title: Paving the way for universal family planning coverage in Ethiopia: an analysis of wealth related inequality.
abstract: BACKGROUND
  Family planning plays a significant role in reducing maternal and child mortality and ultimately in achieving national and international development goals. It also has an important role in reducing new pediatric HIV infections by preventing unwanted pregnancies among HIV positive women. Investing in family planning is one of the smart investments for development as population dynamics have a fundamental influence on the pillars of sustainable development, including that of a sustainable environment.
  
  
  OBJECTIVE
  To identify and quantify wealth related differences in family planning use between poor and rich Ethiopian women based on the Demographic and Health Survey asset based wealth quintiles.
  
  
  METHODS
  The proportion of women who used contraceptives during implementation of the 2011 and 2005 Ethiopia Demographic and Health Surveys was calculated across wealth quintiles. Data were stratified for place of residence to analyze and determine inequalities in family planning use separately for rural and urban women. Socioeconomic inequalities according to wealth were measured using the slope index of inequality and the relative index of inequality.
  
  
  RESULTS
  The absolute difference of contraceptive prevalence between poorest and richest women was over 25.3 percentage points (95% CI = 18.9-31.7) in 2011. Contraceptive use was more than twice (RII: 2.6, 95% CI = 2.0 - 3.3) as prevalent among the richest compared with the poorest.
  
  
  CONCLUSIONS
  Despite efforts to provide contraceptives for free at all public health facilities, wealth based inequalities still prevail in Ethiopia. People at lower socioeconomic strata should be empowered more to avoid the root causes of inequality and to achieve national Health Sector Development Program Goals.
authors.affiliation: Ethiopian Public Health Associetion, Addis Ababa, Ethiopia. yigzawm@gmail.com.
authors.forename: Muluneh
authors.initials: M
authors.lastname: Yigzaw
authors.affiliation: Faculty of Community Services, School of Occupational and Public Health, Ryerson University, Toronto, Canada. dzakus@ryerson.ca.
authors.forename: David
authors.initials: D
authors.lastname: Zakus
authors.affiliation: Columbia University - ICAP in Ethiopia, Addis Ababa, Ethiopia. yehualashetwalya@yahoo.com.
authors.forename: Yehualashet
authors.initials: Y
authors.lastname: Tadesse
authors.affiliation: Amref Health Africa in Ethiopia, Addis Ababa, Ethiopia. mulusef@yahoo.com.
authors.forename: Muluked
authors.initials: M
authors.lastname: Desalegn
authors.affiliation: School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. mesganaw.f@gmail.com.
authors.forename: Mesganaw
authors.initials: M
authors.lastname: Fantahun
mesh_terms: D000293:Adolescent; D000328:Adult; D005002:Ethiopia; D005193:Family Planning Services; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D012923:Social Class; D012959:Socioeconomic Factors; D019472:Universal Health Insurance; D055815:Young Adult