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Academic literature on the topic 'Family planning services – Ethiopia – Addis Ababa'
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Journal articles on the topic "Family planning services – Ethiopia – Addis Ababa"
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Tafa, Lema, and Yoseph Worku. "Family planning utilization and associated factors among postpartum women in Addis Ababa, Ethiopia, 2018." PLOS ONE 16, no. 1 (January 22, 2021): e0245123. http://dx.doi.org/10.1371/journal.pone.0245123.
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Background Pregnancies that occur in the first year after birth can result in adverse outcomes for the mothers and their babies. Postpartum family planning (PPFP) can save lives of many mothers and children. Only few data are available about the magnitude of PPFP use and its determinants in Addis Ababa, Ethiopia. Objective To assess PPFP utilization and associated factors in Addis Ababa, Ethiopia. Method A facility-based cross-sectional study was conducted from April to June 2018. A total of 625 women were enrolled in the study. Statistical Package for the Social Sciences (SPSS) software was used to analyze the data. Binary logistic regression model with adjusted odd ratio (AOR) and 95% confidence interval (CI) was used to identify the factors associated with PPFP use. A p-value less than 0.05 was considered as significant. Result The magnitude of PPFP utilization in Addis Ababa was 71.8%. Previous family planning (FP) information (AOR = 13.2; 95% CI: (1.96, 88.07)), FP information from health facility visit (AOR = 2.23; 95% CI: (1.45, 3.43)), antenatal care (AOR = 4.96; 95% CI: (1.58, 15.64)), counseling on FP at postnatal care (AOR = 1.97; 95% CI: (1.27, 3.05)), menses resumption after birth (AOR = 1.75; 95% CI: (1.11, 2.76)), and commencing sexual activity after birth (AOR = 9.34; 95% CI: (5.39, 16.17)) were the factors associated with PPFP use. Conclusion and recommendation Though the magnitude of PPFP use is encouraging, still three out of the ten postpartum women did not use PPFP. The determinants of PPFP use were having FP information, having FP information from health facility visit, antenatal care, counseling about FP during postnatal care, menses resumption after birth, and commencing sexual activity after birth. The health system in the City and the healthcare providers should strive to reach every woman who is not accessing the PPFP services and antenatal care services, and improve counseling services on PPFP during delivery and postnatal care services.
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Bitew, Mezinew Sintayehu, Maereg Fekade Zewde, Muluken Wubetu, and Addisu Alehegn Alemu. "Consumption of alcohol and binge drinking among pregnant women in Addis Ababa, Ethiopia: Prevalence and determinant factors." PLOS ONE 15, no. 12 (December 22, 2020): e0243784. http://dx.doi.org/10.1371/journal.pone.0243784.
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Introduction People in Ethiopia, including pregnant women, highly consume both home-made and manufactured alcohol beverages due to lack of awareness about the harmful effect of risky alcohol use, and cultural acceptance of alcohol consumption. Alcohol consumption and other hazardous patterns of use like binge drinking have tremendous adverse effects on fetus and mothers. Therefore, this study aimed to assess the magnitude of alcohol consumption, binge drinking and its determinants among pregnant women residing in Kolfe sub-city, Addis Ababa, Ethiopia. Methods Institutional based cross-sectional study was conducted among a total of 367 pregnant women. The participants were selected using a systematic random sampling method. Data were collected through a structured questionnaire. A binary logistic regression was conducted using SPSS version 20 software to identify determinants of alcohol consumption and binge drinking. A p-value < 0.05 was used to declare a statistical significance in multiple logistic regression. The results were described using adjusted odds ratio with a 95% confidence interval. Results This study revealed that the prevalence of alcohol consumption, binge drinking, and weekly alcohol consumption of four or more units among pregnant women was 39.78%, 3.54% and 4.9%, respectively. Not having formal education [AOR 95% CI = 8.47 (2.42, 29.62), having primary education [AOR 95% CI = 4.26 (1.23, 14.74), being a housewife [AOR 95% CI = 4.18 (2.13, 8.22), having an unplanned pregnancy [AOR 95% CI = 2.47(1.33, 4.60), having a history of abortion [AOR 95% CI = 3.33 (1.33, 6.05)], not having awareness about the harmful effect of alcohol consumption [AOR 95% CI = 4.66 (2.53, 8.61)], and not having family social support [AOR 95% CI = 2(1.14,3.53) were determinants of alcohol consumption among pregnant women. Conclusions This study found a high level of alcohol consumption among pregnant women. Interventions to create awareness on the harmful effects of alcohol are needed. Moreover, strengthening social support during pregnancy and family planning services to reduce unplanned pregnancy and abortion should be considered.
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Tegegne, Teketo Kassaw, Catherine Chojenta, Peta Michelle Forder, Theodros Getachew, Roger Smith, and Deborah Loxton. "Spatial variations and associated factors of modern contraceptive use in Ethiopia: a spatial and multilevel analysis." BMJ Open 10, no. 10 (October 2020): e037532. http://dx.doi.org/10.1136/bmjopen-2020-037532.
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ObjectiveTo assess spatial variations in modern contraceptive use and to identify factors associated with it among married women in Ethiopia.DesignCross-sectional analysis of population-based and health facility data.SettingEthiopia Demographic and Health Survey data linked to Service Provision Assessment data.Population8473 married women and 1020 facilities that reported providing family planning services.MethodsA linked secondary data analysis of population and health facility data was carried out. Both multilevel and spatial analyses were conducted to identify key determinants of women’s use of modern contraceptive and spatial clustering of modern contraceptive use.Main outcome measureModern contraceptive use.ResultsAbout 24% of the variation in the use of modern contraception was accounted for by location. A one-unit increase in the mean score of health facilities’ readiness to provide short-term modern contraceptives in a typical region was associated with a 20-fold increase in the odds of modern contraceptive use (adjusted OR (AOR) 20.49, 95% CI 1.44 to 29.54). In the spatial analysis, it was found that Addis Ababa and the Amhara region had high clusters of modern contraceptive use rates. On the other hand, low rates of contraceptive use were clustered in the Afar and Somali regions.ConclusionThere were significant variations in the use of modern contraceptives across the different regions of Ethiopia. Therefore, regions with low contraceptive rates and high fertility rates should be targeted for scaling up and tailoring of services to the culture and lifestyles of the population of those regions.
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Appleford, Gabrielle, Claire Cole, Metsehate Ayenekulu, Sue Newport, and Emma Mulhern. "Get Smart: Learning and partnership with Ethiopia’s Health Extension Programme to re-envision contraceptive service delivery to young couples." Gates Open Research 3 (October 15, 2019): 1570. http://dx.doi.org/10.12688/gatesopenres.12970.1.
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Background: Adolescents 360 (A360) implements the Smart Start (SS) programme through Ethiopia’s Health Extension Programme (HEP). SS is premised on financial planning as an entry point to discuss family planning (FP) with newly married couples and central to its delivery are the health extension workers (HEW). This article evaluates the A360 experience and learning from the process evaluation implemented by Itad to understand contextual barriers and enablers from the perspective of the HEW. Methods: A purposive sampling strategy was employed whereby 27 key stakeholders were identified from Oromia, Addis Ababa and Amhara, based on exposure to the SS programme. Findings from the action research were shared with A360 through a one day sounding workshop. Results: Findings revealed that many local government and communal respondents do not view adolescent pregnancy as a problem, unless out of wedlock, and adolescent pregnancy is closely linked to early marriage. As a result, some providers, including HEWs, acknowledged that married adolescent girls were previously ‘neglected’ by them, while husbands indicated that they had not previously been included in FP counselling. Findings also revealed some challenges with SS implementation as HEWs were ‘deprioritizing’ the intervention and many HEWs had been in situ for several years and were overworked and frustrated. Against this backdrop, A360 was viewed as adding to the HEW workload. While the programme design was focused on adolescent users, there was increasing recognition that HEWs also needed to be at the centre of solution design. Conclusions: Despite challenges associated with the HEP, Ethiopia FP2020 plans to support the ‘next generation’ of HEWs, including a focus on adolescents and youth. To gain deeper insight and put the HEW at the centre of design, A360 will continue to work with the process evaluation to understand contextual barriers and enablers from the perspective of the HEW.
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Sack, D. E., D. Nagpal, M. Birara, J. D. Bell, and S. D. Rominski. "Family planning messaging sources at primary health centers in Addis Ababa, Ethiopia." Annals of Global Health 82, no. 3 (August 20, 2016): 524. http://dx.doi.org/10.1016/j.aogh.2016.04.420.
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Larçon, Jean-Paul, and Corinne Vadcar. "Belt and Road in Ethiopia and China’s African Ambition." China and the World 04, no. 02 (May 17, 2021): 2150007. http://dx.doi.org/10.1142/s2591729321500073.
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China–Ethiopia economic cooperation in the period of 2000–2020 is marked by the convergence between the industrial policy of Ethiopia, the orientations of the Forum on China–Africa Cooperation (FOCAC), and the infrastructure development strategy which is the cornerstone of China’s Belt and Road Initiative (BRI). China, the largest foreign investor in Ethiopia during this period, has had a major role in terms of investment and financing in the energy sector and the transportation infrastructure: Addis Ababa Airport, roads, railway, seaport terminal, and gas pipeline. The flagship project — the Addis Ababa–Djibouti Railway — connecting Addis Ababa to Djibouti City and Djibouti’s Doraleh Container Terminal, inaugurated in 2018, provided landlocked Ethiopia with a good connection between the hinterland and the seaport: the economic corridor accounts for more than 95% of Ethiopia’s foreign trade. The development of Ethiopian Industrial Parks on the model of Chinese Special Economic Zones (SEZs) was the second pillar of the strategy of development of an export-oriented manufacturing sector. Chinese companies operating in Ethiopian Industrial Parks in the textile and leather industries have been pioneering this activity contributing to Ethiopia’s participation in the Global Value Chains (GVCs). Ethiopian government is also planning the development of agro-industrial parks specialized in added-value agricultural products such as coffee or cut flowers exported to Europe via Addis Ababa Airport and Ethiopian Airlines Cargo. Ethiopia’s main challenges in that direction are the necessity to go up the value chain to further penetrate European markets and, most likely, to identify the products or services which could be integrated into the African markets in the new context of the African Continental Free Trade Area (AfCFTA) agreement that entered into force in January 2021.
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Lund, Ragnhild. "Urban Services and Governance: The Case of Solid Waste Management in Addis Ababa, Ethiopia." Norsk Geografisk Tidsskrift - Norwegian Journal of Geography 68, no. 3 (April 14, 2014): 195–96. http://dx.doi.org/10.1080/00291951.2014.904410.
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Sekasi, Jackson, and Mauro Luiz Martens. "Assessing the Contributions of Urban Light Rail Transit to the Sustainable Development of Addis Ababa." Sustainability 13, no. 10 (May 18, 2021): 5667. http://dx.doi.org/10.3390/su13105667.
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Many of the existing urban transport infrastructures in developing African cities are challenged by the mobility demands of their ever-increasing population and increased vehicle capacity. To address these transportation challenges, the Federal government of Ethiopia through the Ethiopian Railway Corporation (ERC) constructed and operates the Addis Ababa light rail transit (AA-LRT). Currently, many other African cities are following in action. This study aims to assess the contributions to sustainable development derived from the services of urban light rail in Addis Ababa. Cross-sectional quantitative research by means of a structured questionnaire survey considering key variables of social, economic, and environmental transport sustainability dimensions was conducted in Addis Ababa. Dimension-wise, the collected data was then analysed in order to measure the contributions made by AA-LRT and to identify the relations amongst each considered variable and each sustainability dimension. The findings of the study indicate a high level of perceived contributions of the economic sustainability dimension as compared to social and environmental sustainability. The study suggests an improved consideration of the environmental and social dimension for a holistic approach to transport sustainability of the city.
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Mekonnen, T. B., A. Moges, and B. Mengesha. "Assessment of family planning use and associated factors among people living with HIV in Addis Ababa, Ethiopia." Lancet 382 (November 2013): S10. http://dx.doi.org/10.1016/s0140-6736(13)62258-8.
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Teshome, Abel, Malede Birara, and Sarah D. Rominski. "Quality of family planning counseling among women attending prenatal care at a hospital in Addis Ababa, Ethiopia." International Journal of Gynecology & Obstetrics 137, no. 2 (February 27, 2017): 174–79. http://dx.doi.org/10.1002/ijgo.12110.
Full textDissertations / Theses on the topic "Family planning services – Ethiopia – Addis Ababa"
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Mekonnen, Dessie Ayalew. "Strategies to facilitate the integration of family planning and HIV services at the public health centre level in Addis Ababa, Ethiopia." Thesis, 2018. http://hdl.handle.net/10500/25079.
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Improving the implementation of family planning through integration with HIV services is vital to reduce maternal and child morbidity and mortality that has been a concern especially in developing countries like Ethiopia (UNFPA 2016). The aim of this study was to develop a strategic plan that could facilitate the implementation of an integrated family planning and HIV services at the public health centre level.
The researcher utilized an explanatory sequential mixed method design with quantitative data collected in the first phase and qualitative data collected in the second phase. Data were collected from 403 clients in face-to-face structured interviews and from 305 service providers by means of a self-administered questionnaire. Descriptive analysis was applied to describe the findings of the study. Significance testing between variables was computed by odds ratio, p-value and 95% confidence interval. Bivariate and multi-variate logistic regressions were used for the analysis.
In Phase 1, awareness of family planning methods, male involvement, marital status, client satisfaction, family income, waiting time, training, awareness of policies/guideline and transport availability were statistically significant challenges identified by clients and service providers. The client and service provider respondents identified previous use of family planning, men’s involvement, client satisfaction, availability of behavioural change communication materials, accessibility, budget, infrastructure and medical resources as opportunities. In phase 2, the researcher utilized the nominal group technique (NGT) to collect qualitative data from programme officers. Twenty-four programme officers from 10 sub city health offices, city and national level participated in two nominal groups, consisting of 12 participants each. Multiple group analysis was used to analyse the data from the nominal groups. The five strategies ranked as the most important were leadership and management; capacity building; implementation of policies and guidelines; advocacy/awareness, and infrastructure.
The findings in phase 1 and phase 2 formed the basis for the development of a strategic plan using the process planning model. The strategic plan was developed and validated with the active participation and involvement of programme officers. The plan is intended to be implemented by service providers and programme officers to facilitate the implementation of integrated family planning and HIV services at the public health centre level.Health Studies
D. Litt et. Phil. (Health Studies)
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Lemma, Dawit Assefa. "Emergency contraception in Addis Ababa : practice of service providers." Diss., 2009. http://hdl.handle.net/10500/3215.
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A quantitative, descriptive, explorative, contextual study was conducted to determine
pharmacists and drug vendors' level of knowledge, attitude towards and practice on
Emergency Contraceptive (ECl in Addis Ababa. Forty licensed service providers in Addis
Ababa were randomly selected during 2008 and interviewed using a structured interview
schedule. Data were analysed using a computer software package. The findings revealed
that although these service providers were knowledgeable on the purpose and dOSing
schedule of EC, they lacked knowledge on side-effects, contra-indications, and types of
ECs. Most respondents portrayed a subjective attitude towards easy EC access of
especially adolescent girls, since they believed that it will encourage promiscuity and
unprotected intercourse. Their knowledge and practice need to be improved, as it has a
direct effect on potential users and reducing unwanted pregnancies among young.Health Studies
M.P.H. (Health Sudies)
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Tirfe, Berhanu Tamir. "A study exploring the socio-demographic and service related factors influencing the utilization of intra uterine contraceptive device among family planning users in Addis Ababa, Ethiopia." Diss., 2014. http://hdl.handle.net/10500/13603.
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This study aimed at identifying the socio-demographic and service related factors influencing intra uterine contraceptive device (IUD) utilization among family planning clients in Addis Ababa. With a quantitative, cross sectional descriptive design approach, data was collected using structured questionnaires administered by healthcare supervisors. A total of 366 family planning clients and 35 family planning service providers were interviewed. The findings indicated that the level of education, occupation, parity and fertility plan have significant (p<0.05) association with utilization of IUD. Healthcare service provider’s knowledge and skills for provision of intra uterine contraceptive device services were low. Community members lack awareness and knowledge of the benefit and side effects of the device. Therefore, community members need education to promote adherence and effective use of IUD. Similarly, healthcare service providers need skill training and education to ensure quality provision of IUD serviceHealth Studies
M.A. (Public Health)