title: Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia.
abstract: BACKGROUND
  Understanding why people do not use family planning is critical to address unmet needs and to increase contraceptive use. According to the Ethiopian Demographic and Health Survey 2011, most women and men had knowledge on some family planning methods but only about 29% of married women were using contraceptives. 20% women had an unmet need for family planning. We examined knowledge, attitudes and contraceptive practice as well as factors related to contraceptive use in Jimma zone, Ethiopia.
  
  
  METHODS
  Data were collected from March to May 2010 among 854 married couples using a multi-stage sampling design. Quantitative data based on semi-structured questionnaires was triangulated with qualitative data collected during focus group discussions. We compared proportions and performed logistic regression analysis.
  
  
  RESULTS
  The concept of family planning was well known in the studied population. Sex-stratified analysis showed pills and injectables were commonly known by both sexes, while long-term contraceptive methods were better known by women, and traditional methods as well as emergency contraception by men. Formal education was the most important factor associated with better knowledge about contraceptive methods (aOR = 2.07, p<0.001), in particular among women (aOR(women )= 2.77 vs. aOR(men) = 1.49; p<0.001). In general only 4 out of 811 men ever used contraception, while 64% and 43% females ever used and were currently using contraception respectively.
  
  
  CONCLUSIONS
  The high knowledge on contraceptives did not match with the high contraceptive practice in the study area. The study demonstrates that mere physical access (proximity to clinics for family planning) and awareness of contraceptives are not sufficient to ensure that contraceptive needs are met. Thus, projects aiming at increasing contraceptive use should contemplate and establish better counseling about contraceptive side effects and method switch. Furthermore in all family planning activities both wives' and husbands' participation should be considered.
authors: College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia. tiztatilahun@yahoo.com
authors: Tizta
authors: T
authors: Tilahun
authors: Gily
authors: G
authors: Coene
authors: Stanley
authors: S
authors: Luchters
authors: Wondwosen
authors: W
authors: Kassahun
authors: Els
authors: E
authors: Leye
authors: Marleen
authors: M
authors: Temmerman
authors: Olivier
authors: O
authors: Degomme
mesh_terms: D000328:Adult; D003267:Contraception / Q000706:statistics & numerical data; D005002:Ethiopia; D005193:Family Planning Services / Q000706:statistics & numerical data*; D005260:Female; D005298:Fertility; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D012737:Sex Factors; D018454:Spouses / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
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