Women’s decision-making power regarding family planning use and associated factors in Ethiopia: A systematic review and meta-analysis

Objective: Although emphasis is placed on women’s decision-making power regarding family planning use in Ethiopia, the utilization of contraceptives is low. There are studies conducted in different parts of the country on women’s decision-making power regarding family planning use; however, there ar...

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Main Authors: Etsay Woldu Anbesu, Mussie Alemayehu, Dejen Kahsay Asgedom, Fikru Yigezu Jeleta
Format: Article
Language:English
Published: SAGE Publishing 2023-03-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/20503121231162722
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author Etsay Woldu Anbesu
Mussie Alemayehu
Dejen Kahsay Asgedom
Fikru Yigezu Jeleta
author_facet Etsay Woldu Anbesu
Mussie Alemayehu
Dejen Kahsay Asgedom
Fikru Yigezu Jeleta
author_sort Etsay Woldu Anbesu
collection DOAJ
description Objective: Although emphasis is placed on women’s decision-making power regarding family planning use in Ethiopia, the utilization of contraceptives is low. There are studies conducted in different parts of the country on women’s decision-making power regarding family planning use; however, there are inconsistent findings. Thus, this study aimed to determine the pooled prevalence of women’s decision-making power regarding family planning use and associated factors in Ethiopia. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed to develop the systematic review and meta-analysis. All observational studies were retrieved from online databases, including PubMed, CINAHL, Google Scholar, African Journal Online and gray literature. The data search was performed from 1 December to 16 May 2022. The quality of the studies was critically assessed using the Joanna Briggs Institute checklist. Heterogeneity among studies was examined using the I 2 statistic. RevMan version 5.3 and STATA version 14 software were used for analysis. Results: A total of 852 studies were retrieved, and 8 studies were included in the final meta-analysis. The pooled prevalence of women’s decision-making power regarding family planning use was 57 (95% confidence interval: 37, 77). Good knowledge of family planning methods (odds ratio: 2.46, 95% confidence interval: 1.65, 3.67), a positive attitude toward family planning methods (odds ratio: 2.04, 95% confidence interval: 1.3, 3.2), and having primary or higher education (odds ratio: 9.76, 95% confidence interval: 4.36, 21.99) were associated with increased odds of women’s decision-making power regarding family planning use. Conclusion: Nearly three in five married women made decisions regarding family planning use in Ethiopia. Women with good knowledge of family planning methods, a positive attitude toward family planning methods, and women having primary or higher education were associated with increased odds of women’s decision-making power regarding family planning use.
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spelling doaj.art-c65797337b894998a4a2180dbe8eca082023-03-28T11:04:17ZengSAGE PublishingSAGE Open Medicine2050-31212023-03-011110.1177/20503121231162722Women’s decision-making power regarding family planning use and associated factors in Ethiopia: A systematic review and meta-analysisEtsay Woldu Anbesu0Mussie Alemayehu1Dejen Kahsay Asgedom2Fikru Yigezu Jeleta3Department of Public Health, College of Medical and Health Sciences, Samara University, Samara, EthiopiaSchool of Public Health, College of Health Science, Mekelle University, Mekelle, Tigray, EthiopiaDepartment of Public Health, College of Medical and Health Sciences, Samara University, Samara, EthiopiaDepartment of Nursing, College of Medical and Health Sciences, Samara University, Samara, EthiopiaObjective: Although emphasis is placed on women’s decision-making power regarding family planning use in Ethiopia, the utilization of contraceptives is low. There are studies conducted in different parts of the country on women’s decision-making power regarding family planning use; however, there are inconsistent findings. Thus, this study aimed to determine the pooled prevalence of women’s decision-making power regarding family planning use and associated factors in Ethiopia. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed to develop the systematic review and meta-analysis. All observational studies were retrieved from online databases, including PubMed, CINAHL, Google Scholar, African Journal Online and gray literature. The data search was performed from 1 December to 16 May 2022. The quality of the studies was critically assessed using the Joanna Briggs Institute checklist. Heterogeneity among studies was examined using the I 2 statistic. RevMan version 5.3 and STATA version 14 software were used for analysis. Results: A total of 852 studies were retrieved, and 8 studies were included in the final meta-analysis. The pooled prevalence of women’s decision-making power regarding family planning use was 57 (95% confidence interval: 37, 77). Good knowledge of family planning methods (odds ratio: 2.46, 95% confidence interval: 1.65, 3.67), a positive attitude toward family planning methods (odds ratio: 2.04, 95% confidence interval: 1.3, 3.2), and having primary or higher education (odds ratio: 9.76, 95% confidence interval: 4.36, 21.99) were associated with increased odds of women’s decision-making power regarding family planning use. Conclusion: Nearly three in five married women made decisions regarding family planning use in Ethiopia. Women with good knowledge of family planning methods, a positive attitude toward family planning methods, and women having primary or higher education were associated with increased odds of women’s decision-making power regarding family planning use.https://doi.org/10.1177/20503121231162722
spellingShingle Etsay Woldu Anbesu
Mussie Alemayehu
Dejen Kahsay Asgedom
Fikru Yigezu Jeleta
Women’s decision-making power regarding family planning use and associated factors in Ethiopia: A systematic review and meta-analysis
SAGE Open Medicine
title Women’s decision-making power regarding family planning use and associated factors in Ethiopia: A systematic review and meta-analysis
title_full Women’s decision-making power regarding family planning use and associated factors in Ethiopia: A systematic review and meta-analysis
title_fullStr Women’s decision-making power regarding family planning use and associated factors in Ethiopia: A systematic review and meta-analysis
title_full_unstemmed Women’s decision-making power regarding family planning use and associated factors in Ethiopia: A systematic review and meta-analysis
title_short Women’s decision-making power regarding family planning use and associated factors in Ethiopia: A systematic review and meta-analysis
title_sort women s decision making power regarding family planning use and associated factors in ethiopia a systematic review and meta analysis
url https://doi.org/10.1177/20503121231162722
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