Solomon Shiferaw|Stitt Mark|Assefa Seme|Ayanaw Amogne|Stein Skrøvseth|Selamawit Desta|Scott Radloff|Amy O. Tsui|Geert-Jan Dinant
Does proximity of women to facilities with better choice of contraceptives affect their contraceptive utilization in rural Ethiopia?
Addis Ababa University|Maastricht University|Addis Ababa University|University Hospital of North Norway|UiT The Arctic University of Norway|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|University Hospital of North Norway|UiT The Arctic University of Norway
limited evidence linkage contraceptive use range methods available level contraceptive stocks health facilities distance facility developing countries present analysis aims examining influence contraceptive method availability distance nearby facilities modern contraceptive utilization among married women rural areas ethiopia using georeferenced datawe used data first round surveys performance monitoring accountability 2020 project ethiopia pma2020ethiopia2014 survey conducted sample 200 enumeration areas eas ea 35 households 3 public private health service delivery points sdps selected main outcome variable individual use contraceptive method married women rural ethiopia correlates interest include distance nearby health facilities range contraceptives available facilities household wealth index womans educational status age parity whether recently visited health facility analysis primarily focuses stock provision public sdpsoverall complete information collected 1763 married rural women ages 1549 years 198 sdps rural areas 971 public rural women 939 live within 5 kilometers nearest health post much lower proportion 522 live within distance nearest health centers hospital 08 respectively main sources modern contraceptive methods married rural women health posts 488 health centers 390 mean number types contraceptive methods offered hospitals health centers health posts 62 54 37 respectively modern contraceptive use mcpr among rural married women 273 95 ci 253 295 percentage rural married women use modern contraceptives decreased distance nearest sdp increased 412 275 220 226 women living less 2 kilometers 2 39kilometers 4 59 kilometers 6 kilometers respectively pvalue001 additionally women live close facilities offer wider range contraceptive methods significantly likely use modern contraceptives mcpr ranged 423 among women live within 2 kilometers facilities offering 3 methods 225 among women living 6 kilometers away nearest facility number 3 methods available adjusting observed covariatesalthough majority ethiopian population lives within relatively close distance lower level facilities health posts number range methods available method choice proximity independently associated contraceptive utilization demonstrating extent objective measures distance relatively small magnitude explain variation contraceptive use among rural women study fills important planning gap family planning programs operating resource limited settings