ArticleBMJ open2020
Spatial variations and associated factors of modern contraceptive use in Ethiopia: a spatial and multilevel analysis.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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38 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Worldwide Wellness of Mothers and Babies (WWOMB): program overview and lessons learned from Ethiopia.Archives of public health = Archives belges de sante publique · 2024Pooled it
- Women's family planning status in Ethiopia: A geo-additive modeling approach.Global epidemiology · 2026Article
- Trend and multivariate decomposition analysis of modern contraceptive utilization among women in Ethiopia.Scientific reports · 2025Article
- Spatial modelling of the shared impact of sexual health knowledge and modern contraceptive use among women with disabilities in Africa.Contraception and reproductive medicine · 2025Article
- Determinants of modern contraceptive use among married and sexually active unmarried women aged 15-49 years old in Cambodia: How are geographical and socio-demographic factors associated with access?PLOS global public health · 2025Article
- Examining the low uptake of LARC in Ethiopia: an analysis of individual-level predisposing and enabling factors.Frontiers in global women's health · 2025Article
- Spatial disparities and determinants of modern contraceptive use among reproductive age women in Ethiopia: application of multilevel spatial analysis.Frontiers in global women's health · 2025Article
- Evolving Landscape of Modern Contraceptive Use in Ethiopia: A Two-Decade Analysis.International journal of public health · 2025Article
- Utilization of modern contraceptive methods among women of reproductive age in Senegal: A multilevel mixed-effects analysis.PloS one · 2025Article
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- Modern contraceptive utilization among women of reproductive age in Ghana: a multilevel mixed-effect logistic regression model.Contraception and reproductive medicine · 2024Article
- Socioeconomic inequalities in contraceptive use among Brazilian women: A multilevel analysis stratified by parity.Heliyon · 2024Article
- Availability and readiness of healthcare facilities and their effects on antenatal care services uptake in Bangladesh.BMC health services research · 2024Article
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- Spatial distribution of caesarean deliveries and their determinants in Bangladesh: evidence from linked data of population and health facility survey.The Lancet regional health. Southeast Asia · 2023Article
- Spatial variations and multi-level determinants of modern contraceptive utilization among young women (15-24 years) in Ethiopia: spatial and multi-level analysis of mini-EDHS 2019.Contraception and reproductive medicine · 2023Article
- Spatial distribution and determinants of high-risk fertility behavior among reproductive-age women in Ethiopia.Tropical medicine and health · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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. POPULATION: 8473 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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