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Correlates of Unintended Pregnancy in Ethiopia: Results From a National Survey

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  • Dereje Habte
  • Sisay Teklu
  • Tadele Melese
  • Mgaywa G M D Magafu

Abstract

Background: Unintended pregnancy has been a major reproductive health challenge in resource poor settings including Ethiopia. It has adverse consequences to the mother, child and the health sector’s resources. Understanding the extent of unintended pregnancy and the factors associated is crucial to devise evidence based interventions. The analysis was aimed at assessing the unintended pregnancy prevalence rate among pregnant women and the factors predisposing to unintended pregnancy. Methods: This secondary data analysis was done on women’s dataset from the 2011 Ethiopian Demographic and Health Survey (DHS). A total of 1267 pregnant women were included in the analysis. Multiple logistic regression analysis was performed using SPSS software to identify the factors associated with unintended pregnancy. Odds Ratio with 95% confidence interval (95% CI) was computed to assess the association of different factors with unintended pregnancy. Results: The overall prevalence of unintended pregnancy was found to be 24%: those who wanted it at a later time and not at all accounted for 17.1% and 6.9%, respectively. The unintended pregnancy rate ranged from 1.5% in Afar Regional State to 39.8% in Oromiya Regional State. Women who knew the timing of ovulation had a 45% reduced chance of unintended pregnancy (OR (95% CI): 0.55 (0.35, 0.85)). Ever use of family planning, presence of five or more born children, and two or more births in the past five years were associated with unintended pregnancy (OR (95% CI): 1.79 (1.31, 2.45), 2.36 (1.01, 5.49) and 2.00 (1.12, 3.58), respectively). Conclusions: A significant proportion of the current pregnancies were found to be unintended with significant variations among the different regions. Women already burdened with higher fertility were suffering from unintended pregnancy. Family planning programs need to concentrate on the highly affected regions and target women with higher fertility to reduce the level of unintended pregnancy at national level.

Suggested Citation

  • Dereje Habte & Sisay Teklu & Tadele Melese & Mgaywa G M D Magafu, 2013. "Correlates of Unintended Pregnancy in Ethiopia: Results From a National Survey," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-1, December.
    • Handle: RePEc:plo:pone00:0082987
    DOI: 10.1371/journal.pone.0082987
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    References listed on IDEAS

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    1. Goto, Aya & Yasumura, Seiji & Reich, Michael R. & Fukao, Akira, 2002. "Factors associated with unintended pregnancy in Yamagata, Japan," Social Science & Medicine, Elsevier, vol. 54(7), pages 1065-1079, April.
    2. Magadi, Monica Akinyi, 2003. "Unplanned childbearing in Kenya: the socio-demographic correlates and the extent of repeatability among women," Social Science & Medicine, Elsevier, vol. 56(1), pages 167-178, January.
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    1. Edward Kwabena Ameyaw & Eugene Budu & Francis Sambah & Linus Baatiema & Francis Appiah & Abdul-Aziz Seidu & Bright Opoku Ahinkorah, 2019. "Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-16, August.
    2. Canaan Negash Seifu & Paul Patrick Fahey & Tewodros Getachew Hailemariam & Evan Atlantis, 2020. "Association of husbands' education status with unintended pregnancy in their wives in southern Ethiopia: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-11, July.
    3. Muluneh Alene & Leltework Yismaw & Yebelay Berelie & Bekalu Kassie & Reta Yeshambel & Moges Agazhe Assemie, 2020. "Prevalence and determinants of unintended pregnancy in Ethiopia: A systematic review and meta-analysis of observational studies," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-15, April.
    4. Babbar, Karan & Dev, Pritha, 2021. "Modelling the impact of Ovulatory Cycle Knowledge on the number of children and age of women at first birth," IIMA Working Papers WP 2021-11-04, Indian Institute of Management Ahmedabad, Research and Publication Department.
    5. L. O. Lawani & N. N. Ekem & J. N. Eze, & K. C. Ekwedigwe & J. O. Egede & M. E. Isikhuemen, 2018. "The Prevalence and Determinants of Unintended Pregnancies Among Women in Abakaliki, Southeast Nigeria," Global Journal of Health Science, Canadian Center of Science and Education, vol. 10(10), pages 1-65, October.
    6. Muslimah Yusof & Azah Abdul Samad & Maisarah Omar & Noor Ani Ahmad, 2018. "Unplanned Pregnancy and Its Associated Factors," Global Journal of Health Science, Canadian Center of Science and Education, vol. 10(8), pages 132-132, August.

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