Prevalence of Unintended Pregnancy and Associated Factors among Married Pregnant Women in Ganji Woreda, West Wollega Oromia Region, Ethiopia
Science Journal of Public Health
Volume 2, Issue 2, March 2014, Pages: 92-101
Published: Mar. 10, 2014
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Fetene T. Teshome, Gimbi zon Health Office, Oromia Rigion, Ethiopia
Abebe Gebremariam Hailu, Department of Population and Family Health, Jimma University, Jimma, Ethiopia
Aaderajew Nigussie Teklehaymanot, Department of Population and Family Health, Jimma University, Jimma, Ethiopia
Background: Unintended pregnancy contributes to unacceptably high maternal mortality rates throughout the world and can have far-reaching health, social and economic consequences. In Ethiopia, around one third of all married women feel their pregnancy unintended. Objective: To identify prevalence of unintended pregnancies and associated factors among married pregnant women in Ganji woreda west Wollega zone in year 2013. Method: A community based cross-sectional study design was employed both quantitative and qualitative method. Data were entered and analyzed using SPSS software version 20. Frequencies, binary and logistic regression were used to describe and analyze study variables. Qualitative data collected by in-depth interview method. Analyzed thematically and triangulated with the quantitative findings. Result: Out of 623 subjects, 616 responded. The response rate was 98.8%. 225(36.5%) reported unintended pregnancy. Mothers whose husbands disagree to limit family size were 2.26 times more likely to experience unintended pregnancy (OR 2.26: 95% CI, 1.23-4.14). Ever physically violated mothers by their intimate partner were 1.78 times more likely to experience unintended pregnancy compared to no violate (OR 1.78: 95% CI, 1.18-2.70). Low level knowledgeable was 3.76 times more likely to experiencing unintended pregnancy than higher level knowledgeable (OR 3.76: 95% CI, 2.37-5.96). Conclusion: According to this study age of respondents, age at marriage, total birth, ideal number of children, ever-physical violence, husband’s disagreement to limit family size, family planning health worker visit and knowledge level of respondents were significantly contributing to unintended pregnancy.
Fetene T. Teshome,
Abebe Gebremariam Hailu,
Aaderajew Nigussie Teklehaymanot,
Prevalence of Unintended Pregnancy and Associated Factors among Married Pregnant Women in Ganji Woreda, West Wollega Oromia Region, Ethiopia, Science Journal of Public Health.
Vol. 2, No. 2,
2014, pp. 92-101.
Wulf D. The Alan Guttmacher Institute, Sharing Responsibility: Women, Society and Abortion Worldwide. New York: AGI, 1999.
UNICEF. Progress for Children, A Report Card on Maternal Mortality. New Work: United Nations Children’s Fund 2008.
Hunt P, Mesquita JBD. Reducing Maternal Mortality: The contribution of the Right to the Highest Attainable Standard of Health. United Nations Population Fund, 2010.
PAI. Why Population Matter to Maternal Health. Washington: Population Action International Healthy Family Healthy Planet, 2011.
WHO, UNICEF, UNFPA and The World Bank. Trends in Maternal Mortality: 1990 to 2010 Geneva: World Health Organization, 2012.
Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International 2012.
Goodrum LA. Maternal Mortality: Strategies in Prevention and Care Clinical Review Article. Hospital Physician. 2001:44 – 51.
Thapa S, Marks JD, Corey E. Unintended Pregnancy Toward Understanding the Issues and Addressing the Need Gaps. Geneva: World Health Organization 2012 [06/12/2012]; Available from: .
Darroch JE, Singh S. Estimating Unintended Pregnancies Averted from Couple-Years of Protection. New York: Advancing Sexual and Reproductive Health World Wide through Research, Policy Analysis and Public Education, Guttmacher Institution, 2011.
Singh S, Darroch JE, Ashford LS, Vlassoff M. Adding It Up: The Costs and Beneﬁts of Investing in Family Planning and Maternal and Newborn Health. New York: Guttmacher Institute and United Nations Population Fund, 2009.
Mulligan J, Nahmias P, Chapman K, Patterson A, Burns M, Harvey M, et al. Improving Reproductive, Maternal and Newborn Health: Reducing Unintended Pregnancies Evidenc Overview a Working Paper United Kingdom: Department for International Development, 2010.
Santelli J, Rochat R, Hatﬁeld-Timajchy K, Gilbert BC, Curtis K, Cabral R, et al. The Measurement and Meaning of Unintended Pregnancy. Perspectives on Sexual and Reproductive Health. 2003;35(2):94-101.
Tsui AO, McDonald-Mosley R, Burke AE. Family Planning and the Burden of Unintended Pregnancies. Oxford University Press. 2010;32:152-74.
Gipson JD, Koenig MA, Hindin MJ. The Effects of Unintended Pregnancy on Infant, Child, and Parental Health: A Review of the Literature. Studies in Family Planning. 2008;39(1):18-38.
Logan C, Holcombe E, Manlove J, Ryan S. The Consequences of Unintended Childbearing. The National Campaign to Prevent Teen Pregnancy Child Trends, Inc. 2007.
Malarcher S, Olson LG, Hearst N. Unintended Pregnancy and Pregnancy Outcome: Equity and Social Determinants. In: Blas E, Kurup AS, editors. Equity, Social Determinants and Public Health Programmes. Geneva, Switzerland: World Health Organization; 2010. p. 177- 97.
Ayoola AB, Kapitula LR. The effect of Unintended Pregnancy and Time of Pregnancy Recognition on Birth Outcomes. 2009 [cited 2012 29/10]; Available from: .
Abdallah IM, Mone’m EFA, Hassan MAES. Determinants and Outcomes of Unintended Pregnancy among Women in Helwan District Journal of American Science. 2011;7(11):497-505.
Unplanned Pregnancy and Family Turmoil The National Campaign to Prevent Teen and Unplanned Pregnancy, 2008 Contract No.: 34.
Besculides M, Laraque F. Unintended Pregnancy among the Urban Poor Journal of urban health: Bulletin of the New York Academy of Medicin. 2004;81(4):340-8.
Ahman E, Shah I. Unsafe Abortion Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2008 Sixth Edition. Geneva: World Health Organization, 2008.
Lule E, Singh S, Chowdhury SA. Fertility Regulation Behaviors and Their Costs Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia. New York: Health, Nutrition, and Population Family of the World Bank’s Human Development Network, 2007.
Singh S, Darroch JE. Adding It Up: Costs and Benefits of Contraceptive Services Estimates for 2012. Guttmacher Institute and United Nations Population Fund, 2012.
Singh S, Wulf D, Hussain R, Bankole A, Sedgh G. Abortion Worldwide: A Decade of Uneven Progress. New York: Guttmacher Institute, 2009.
Sundaram A, Vlassoff M, Bankole A, Remez L, Gebrehiwot Y, Bernstein HBS, et al. Benefits of Meeting the Contraceptive Needs of Ethiopian Women. New York: Guttmacher Institute, 2010.
IPAS. Facts on Unintended Pregnancy and Abortion in Ethiopia. In Breif, New York: Guttmacher institute, 2010.
Kassa N, Berhane Y, Worku A. Predictors of Unintended Pregnancy in Kersa, Eastern Ethiopia, 2010. Reproductive Health Jornal. 2012;9(1).
Hamdela B, G/mariam A, Tilahun T. Unwanted Pregnancy and Associated Factors among Pregnant Married Women in Hosanna Town, Southern Ethiopia. PLoS ONE. 2012;7(6).
Geda NR, Lako TK. A Population based study on Unintended Pregnancy among Married Women in a District in Southern Ethiopia. Journal of Geography and Regional Planning. 2011;4(7):417-27.
Federal Democratic Republic of Ethiopia Ministry of Health:National Reproductive Health Strategy 2006 - 2015 Ministry of Health; 2006.
Kamal M, Islam A. Prevalence and Socioeconomic Correlates of Unintented Pregnancy among Women in Rural Bangladesh. Salud Publica Mex 2011;53:108-15.
Jaeni N, McDonald P, Utomo ID. Determinants of Unintended Pregnancy among Ever-Married Women in Indonesia: An Analysis of the 2007 IDHS. Australian Demographic and Social Research Institute. 2009.
Dixit P, Ram F, Dwivedi LK. Determinants of Unwanted Pregnancies in India using Matched Case-control Designs. BMC Pregnancy and Childbirth. 2012;12(84).
Dibaba Y. Child Spacing and Fertility Planning Behavior among Women in Mana District, Jimma Zone, South West Ethiopia. Ethiopian Journal of Health Science. 2010;20(2):83-90.
Adhikari R, Soonthorndhada K, Prasartkul P. Correlates of Unintended Pregnancy among Currently Pregnant Married Women in Nepal. BMC International Health and Human Rights. 2009;9(17).
Sedgh G, Bankole A, Oye-Adeniran B, Adewole IF, Singh S, Hussain R. Unwanted Pregnancy and Associated Factors among Nigerian Women. International Family Planning Perspectives. 2006;32(4):175–84.
Cripe SM, Sanchez SE, Perales MT, Lamd N, Garcia P, Williams MA. Association of Intimate Partner Physical and Sexual Violence with Unintended Pregnancy among Pregnant Women in Peru. International Journal of Gynecology and Obstetrics. 2008;100:104-8.
Nasab HS, Tavakoli R, Tavakoli H, Jahan HR, Shkravi FA. Unwanted Pregnancy and Factors Influencing it in Pregnant Mothers Referring to Semnan’s Health Centers. World Applied Sciences Journal 2010;9(2):199-203.
Ganji Woreda’s Socio Economic Profile. [cited 2012 07/12]; Available from: .
West Wollega Zone Socio Economic Profile. [cited 2012 07/12]; Available from: .