Tabea Theißen, Anneke Ullrich, Karin Oechsle, Julia Wikert, Carsten Bokemeyer, Aneta Schieferdecker
"Being an informal caregiver - strengthening resources": mixed methods evaluation of a psychoeducational intervention supporting informal caregivers in palliative care
BMC palliative care
modern contraceptive utilization effective intervention tackle unintended pregnancy thereby reduce abortion improve maternal child newborn health however multilevel factors related low modern contraceptive utilization robust analysis required decisionmaking scarce ethiopia investigate individual communitylevel predictors modern contraceptive utilization among reproductiveage women ethiopia utilized data crosssectional 2019 performance monitoring action ethiopia survey survey employed stratified twostage cluster sampling method select households inclusion stata version 160 data underwent cleaning aggregation survey weighting following descriptive analysis performed utilizing svy command subsequently primary analysis executed using r software version 413 fitted twolevel mixed effects logistic regression model 6117 reproductiveage women nested within 265 enumeration areas clusters fixed effect models fitted measures variation explained intracluster correlation median odds ratio proportional change variance shrinkage factor calculated estimate effects cluster variables using interval odds ratio proportion opposed odds ratio finally independent variables significance level p005 corresponding adjusted odds ratios 95 confidence intervals described explanatory factors final model ethiopia prevalence modern contraceptive utilization 37 343 398 women attained primary secondary secondary levels education likely report modern contraceptive utilization aor 147 173 158 respectively divorcedwidowed women less likely report modern contraceptive utilization aor018 95 ci 013023 compared nevermarried women discussions women healthcare providers health facility family planning positively associated modern contraceptive utilization aor184 95 ci 152 223 communitylevel factors significant influence modern contraceptive utilization attributed 219 total variance odds using modern contraceptives icc 0219 clusters higher proportion agrarian aor 227 95 ci 15 344 clusters higher literacy aor 146 95 ci 109 194 clusters empowered women girls fp aor 147 95 ci 111 193 clusters high supportive attitudes norms toward fp aor 137 95 ci 104 181 better modern contraceptive utilization counterparts ethiopia understanding factors related modern contraceptive use among women reproductive age requires consideration individual community characteristics hence enhance family planning intervention programs essential focus empowerment women girls foster supportive attitudes towards family planning within communities collaborate education authorities enhance overall community literacy pay special attention pastoralist communities ensure reproductiveage women whole targeted rather solely focusing married women