Abstract:
Background: In Ethiopia women with their husbands/partners are the decision-makers
for contraceptives non-use suffered either due to the consequence of unintended
pregnancy or due to the indirect impact of the secret use of contraceptives from
their husbands/partners. Despite this challenge, there is a dearth of evidence about
the magnitude of husbands/partners’ decision-makers on contraceptives n non-used
in Ethiopia.
Objective: This study was aimed to assess the magnitude of husbands’/partners
decisions on contraceptive non-use and associated factors among married and noncontraceptive user reproductive-age women in Ethiopia.
Methods: The study was conducted based on Ethiopian demographic and health
survey 2016 data which was a cross-sectional survey from 18 January 2016 to 27
June 2016. A total weighted sample size of 5,458 married and non-contraceptive user
reproductive-age women were taken. A multilevel logistic regression model was used
because of the data nature hierarchical, and variables with p ≤ 2 in the bivariable multilevel
analysis were taken to multivariable multilevel analysis. Adjusted odds ratio with 95% CI
was used to declare both the direction and strength of association and variables with p
< 0.05 were considered statistically significant with the outcome variable.
Results: Husband decision-making power on contraceptive non-use was 10.44%
[9.65–11.28%]. Husband’s educational level higher (adjusted odds ratio (AOR = 2.6;
CI 1.4–4.7), being Muslim, protestant, and others in religion (AOR = 2.4; CI 1.7–3.5),
(AOR = 2.1; CI 1.4–3.1), (AOR = 4.5; CI 2.3–8.5), respectively, media exposure (AOR =
1.4; CI 1.0–1.8), husband wants more children (AOR = 3.7; CI 2.8–4.8), husband desire
did not know (AOR = 1.4; CI 1.1–1.9), information about family planning (AOR= 0.6; CI 0.4–0.8), visited by field worker (AOR = 0.7; CI 0.5–0.9), visited health facility (AOR =
0.6; CI 0.4–0.7), and community husband education high (AOR = 1.6; CI 1.1–2.4) were
statistically significant with husband decision making power on contraceptive non-use.
Conclusion: In Ethiopia 1 out of 10 married and non-pregnant women is influenced by
their husband/partner’s decision-making power of non-use contraceptives. Husband’s
educational level high, religion (Muslim, protestant, and others), media exposure,
husband’s desire for children (husband wants more and does not know), and community
husband education were variables positively associated with the outcome variable;
whereas having information about family planning, visited by field worker, and visited
health facility were negatively associated husband decision making power for non-use
contraceptive in Ethiopia.
