Гинекология и акушерство

Гинекология и акушерство
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ISSN: 2161-0932


Modern Family Planning Use and its Relationship with the Nutritional Status of Women of Child Bearing Age at Tena District, Arsi Zone Oromia Regional State, Ethiopia 2013: A Community based Case Control Study

Mesfin Tafa, Jemal Haidar and Hailu Fekadu

Background: The healthy future of society depends on the health of the children of today and their mothers, who are guardians of the future. Spacing pregnancies at least two years apart and limiting the total number of pregnancies improves the survival chances and health outcomes of women including their nutritional status.
Method: A community based unmatched case control complemented by qualitative study was conducted at Tena district, Arsi Zone, Oromiya region in 2013. Prior to the study family planning users (MFPM) and non-users for at least one year were identified and registered. A total of 360 (180 in each groups for cases and controls) sampled subjects were enrolled using systematic random sampling.
Result: The prevalence of current modern family planning utilization was 65% and injectable was the most utilized type in both cases and control women, followed by pills and Norplant. The major factors associated with modern family planning use were religion, women and husband education status, radio possession, number of children, ANC follow-up during pregnancy and decision to go health facility. The proportion of respondents with weight ≤ 45 kg, BMI below 18.5 kg/m2 and MUAC below 21 cm was higher among controls than cases and the difference noted was significant (p-value<0.05).
Conclusions and recommendation: Educational status, numbers of children, ANC follow up were strong determinant of ever modern family planning. The prevalence of underweight was significantly higher among women who did not use family planning than family planning users. Continuous supply of modern family planning with different range is important for improvement of women’s nutritional and health status. Other than this, increasing awareness of the benefits of modern family planning and empowering women is important.