Addressing Unmet Need for Long Acting Family Planning in Ethiopia - Uptake of Implanon and Characteristics of Users
Objective: To describe women who accept Implanon from community health workers in Ethiopia and to assess whether community-based provision addresses unmet need for contraception.
Methods: Women who accepted Implanon during Implanon training in 4 regions of Ethiopia were asked about their characteristics and use of family planning. They were compared with clients accepting other methods and with women with unmet need nationally. Differences between groups were tested with chi-square, Fischer’s Exact, and t-tests as appropriate.
Results: Implanon acceptors were older (28.3 vs. 26.7 years) and less educated (1.7 vs. 2.3 years) than clients who selected other methods. Almost one quarter (22.9%) of all clients had never used contraception before and this was higher among clients who chose Implanon (23.1% vs. 16.4%, p=0.04). Acceptors were also less likely to be using contraception (70.8% vs. 77.3%, p<0.05) but all clients interviewed were more likely to be using contraception than the rural population (17%). Clients who accepted Implanon were younger (1.5 years) but more educated (29.3% vs 16.5% completed primary education) than women with unmet need for contraception nationally.
Conclusion: Provision of Implanon through community-health workers at the community-level is effective in reaching those women who have greatest need for contraception.
More In This Series
The purpose of the Working Paper Series is to disseminate work in progress by Pathfinder International staff on critical issues of population, reproductive health, and development.
Integrated Health and Community Systems Strengthening for Improved Contraceptive Access and Uptake in Nampula Province, Mozambique
Implemented in northern Mozambique, Pathfinder’s SCIP project achieved notable increases in a key contraception indicator over its lifecycle. Recognizing the opportunity to learn from this finding, the project team conducted a retrospective programmatic analysis, which is described in this technical brief.
This household survey was designed to measure changes in knowledge, attitudes, and health behaviors among families in the Integrated Family Health Program's catchment areas between 2008 and 2013.