Married women's decision making power on modern contraceptive use in urban and rural southern Ethiopia.

Married women's decision making power on modern contraceptive use in urban and rural southern Ethiopia.
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DOI:
10.1186/1471-2458-11-342
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发表时间:
2011-05-19
期刊:
影响因子:
4.5
通讯作者:
Girma E
Girma E
中科院分区:
医学2区
文献类型:
--
作者:
Bogale B;Wondafrash M;Tilahun T;Girma E

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发展中国家的妇女要么与伴侣集体决策,要么在影响其生殖生活的问题上完全依赖男性伴侣的决定。确定已婚妇女避孕药具使用决策权的主要障碍对于规划适合背景的计划生育干预措施具有重要意义。本研究的目的是确定目前的现代避孕措施和决策权已婚妇女在Tercha镇和周围的Dawro区,埃塞俄比亚南部的农村地区。2010年3月和4月采用了基于社区的比较横断面设计,包括定量和定性研究。调查对象是来自Dawro区城市和农村地区的699名已婚育龄妇女。普查结束后,我们采用简单随机抽样技术进行了抽样。目前,城市已婚妇女中有293人(87.5%)和农村已婚妇女中有243人(72.8%)使用现代避孕药具。居住在城市地区的已婚妇女比农村妇女更有可能决定使用现代避孕方法。对现代避孕方法有更好的了解、性别平等的态度、更好地参与有关儿童、社会文化和家庭关系的决策,是妇女在城市环境中使用现代避孕方法的决策权的统计重要因素。更好的知识、害怕伴侣的反对或疏忽、参与有关儿童和经济事务的决策,是农村妇女在使用现代避孕方法方面拥有更大决策权的重要统计因素。与区域和国家数字相比,目前现代避孕做法的水平很高,城乡差异缩小。城市妇女比农村妇女更有权力决定是否使用现代避孕药具。应考虑赋予妇女使用现代避孕药具的决策权,以促进该地区的现代计划生育干预措施。
Women in developing countries are either under collective decision making with their partners or completely rely on the male partner's decision on issues that affect their reproductive live. Identifying the major barriers of married women's decision making power on contraceptive use has significant relevance for planning contextually appropriate family planning interventions. The objective of this study was to determine current modern contraceptive practices and decision making power among married women in Tercha Town and surrounding rural areas of Dawro zone, Southern Ethiopia. Community based comparative cross-sectional design with both quantitative and Qualitative study has been employed in March and April 2010. The respondents were 699 married women of child bearing age from urban and rural parts of Dawro zone. After conducting census, we took the sample using simple random sampling technique. Current modern contraceptive use among married women in the urban was 293 (87.5%) and 243 (72.8%) in rural. Married women who reside in urban area were more likely to decide on the use of modern contraceptive method than rural women. Having better knowledge about modern contraceptive methods, gender equitable attitude, better involvement in decisions related to children, socio-cultural and family relations were statistically significant factors for decision making power of women on the use of modern contraceptive methods in the urban setting. Better knowledge, fear of partner's opposition or negligence, involvement in decisions about child and economic affairs were statistically significant factors for better decision making power of women on the use of modern contraceptive methods in the rural part. High level of current modern contraceptive practice with reduced urban-rural difference was found as compared to regional and national figures. Urban women had better power to make decisions on modern contraceptive than rural women. Modern family planning interventions in the area should be promoted by considering empowering of women on modern contraceptive use decision making.
DOI: 10.1016/j.contraception.2008.03.002
发表时间: 2008-07-01
期刊: CONTRACEPTION
影响因子: 2.9
作者:
Hubacher, David;Mavranezouli, Ifigeneia;McGinn, Erin
通讯作者: McGinn, Erin
DOI: 10.2307/172249
发表时间: 1998-12-01
影响因子: 2.1
作者:
Biddlecom, AE;Fapohunda, BM
通讯作者: Fapohunda, BM
DOI: 10.1111/j.1728-4465.1999.t01-2-.x
发表时间: 1999-12-01
影响因子: 2.1
作者:
Hogan, DP;Berhanu, B;Hailemariam, A
通讯作者: Hailemariam, A