Unmwt Need For Family Planning And Occurance Of Un Intended pregnancy and Contributing Factors Among Womens Of Reprodactive Age In Darolabu district,oromia National regional State

Abstract

Background:-unmet need for family planning and unintended pregnancy is a serious health problem in developing country. From the stand point of women’s reproductive health rights, unmet need for family planning and unintended pregnancy was considered as one of the indicators for violation of such rights and one of the several basic rationales for women empowerment. The status of unmet need for family planning and unintended pregnancy and associated factors was not explored in the study area. Therefore, the aims of this study was to provide information on the magnitude of unmet need for family planning and un-intended pregnancy and associated factors in the study area to fill literature gap and inform policy intervention. Objective: to assess the prevalence of unmet need for family planning and occurrence of unintended pregnancy and associated factors among women in Daro Labu district. Methods: - Multistage Cross-sectional study involving quantitative data collection method was carried out from may 1-5/2014.S ample of 532 of women in a reproductive age group participated in the study. Information was collected on: Age, parity, Educational status, Religions, socio-demographic characteristics, Ever use of contraceptive and on relevant explanatory variables on unmet need. This data was collected using a structured and pretested, close and open ended questionnaire and analyzed using SPSS for window a statistical soft ware's. Univariate, bivariate and multivariate analysis was carried out to see the association between independent and dependent variable. Results From the total of 532 women's, 519 (97.5 %) responded to the questionnaire administered. Unmet need for family planning was 36.8% (26.4% for spacing and 10.4% for limiting). Eight two (47 %) perceived that their pregnancy was unintended 59 (34%) mistimed and 23(13%) unwanted). The independent variables associated with unmet needs for family planning at (P value<0.05) by both bivariate and multivariate analysis were: educational status, wealth, decision about contraceptive practice, knowledge of contraceptive method and exposure to media. Unintended pregnancy was also associated with educational status, parity and exposure to media (P<0.04). Conclusion and recommendations :- In this study educational status, wealth, decision about contraceptive practice, knowledge of contraceptive method and exposure to media were identified as factors affecting unmet need for family planning. Similarly unintended pregnancy was associated with educational status, parity and exposure to media. As the issue of unmet need for family planning and Unintended pregnancy is a public health, gender and a population issue; effectively addressing these problems could help in multidimensional improvements and could pave the way to achieve MDGs. Therefore, Zonal and District health offices, , and other concerned body should take appropriate actions on the factors identified affecting unmet need and unintended pregnancy.