Abstract:
Back ground: Violation of individual reproductive rights, high maternal and child mortality
are the consequence of unmet need for family planning in developing country, especially in rural
and pastoral community among currently married women. However; there is limited data
concerning magnitude and factors associated with unmet need for family planning.
Objective: To assess magnitude of Unmet Need for Family Planning and Associated Factors
among Currently Married Women in Midega woreda, Eastern Ethiopia from March 4 to 15,
2019.
Methods: Quantitative community based cross sectional study was conducted among 511
currently married women in Midega woreda, eastern Ethiopia. Structured interviewer
administered questionnaire was used to collect data. Multi stage sampling and simple random
sample technique was used to select study participant. The Collected data were entered to Epi
data 3.1 versions and exported to statistical package for social science 22.00 version for analysis
and identifying factors associated with unmet need for family planning by using bivariate and
multivariate logistic regression. The crude and adjusted odds ratio with 95% of confidence of
interval was used to identify strength and direction of association. A P-value less than 0.05 was
considered to declare statistically significant in the study.
Result: This study revealed that 23.6%, 95% CI: (20.1, 27.6) of currently married women in
Midega Woreda had unmet need for family planning, of which 97(19.9%) and 18(3.64%) were
for spacing and limiting respectively. Attending Primary education (AOR=0.16, 95%CI: 0.03,
0.83), having children more than five (AOR=1.2, 95%CI: 1.1, 7.2), decided numbers of desired
children more than five (AOR=0.07, 95%CI: 0.025, 0.210),women fail to discuss with heath
care providers (AOR=4.3, 95%CI: 2.5, 7.9) and negative attitude towards family planning
(AOR=2.5, 95%CI: 1.1, 5,9) were significantly associated with unmet need for family planning.
Conclusion: Unmet need for family planning in the study area was high, Continuous discussion
on family planning with health professional, working on couples’ attitude toward family
planning and encouraging of women empower to make decision on fertility desire in general
are better to be strengthened.
