Assessment Of The Magnitude And Determinants Of Unmet Need For Family Planning Among Currently Married Women In Urban And Periurban Community In Awassa Southern Ethiopia

This is a community based cross- sectional comparative study conducted in Awassa Town andrnperiurban areas in November and December 2002, in Southern Nation Nationalities and peoplesrnregion to assess the magnitude and determinants of unmet need for family planning amongrncurrently married women in the reproductive age group. A multistage sampling procedure wasrncarried out to interview 1218 women in both study areas. A pretested structured questionnairerncomplemented with focus group discussions was the main instrument used for data collection.rnThe study revealed that median age at marriage in the urban area was found to be 18 years,rnwhile 16 in the periuban area. Average number of children desired in the urban area was 3.5 andrn7.8 in periurban. Ninety eight percent of the urban and 95% of the periurban study populationrnhad heard of contraception, and 95% in urban area and 72% percent in periurban knew at leastrnone method of contraception.rnThe contraceptive prevalence in Awassa Town was 68.8%, and in the periurban area 48%.rnAmong the non-users of family planning 50% in urban did not use due to desire to have morernchildren and 26% did not use due to husbands or partners opposition to use family planning.rnSeventy one percent of women in the urban areas discontinued using family planning due torndesire to have more children, and 61% in the periurban area.rnUnmet need for family planning in Awassa Town was 23.6% of which 13.0% for spacing andrn10.5% for limiting of child birth and unmet need in periurban was 40% of which 32.7% forrnspacing and 7.4% for limiting birth. Seventy percent of women with unmet need have neverrnused family planning methods. Sixty-four percent of women with unmet need for familyrnplanning had intention to use family planning in the near future. Knowledge aboutrncontraception, family size, place of residence, discussion with husbands and husband’s attitudernto wards contraception were found to be determinants of unmet need for contraception.rnMaximize access to good quality services. Improving the quality of family planning services andrnmaking contraceptives easier to obtain and use will help meet the need of many women

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