Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia

This study aims to explore the effects of voluntary family planning (FP) utilization on food security in selected districts of Ethiopia. Quantitative research methods were used to conduct a community-based study among a sample of 737 women of reproductive age. The data were analyzed using a hierarch...

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Main Authors: Geteneh Moges Assefa, Muluken Dessalegn Muluneh, Sentayehu Tsegaye, Sintayehu Abebe, Misrak Makonnen, Woldu Kidane, Kasahun Negash, Abebaye Getaneh, Virginia Stulz
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/5/1081
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author Geteneh Moges Assefa
Muluken Dessalegn Muluneh
Sentayehu Tsegaye
Sintayehu Abebe
Misrak Makonnen
Woldu Kidane
Kasahun Negash
Abebaye Getaneh
Virginia Stulz
author_facet Geteneh Moges Assefa
Muluken Dessalegn Muluneh
Sentayehu Tsegaye
Sintayehu Abebe
Misrak Makonnen
Woldu Kidane
Kasahun Negash
Abebaye Getaneh
Virginia Stulz
author_sort Geteneh Moges Assefa
collection DOAJ
description This study aims to explore the effects of voluntary family planning (FP) utilization on food security in selected districts of Ethiopia. Quantitative research methods were used to conduct a community-based study among a sample of 737 women of reproductive age. The data were analyzed using a hierarchical logistic regression constructed in three models. The findings showed 579 (78.2%) were using FP at the time of the survey. According to the household-level food insecurity access scale, 55.2% of households experienced food insecurity. The likelihood of food security was lower by 64% for women who used FP for less than 21 months (AOR = 0.64: 95%CI: 0.42–0.99) in comparison to mothers who used FP for more than 21 months. Households having positive adaptive behaviors were three times more likely (AOR = 3.60: 95%CI 2.07–6.26) to have food security in comparison to those not having positive adaptive behaviors. This study also revealed that almost half of the mothers (AOR: 0.51: 95%CI: 0.33–0.80) who reported being influenced by other family members to use FP had food security, in comparison to their counterparts. Age, duration of FP use, positive adaptive behaviors, and influence by significant others were found to be independent predictors of food security in the study areas. Culturally sensitive strategies need to be considered to expand awareness and dispel misconceptions that lead to hesitancy around FP utilization. Design strategies should take into account households’ resilience in adaptive skills during shocks, natural disasters, or pandemics which will be invaluable for food security.
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spelling doaj.art-54c064f9b0364ee8a1a11dc1d907058d2023-11-17T08:19:19ZengMDPI AGNutrients2072-66432023-02-01155108110.3390/nu15051081Does Voluntary Family Planning Contribute to Food Security? Evidence from EthiopiaGeteneh Moges Assefa0Muluken Dessalegn Muluneh1Sentayehu Tsegaye2Sintayehu Abebe3Misrak Makonnen4Woldu Kidane5Kasahun Negash6Abebaye Getaneh7Virginia Stulz8Amref Health Africa in Ethiopia, Addis Ababa bole subcity, Woreda, Addis Ababa P.O. Box 20855, EthiopiaAmref Health Africa in Ethiopia, Addis Ababa bole subcity, Woreda, Addis Ababa P.O. Box 20855, EthiopiaAmref Health Africa in Ethiopia, Addis Ababa bole subcity, Woreda, Addis Ababa P.O. Box 20855, EthiopiaAmref Health Africa in Ethiopia, Addis Ababa bole subcity, Woreda, Addis Ababa P.O. Box 20855, EthiopiaAmref Health Africa in Ethiopia, Addis Ababa bole subcity, Woreda, Addis Ababa P.O. Box 20855, EthiopiaAmref Health Africa in Ethiopia, Addis Ababa bole subcity, Woreda, Addis Ababa P.O. Box 20855, EthiopiaAmref Health Africa in Ethiopia, Addis Ababa bole subcity, Woreda, Addis Ababa P.O. Box 20855, EthiopiaAmref Health Africa in Ethiopia, Addis Ababa bole subcity, Woreda, Addis Ababa P.O. Box 20855, EthiopiaSchool of Nursing and Midwifery, Western Sydney University, Sydney, NSW 2751, AustraliaThis study aims to explore the effects of voluntary family planning (FP) utilization on food security in selected districts of Ethiopia. Quantitative research methods were used to conduct a community-based study among a sample of 737 women of reproductive age. The data were analyzed using a hierarchical logistic regression constructed in three models. The findings showed 579 (78.2%) were using FP at the time of the survey. According to the household-level food insecurity access scale, 55.2% of households experienced food insecurity. The likelihood of food security was lower by 64% for women who used FP for less than 21 months (AOR = 0.64: 95%CI: 0.42–0.99) in comparison to mothers who used FP for more than 21 months. Households having positive adaptive behaviors were three times more likely (AOR = 3.60: 95%CI 2.07–6.26) to have food security in comparison to those not having positive adaptive behaviors. This study also revealed that almost half of the mothers (AOR: 0.51: 95%CI: 0.33–0.80) who reported being influenced by other family members to use FP had food security, in comparison to their counterparts. Age, duration of FP use, positive adaptive behaviors, and influence by significant others were found to be independent predictors of food security in the study areas. Culturally sensitive strategies need to be considered to expand awareness and dispel misconceptions that lead to hesitancy around FP utilization. Design strategies should take into account households’ resilience in adaptive skills during shocks, natural disasters, or pandemics which will be invaluable for food security.https://www.mdpi.com/2072-6643/15/5/1081family planningfood securityvoluntary family planning userwomenhierarchical logistic regression
spellingShingle Geteneh Moges Assefa
Muluken Dessalegn Muluneh
Sentayehu Tsegaye
Sintayehu Abebe
Misrak Makonnen
Woldu Kidane
Kasahun Negash
Abebaye Getaneh
Virginia Stulz
Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia
Nutrients
family planning
food security
voluntary family planning user
women
hierarchical logistic regression
title Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia
title_full Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia
title_fullStr Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia
title_full_unstemmed Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia
title_short Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia
title_sort does voluntary family planning contribute to food security evidence from ethiopia
topic family planning
food security
voluntary family planning user
women
hierarchical logistic regression
url https://www.mdpi.com/2072-6643/15/5/1081
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