Demand for Family Planning among Voluntary Counseling and Testing women clients in Public Health facilities, Dawuro zone, south west Ethiopia: a cross sectional study
- Family planning,
- Voluntary counseling and testing
Copyright (c) 2019 International Journal For Research In Health Sciences And Nursing (ISSN: 2208-2670)
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Background:The total demand for family planning is the sum of the percentage of women using family planning and the percentage of women with unmet need for family planning.Both unintended pregnancy and HIV infection can be protected by a number of ways. Access to HIV/AIDS services without access to Sexual and Reproductive Health services and vice versa can have adverse effects on community health and stop the progress of advances made against HIV/AIDS, unmet Family Planning need, and maternal mortality.In developing countries the provision of family planning services at voluntary counseling and testing settings is low. There is lack of information on demand for family planning among women voluntary counseling and testing clients in the study area. Therefore the study aimed to assess demand for family planning among voluntary counseling and testing clientwomen in South West Ethiopia.
Methods:Facility based cross sectional study was conducted on total of 401 respondents consecutively. Descriptive, bivariate and multivariable analyses were performed. Statistical significance was declared at a value of p < 0.05.
Result:Demand for family planning among voluntary counseling and testing women client was 71.5% in the study area. Marital status (AOR= 0.17; 95% CI: 0.04, 0.67), income level (AOR= 2.44; 95%CI: 1.34, 4.45) and live birth (AOR= 3.27; 95% CI: 1.35, 7.92) were predictors of demand for family planning.
Conclusion:The finding showed that majority of women voluntary counseling and testing clients had demand for family planning. Factors affecting demand for family planning was marital status, level of income and having given live birth. Hence, providing family planning services continuously at VCT settings is recommended.
- United Nations, Department of Economic and Social Affairs, Population Division. World Contraceptive Use (POP/DB/CP/Rev2012)). ; 2012.
- UNFPA, PATH. Meeting the need, strengthening family planning programs. ; 2006.
- Pathfinder International. Integrating SRH and HIV/AIDS Services: Pathfinder Internationa's Experience Synergizing Health Initiatives; 2005.
- Rose W., Erika M. Integrating Family Planning and Voluntary Counseling and Testing Services in Ghana. A Rapid Programmatic Assessment, Family Health International. ; 2004.
- USAID. Rapid Assessment on Policy and Operational Barriers to The Integration of FP/RH/HIV Services in Kenya. ; 2009.
- USAID. Integration of HIV and Family Planning Health Services in Sub-Saharan Africa: A Review of the Literature, Current Recommendations, and Evidence from the Service Provision Assessment Health Facility Surveys Maryland, USA: ICF International Calverton; 2012.
- Federal Democratic Republic of Ethiopia Ministry of Health. National Guideline for Family Planning Services in Ethiopia; 2011.
- Korra A., Bejiga M., Tesfaye S.,. Socio demographic profile and prevalence of HIV infection among VCT clients in Addis Ababa. Ethiop. J. Health. 2005; 19(2).
- Julie A., Denison, George P. Schmid, E. Kennedy and Michael D. Sweat. HIV Voluntary Counselling and Testing and Behavioral Risk Reduction in Developing Countries: A Meta-analysis, 1990-2005. AIDS Behav. 2008; 12: p. 363-373.
- Misganaw A, Melkamu Y. Linkage between VCT and reproductive health services(FP, ANC and delivery) in two public facilities of rural Ethiopia. Ethiop.J.Health Dev. 2008; 22(2): p. 158-166.
- UNFPA. A Decade of Change in Contraceptive Use in Ethiopia: In Depth Analysis of the EDHS 2000-2011. Addis Ababa:; December 2012.
- CSA, MOH. Ethiopia Mini Demographic Health Survey Addis Ababa; July 2014.
- Federal Democratic Republic of Ethiopia Ministry of Health. Health Sector Development Program IV 2010/11 – 2014/15 FINAL DRAFT. ; October 2010.
- Strachen M., Agarwal K. Analysis of Family Planning Content in HIV/AIDS, VCT, and PMTCT Policies in 16 Countries. ; January 2004.
- Bayoum A., Beati M., Florence T., Zubeda N. Assessing the need and capacity for integration of Family Planning and HIV counseling and testing in Tanzania. Pan African Medical Journal. 2012; 13(Supp 1)(6).
- Fredrick M., Gertrude N., Tom L.,Joseph K.i, Joseph K., Joseph S., Absalom S., et al. Use of HIV-Related Services and Modern Contraception among Women of Reproductive Age, Rakai Uganda. African Journal of Reproductive Health. 2010 December; 14(4): p. 91-102.
- Central Statistical Agency, ICF International. Ethiopia Demographic and Health Survey 2011 Addis Ababa, Ethiopia, Calverton, Maryland, USA; 2012.
- Engender Health Ethiopia. Demand for family planning among women VCT clients in Northeast Ethiopia : The Need for Integration, International conference on Family Planning: Research and Best Practices. In ; November 2009; Kampala , Uganda.
- Ali A. and Okud A. Factors affecting unmet need for family planning in Eastern Sudan. BMC Public Health. 2013; 13(102).
- Jhangri G., Heys J., Alibhai A., Rubaale T., Kipp W. Unmet need for effective family planning in HIV-infected individuals: results from a survey in rural Uganda. J Fam Plann Reprod Health Care. 2012; 38: p. 23-29.
- Family Health International, USAID. Study of Family Planning and HIV Integrated Services in Five Countries Final Report. ; 2010.
- Dieudonné M., Annelet B., Pieter H. Demand and Unmet Need for Means of Family Limitation in Rwanda. International Perspectives on Sexual and Reproductive Health. 2009 Sep.; 35(3): p. 122-130.