Determinants of change in unintended pregnancy in Ethiopia using the 2005 and 2016 EDHS: non-linear multivariable decomposition analysis
Abstract Background Unintended pregnancy is a pregnancy either mistimed or unwanted. The main consequence of unintended pregnancy is inducing abortion. In Ethiopia, more than half of unintended pregnancies end up in abortion. Objective This study aims to measure the change in unintended pregnancy am...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | Archives of Public Health |
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| Online Access: | https://doi.org/10.1186/s13690-022-00984-2 |
| _version_ | 1828129665357709312 |
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| author | Abiyu Abadi Tareke Ermias Bekele Enyew Abiy Tasew Dubale Aynadis Worku Shimie Mulugeta Desalegn Kasaye Habitu Birhan Eshetu |
| author_facet | Abiyu Abadi Tareke Ermias Bekele Enyew Abiy Tasew Dubale Aynadis Worku Shimie Mulugeta Desalegn Kasaye Habitu Birhan Eshetu |
| author_sort | Abiyu Abadi Tareke |
| collection | DOAJ |
| description | Abstract Background Unintended pregnancy is a pregnancy either mistimed or unwanted. The main consequence of unintended pregnancy is inducing abortion. In Ethiopia, more than half of unintended pregnancies end up in abortion. Objective This study aims to measure the change in unintended pregnancy among women of reproductive age between survey years 2005 and 2016 and to identify the socio-demographic factors that most significantly contributed to the change. Methods Data from the two most recent Ethiopian Demographic and Health Surveys (EDHS) were analyzed. We quantified the contribution of socio-demographic factors in the change of unintended pregnancy, using Oaxaca-Blinder decomposition for non-linear regression models by applying the STATA command ‘mvdcmp’. Result Unintended pregnancy decreased from 37% in 2005 to 27% in 2016 in Ethiopia. Both changes in population characteristics and coefficient were the contributing elements to the observed change in unintended pregnancy. Among population characteristics factors, being a partial decision-maker and being a slum in the Somali region contributed 10 and 14% to the change of unintended pregnancy between the 2005 and 2016. Of the coefficient factors, knowledge of modern family planning, being a partial decision-maker, media exposure, distance to health facilities, and health facility visits contributed to the change by 93, 43, 17, and 10% respectively. Conclusion The majority of the change in unintended pregnancy from 2005 to 2016 survey was due to differences in coefficients (85%). The principal contributing factors to the change of unintended pregnancy were FP knowledge, decision making, media exposure and health facility visits. Therefore, an interventional plan will be efficient, better, and more effective if focused on the larger contributing factors. |
| first_indexed | 2024-04-11T16:23:14Z |
| format | Article |
| id | doaj.art-73c19d72f7b6470f90edc468d0dc6013 |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-04-11T16:23:14Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-73c19d72f7b6470f90edc468d0dc60132022-12-22T04:14:16ZengBMCArchives of Public Health2049-32582022-11-018011910.1186/s13690-022-00984-2Determinants of change in unintended pregnancy in Ethiopia using the 2005 and 2016 EDHS: non-linear multivariable decomposition analysisAbiyu Abadi Tareke0Ermias Bekele Enyew1Abiy Tasew Dubale2Aynadis Worku Shimie3Mulugeta Desalegn Kasaye4Habitu Birhan Eshetu5Department of Health Management Information System, West Gondar Zone Health DepartmentDepartment of Health Informatics, Mettu UniversityDepartment of Health Informatics, Mettu UniversityDepartment Health Informatics, Medicine and Health Science College, Debre Markos UniversityDepartment of Health Informatics, Wollo UniversityDepartment of Health Education and Behavioral Sciences, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Background Unintended pregnancy is a pregnancy either mistimed or unwanted. The main consequence of unintended pregnancy is inducing abortion. In Ethiopia, more than half of unintended pregnancies end up in abortion. Objective This study aims to measure the change in unintended pregnancy among women of reproductive age between survey years 2005 and 2016 and to identify the socio-demographic factors that most significantly contributed to the change. Methods Data from the two most recent Ethiopian Demographic and Health Surveys (EDHS) were analyzed. We quantified the contribution of socio-demographic factors in the change of unintended pregnancy, using Oaxaca-Blinder decomposition for non-linear regression models by applying the STATA command ‘mvdcmp’. Result Unintended pregnancy decreased from 37% in 2005 to 27% in 2016 in Ethiopia. Both changes in population characteristics and coefficient were the contributing elements to the observed change in unintended pregnancy. Among population characteristics factors, being a partial decision-maker and being a slum in the Somali region contributed 10 and 14% to the change of unintended pregnancy between the 2005 and 2016. Of the coefficient factors, knowledge of modern family planning, being a partial decision-maker, media exposure, distance to health facilities, and health facility visits contributed to the change by 93, 43, 17, and 10% respectively. Conclusion The majority of the change in unintended pregnancy from 2005 to 2016 survey was due to differences in coefficients (85%). The principal contributing factors to the change of unintended pregnancy were FP knowledge, decision making, media exposure and health facility visits. Therefore, an interventional plan will be efficient, better, and more effective if focused on the larger contributing factors.https://doi.org/10.1186/s13690-022-00984-2Unintended pregnancyMultivariable decompositionEDHSEthiopia |
| spellingShingle | Abiyu Abadi Tareke Ermias Bekele Enyew Abiy Tasew Dubale Aynadis Worku Shimie Mulugeta Desalegn Kasaye Habitu Birhan Eshetu Determinants of change in unintended pregnancy in Ethiopia using the 2005 and 2016 EDHS: non-linear multivariable decomposition analysis Archives of Public Health Unintended pregnancy Multivariable decomposition EDHS Ethiopia |
| title | Determinants of change in unintended pregnancy in Ethiopia using the 2005 and 2016 EDHS: non-linear multivariable decomposition analysis |
| title_full | Determinants of change in unintended pregnancy in Ethiopia using the 2005 and 2016 EDHS: non-linear multivariable decomposition analysis |
| title_fullStr | Determinants of change in unintended pregnancy in Ethiopia using the 2005 and 2016 EDHS: non-linear multivariable decomposition analysis |
| title_full_unstemmed | Determinants of change in unintended pregnancy in Ethiopia using the 2005 and 2016 EDHS: non-linear multivariable decomposition analysis |
| title_short | Determinants of change in unintended pregnancy in Ethiopia using the 2005 and 2016 EDHS: non-linear multivariable decomposition analysis |
| title_sort | determinants of change in unintended pregnancy in ethiopia using the 2005 and 2016 edhs non linear multivariable decomposition analysis |
| topic | Unintended pregnancy Multivariable decomposition EDHS Ethiopia |
| url | https://doi.org/10.1186/s13690-022-00984-2 |
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