Department of Midwifery and Maternal Health
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Item UNMET NEED FOR MODERN CONTRACEPTION AND ASSOCIATED FACTORS AMONG REPRODUCTIVE AGE WOMEN IN LAELAY MAICHEW DISTRICT, CENTERAL TIGRAY, ETHIOPIA 2024/2025 (CROSS-SECTIONAL STUDY)(Mekelle University, 2025-01-28) DEBESOM G/KIDANBackground: - Unmet need for family planning is considered as one of the major public health concern, worldwide. Globally one in twelve and one in five married women in Africa faces unmet need for family planning. Despite some studies highlight on some parts of Ethiopia, however, there is lack of study on the post war and covid 19 in Tigray more specifically in the district areas. Moreover, there is a paucity of research on unmet need for family planning among reproductive age women in study area The results of this study was provided information on the current status of unmet need for family planning and factors that affect the need for family planning among reproductive age women in Laelay Maichew district. Objective; To assess the prevalence and factors associated with unmet need for modern contraception among reproductive age women in Laelay Maichew district, Tigray, Northern Ethiopia, 2024/2025. Methods and materials: - Community based cross-sectional study was conducted from September to October 2024 among reproductive age woman in Laelay Maichew district central zone of Tigray. A total of 575 study participants selected using a systematic random sampling technique were interviewed. Data was collected through structured and pretested intervieweradministered questionnaires. It was entered into Epi data version 4.6 and analyzed by Statistical Package for Social Science version 25. Hosmer- Lemeshow was used to test for model fitness which was (p-value=0.184) then result was summarized using tables, texts and figures. Result: The study found that 24.7% (95% CI: 21%, 28%) and of which 19.96% was unmet need for spacing and 4.74% was unmet need for limiting. Mother's educational status (AOR = 3.219, 95% CI = 1.417-7.311),), never having used modern contraceptive methods (AOR = 2.747, 95% CI = 1.634-4.616), having a partner who was unsupportive of family planning (AOR = 1.733, 95% CI = 1.023-2.934) and availability of radio or TV (AOR = 2.009, 95% CI = 1.201- 3.360 were independent predictors of unmet need for modern contraception among the study participants. Conclusions and Recommendations; In Laelay Maichew district, the unmet need for modern contraceptives was notably high. Significant factors linked to this unmet need included the educational status of women, prior use of family planning, partner support to use family planning, and the availability of radio and/or TV in respondents' homes. Addressing these areas may help improve family planning services and reduce unmet needs.