Reviewer's report
Title:Predictors of modern contraceptive methods utilization among married
women of reproductive age groups in Western Ethiopia: a community based
cross sectional study
Version:3Date:29 December 2014
Reviewer: Tefera Belachew
Reviewer's report:
Reviewer: Prof.Dr.Tefera Belachew(MD, MSc, PhD)
General: The study addressed a very important public health Problem in the
remotest part of the country (Ethiopia) where Family planning services are not
well accessible.
Specific Comments
Major Comments – none
Minor Editorial comments
Predictors of modern contraceptive methods utilization use among married
women of
reproductive age groups in SouthWwestern Ethiopia: a community based cross
sectional study
Abstract
Background: Modern contraceptive prevalence rate of family planning in Ethiopia
was very low which is 27% with total fertility rate of 4.8 and unmet need for family
planning 25%.
Be rewritten as: In Ethiopia, modern contraceptive prevalence rate very low
(27%) and unmet need for family planning 25%.
Methods: A community based cross-sectional study design was employed from
April 10 to April 25, 2014 among married women in the reproductive age group in
Nekemte townTown.
Results: The overall utilization of modern contraceptives in this study was found
to be 71.9%.
Conclusion and Recommendation: The findings of this study showed that women
empowerment, fertility related discussion among couples and availability of
media were found to
be important factors influencing utilization of modern contraceptive.
Background
1. Increasing contraceptive prevalence and reducing unmet need for
Family planning are indicators of progress toward Goal 4 and 5 , Improving
improving maternal and child
health (2).
1. 2.A woman’s Woman’s ability to space and/or limit her pregnancies has a
direct impact on her health and
well-being as well as on the outcome of each pregnancy.
3.Family planning can reduce the number of deaths among women by preventing
unintended
pregnancies, which accounts for about 30% of all births in sub-Saharan Africa
.(4,5).
4. In the last part of the background:. What were the factors that were not
addressed by the previous studies that the current study has addressed?
METHODS
Study design, setting and participants
A community-based cross sectional study was carried out from April 10 to April
25, 2014 among
married women of reproductive age in Nekemte townTown, Oromia Region,
West Ethiopia. Nekemte
town Tow
Sample size and sampling techniques
The sample size was determined using a formula for estimation of single
population proportion
with the assumption of 95% confidence intervallevel, a margin of error of 4% and
taking 25.4%
contraceptive prevalence of Butajira district ,Ethiopia (11) and a design effect of
2. n
Then picking a house on random forrandomly for the initial household from each
zone, the final households
with married women were selected using systematic random sampling from the
existing
sampling frame of households. Is this a simple random sampling if systematic
sampling? If you have a sampling frame why did you use systematic sampling?
The questionnaire was
prepared in English was and translated in to Afan Oromo( regional language) and
then retranslated back to
englishEnglish by other people who are profecientproficient in both languages to
maintain the consistency of the
questionnairiesquestionnaires.
Four supervisors who have second degree were supervised the data collection
Procedures.
All field questionnaires were reviewed each night and morning sessions waswere
conducted every day with the data collectors to discuss on the problem
encountered during data
collection procedures.
What is your operational definition of Modern contraceptive? Pleas include this in
the methods.
Data processing and analysis
Data was were cleaned and entered into a computer using Epi-info window
version 6.5 statistical
programs. Then the data was were exported to SPSS Windows version 20.0 for
further analysis.
Then all variables found to be significant at bivariate level (at p-value<0.05) were
entered in tointo
Ethical Considerations
Nekemte town be replace by Nekemete Town.
R
esults
Result be replaced by Results
1. Socio-demographic characteristics
A total of 1003 married women of reproductive age were responded to the
questionnaire making
a response rate of 99.9%.
4. Factors Associated with current utilization of modern contraceptive methods
A multivariate multivariable analysis was performed to identify independent
predictors of utilization of
modern contraceptive methods
Discussion
This study identified predictors of current utilization of modern contraceptive
methods in
Nekemte townTown
Educational attainment was found to be importantimportant predictors of modern
contraceptive methods.
This could be because as an
income increase exposure for different information also increase and financial
related
accessablityaccessibility to service could be improved.
In this study those respondents who were did not expressed future desire for
children were 2.6 times
more likely to practice modern contraceptive during the study period.
Women, who have a role in house holdhousehold and family decisions,
exercise greater control over their own lives and surroundings
The
finding magnifies that couple discussion about fertility issue were was important
factor to influence
family planning utilization
The drawback of this study was cross sectional nature of the data that could
obscure the causal
effect relationships of different factors. The strength of this study was large
sample size used,
which would more represent the source population.
Conclusion
The overall utilization of modern contraceptives in this study was found to be
71.9%.
The
common method of modern contraceptive methods used was injectable (60.3%)
The finding of
this study showedhighlighted that women empowerment, fertility related
discussion among couples and
availability of media were found to be important factors influencing utilization of
modern
contraceptive methods.
References
19. DR et al: Socio-Economic Differences in Health, Nutrition and Population:
India
1992/93, 1998/99, Washington, DC: World Bank 2007.
9. Hammad A et al: Contraceptive Methods and Factors Associated with Modern
Contraceptive in Use Karachi, Pakistan. Journal of Family and Reproductive
Health.
March 2010;4(1)
6. Singh S et al: Levels and trends in unintended pregnancy worldwide, paper
presented at
the annual meeting of the Population Association of America, Detroit, MI, USA,
May 2
2014.
Figures
Fig 1: it is better to use flat bars .
Summary
1. Is the question posed by the authors well defined? NO
2. Are the methods appropriate and well described? Yes
3. Are the data sound? Yes
4. Do the figures appear to be genuine, i.e. without evidence of manipulation?
Yes
5. Does the manuscript adhere to the relevant standards for reporting and data
deposition?
6. Are the discussion and conclusions well balanced and adequately supported
by the data? Yes
7. Are limitations of the work clearly stated? Not very well
8. Do the authors clearly acknowledge any work upon which they are building,
both published and unpublished? Yes
9. Do the title and abstract accurately convey what has been found? Yes
10. Is the writing acceptable? Yes, if they take care of the editorial comments
indicated above
Level of interest: An article of importance in its field
Quality of written English: Needs some language corrections before being
published
Statistical review: Yes, and I have assessed the statistics in my report.
Declaration of competing interests:
I do not have any competing interests.