Weighted log-linear models for service delivery points in Ethiopia: a case of modern contraceptive users at health facil
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RESEARCH
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Weighted log-linear models for service delivery points in Ethiopia: a case of modern contraceptive users at health facilities Demeke Lakew Workie1*, Dereje Tesfaye Zike1, Haile Mekonnen Fenta1 and Mulusew Admasu Mekonnen2
Abstract Background: Ethiopia is among countries with low contraceptive usage prevalence rate and resulted in high total fertility rate and unwanted pregnancy which intern affects the maternal and child health status. This study aimed to investigate the major factors that affect the number of modern contraceptive users at service delivery point in Ethiopia. Methods: The Performance Monitoring and Accountability2020/Ethiopia data collected between March and April 2016 at round-4 from 461 eligible service delivery points were in this study. The weighted log-linear negative binomial model applied to analyze the service delivery point’s data. Results: Fifty percent of service delivery points in Ethiopia given service for 61 modern contraceptive users with the interquartile range of 0.62. The expected log number of modern contraceptive users at rural was 1. 05 (95% Wald CI: − 1.42 to − 0.68) lower than the expected log number of modern contraceptive users at urban. In addition, the expected log count of modern contraceptive users at others facility type was 0.58 lower than the expected log count of modern contraceptive users at the health center. The numbers of nurses/midwives were affecting the number of modern contraceptive users. Since, the incidence rate of modern contraceptive users increased by one due to an additional nurse in the delivery point. Conclusion: Among different factors considered in this study, residence, region, facility type, the number of days per week family planning offered, the number of nurses/midwives and number of medical assistants were to be associated with the number of modern contraceptive users. Thus, the Government of Ethiopia would take immediate steps to address causes of the number of modern contraceptive users in Ethiopia. Keywords: Negative binomial, Number of contraceptive users, Service delivery points, Weighted log-linear
Plain English summary In Ethiopia, there is a high total fertility rate and unwanted pregnancy due to low contraceptive prevalence rate. This study aimed to investigate the major factors that affect the number of modern contraceptive users at service delivery point in Ethiopia. The weighted log-linear negative binomial model applied to analyze the Performance Monitoring and Accountability2020/ Ethiopia data. * Correspondence: [email protected] 1 Statistics Department, Science College, Bahir Dar University, Bahir Dar, Ethiopia Full list of author information is available at the end of the article
The 461 eligible service delivery points were in this study. Fifty percent of service delivery points in Ethiopia given service for 61 modern contraceptive users with the interquartile range of 0.62. Among different factors considered in this study, residence, region, facility type, the number of days per week family plann
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