5% as a result of they should get pregnant, 11.5% due to concern of rumors 5.7% and 11.3 due to spiritual opposition are talked about by monogamous and polygamous ladies (Fig. 2).
Utilization of recent contraceptive strategies by Monogamous and Polygamous married reproductive aged ladies in Worebabo Woreda in 2021
Married reproductive aged ladies in Worebabo Woreda causes for not utilizing trendy contraceptive strategies in 2021
Many of the individuals of the important thing informant interview point out that they like to make use of injectable as a result of its simplicity to make use of the strategy, can be utilized for a brief time frame, no process is required to discontinue and in addition straightforward to cover. (Desk 4).
“I favor utilizing injectable since my husband didn’t enable me to make use of any strategies”
Many of the key informant mentions some sociocultural elements as hindrance of recent contraceptive utilization. Myths and misconceptions about trendy strategies which embody exaggerated or inaccurate experiences about unwanted effects, misconceptions about short- or long-term well being issues and detrimental stereotypes about individuals who observe household planning is talked about by individuals.
“As I heard from my buddies and neighbors utilizing trendy contraceptive causes infertility, delivery defects, most cancers, abdomen ache and condoms had been related to promiscuity, decreased libido, un wholesome weight achieve and loss”
“Utilizing trendy contraceptive strategies akin to implants causes painful arms on ladies particularly after they carry out their day at the moment exercise, made them to wish further meals, trigger psychosis and headache.”
“They implement the household planning program to be able to restrict and reduce our inhabitants since trendy household planning strategies trigger infertility and different medical issues akin to most cancers, diabetes, hypertension, anemia, kidney stone and different illness.”
The opposite socio-cultural issue that talked about by individuals is concern of tags given by husbands and neighborhood members to ladies who use trendy contraceptive strategies.
“I’m afraid to make use of trendy contraceptive strategies as a result of if my husband finds out am utilizing he’ll assume that i’m dishonest on him or will go away him to a different man”
“I heard when some folks talked behind ladies who makes use of trendy contraceptive as she was untrue to her husband and sleep with others simply due to this e and my pal afraid using strategies.”
The opposite matter talked about by individuals as a hindering issue to make the most of trendy contraceptive technique is its lack of acceptance by tradition and spiritual leaders.
“At some point when my husband and I focus on, I requested him to provide me permission to make use of trendy contraceptive technique however he mentioned that we must always resolve after consulting our spiritual chief who instructed as utilizing trendy contraceptive shouldn’t be allowed since it’s an act of violating the need of God.”
Key informant ladies in polygamous relation mentions that the character of their conjugal relationship impacts their utilization of recent contraceptive since they’re in competitions with co-wives to win their husband.
“I don’t wish to use trendy contraceptive technique as a result of I have to have as many kids as I can. Having many kids will assist me to win my husband beside my kids will assist me once I become old even when my husband cease supporting me.”
Respondent perspective on trendy contraceptive strategies
Amongst all married ladies interviewed about their perspective in the direction of trendy contraception strategies 46.9% and 58.1% monogamous and polygamous ladies understand that utilizing trendy contraceptive strategies is vital for the wellbeing of youngsters and household. As for both do they haven’t concern of social stigma by the neighborhood or not 66.2% and 42.2% of monogamous and polygamous ladies haven’t concern of social stigma by the neighborhood. Among the many respondents, 67.6% and 47.0% of monogamous and polygamous ladies have a household strain to make use of of recent contraceptive strategies. (Desk 5).
Components related to trendy contraceptive use amongst married reproductive age ladies who’re in monogamous relationship
Bivariate and multivariate logistic regression fashions had been fitted to find out the presence of an affiliation between the dependent variable and the unbiased variables at (P < 0.05) lev-el of significance. These variables that had a P-value ≤ 0.2 with trendy contraceptive utilization within the bivariate evaluation had been employed for a number of logistic regression evaluation.
Within the closing multi-variable logistic regression mannequin, variables akin to academic standing [AOR = 2.31, 95% CI (1.231, 4.334)], variety of reside kids [AOR = 2.64, 95% CI (1.248, 5.242)], undesired fertility [AOR = 2.965, 95% CI (1.512,6.357)], getting clear data by Well being care supplier [AOR = 3.910 (2.253, 7.329)], who resolve on the variety of kids in respond-ents household [AOR = 2.819, 95% CI (1.402, 5.671)], household strain [AOR = 3.616, 95% CI (1.861, 7.024)], and settle for myths [AOR = 1.824, 95% CI (1.017, 3.271)] about contraceptives had been considerably related to the utilization of recent contraceptive strategies.
Components related to trendy contraceptive use amongst married reproductive age ladies who’re in polygamous relationship
Bivariate and multivariate logistic regression fashions had been fitted to find out the presence of an affiliation between the dependent variable and the unbiased variables at (P < 0.05) lev-el of significance. These variables which had a P-value ≤ 0.2 with trendy contraceptive utilization within the bivariate evaluation had been employed for a number of logistic regression evaluation.
In closing multi-variable logistic regression mannequin variables akin to academic standing [AOR = 2.321, 95% CI (1.298, 4.151)], faith [AOR = 2.382, 95% CI (1.298, 4.390)], undesired fertility [A0R = 2.309, 95% CI (1.125, 4.741)], getting clear data by Well being care supplier [AOR = 5.414, 95% CI (3.032, 9.669)], who resolve on the variety of kids in respondents household [AOR = 5.216, 95% CI (2.564,10.612)], concern of social stigma [AOR = 3.109, 95% CI (1.697, 5 0.697)], and settle for myths about contraceptives [AOR = 1.895, 95% CI (1.072, 3.350)] had been considerably related to utilization of recent contraceptive strategies.
Components related to trendy contraceptive use amongst married reproductive age ladies who’re in monogamous and polygamous relationship
Bivariate and multivariate logistic regression fashions had been fitted to find out the presence of an affiliation between the dependent variable and the unbiased variables at (P < 0.05) degree of significance. These variables which had a P-value ≤ 0.2 with trendy contraceptive utilization within the bivariate evaluation had been employed for a number of logistic regression evaluation.
In closing multi-variable logistic regression mannequin variables utilizing akin to academic standing, faith, undesired fertility, getting clear data by Well being care supplier, who resolve on the variety of kids in respondents household, concern of social stigma, household strain, and settle for myths about contraceptives had been considerably related to utilization of recent contraceptive strategies. (Desk 6).