TY - JOUR AU - J., Keesbury AU - H., Aytenfisu AU - T., Mekbib AU - T., Belay AU - A., Gaym AU - JP., Skibiak PY - 2018/03/09 Y2 - 2026/07/21 TI - Mainstreaming EC in Ethiopia’s Public Sector: Project Results and Implications for Scale-up JF - Ethiopian Journal of Reproductive Health JA - EJRH VL - 3 IS - 1 SE - Original Articles DO - 10.69614/ejrh.v3i1.62 UR - https://mail.ejrh.org/index.php/ejrh/article/view/62 SP - 19 AB - Abstract Background: Building on nearly a decade of momentum, the Federal Ministry of Health (FMOH), the Ethiopian Society of Obstetricians and Gynecologists (ESOG) and Population Council (EC Afrique) launched a two-year project in 2004 to mainstream emergency contraception (EC) in the public sector. Objective: The project aimed at improving reproductive health (RH) care among young women and to reduce the abortion rate by expanding access to EC in the country. Its overall goal was to demonstrate the feasibility of integrating EC within the public sector’s broader contraceptive mix. Methods: The project undertook a set of activities aimed at improving provider competency, increasing public demand and ensuring commodity security. The final evaluation drew on service statistics from 33 intervention sites, and knowledge, attitude and practice surveys conducted with family planning service providers and clients in the health facilities involved in the project. Results: EC users were primarily unmarried women between the ages of 20-24, although male partners were increasingly involved in EC decision-making and procurement. This runs counter to predominant perceptions of EC users as adolescent girls. Sexual assault was the least commonly cited reason for EC use, reflecting its current position as primarily a family planning method. Television advertisements and clinic-based health education were the most commonly sited forms of communication on EC, while print media reached the fewest respondents. Both clients and providers believe that pharmacy provision of EC is socially acceptable, and agree that one Birr is the optimal price for sale in the private sector. Conclusion: Scaling up EC mainstreaming activities in Ethiopia will effectively position EC as a core component in the national family planning program and post-rape care services. Furthermore, there is need to strengthen the capacity of providers so as to encourage EC users to seek HIV/STI counseling and testing services. To ensure that EC serves as a gateway to more comprehensive RH care, it is critical to stress “bridging” as a key element of the services. Keywords: Emergency contraception, family planning, adolescents, levenorgestrel ER -

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      <depositor_name>ejrh</depositor_name>
      <email_address>hanehalid@gmail.com</email_address>
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    <registrant>Ethiopian Society of Obstetricians &amp; Gynecologists</registrant>
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      <journal_metadata>
        <full_title>Ethiopian Journal of Reproductive Health</full_title>
        <abbrev_title>EJRH</abbrev_title>
        <issn media_type="electronic">2520-0283</issn>
        <issn media_type="print">2520-0275</issn>
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          <month>11</month>
          <day>01</day>
          <year>2022</year>
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          <volume>14</volume>
        </journal_volume>
        <issue>4</issue>
        <doi_data>
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        <titles>
          <title>Knowledge, Intentions, and Barriers to Use Vasectomy Among Married Men in Ethiopia </title>
        </titles>
        <contributors>
          <person_name contributor_role="author" sequence="first" language="en">
            <given_name>Tesfaye</given_name>
            <surname>Hurisa</surname>
          </person_name>
          <person_name contributor_role="author" sequence="additional" language="en">
            <given_name>Kaleab A. </given_name>
            <surname>Betru</surname>
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          <person_name contributor_role="author" sequence="additional" language="en">
            <given_name>Ferid A.</given_name>
            <surname>Abubeker</surname>
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        <jats:abstract xmlns:jats="http://www.ncbi.nlm.nih.gov/JATS1" xml:lang="en">
          <jats:p>Background&#13;
Among the arrays of permanent contraceptive methods, vasectomy is the least known and used method of contraception. Even when men are aware of vasectomy, their understanding is often incomplete or incorrect. So, the aim of the study was to assess knowledge, intention, and barriers to using vasectomy among married men living in Addis Ababa, Ethiopia.&#13;
Method&#13;
A community-based cross-sectional study was conducted on 264 participants in Arada sub-city, Addis Ababa, Ethiopia. Data was collected via face-to-face interviews using a pretested structured questionnaire. Then the data was checked for completeness and entered into SPSS version 26 for analysis. Descriptive analysis with frequencies and percentages was performed to describe the socio-demographic status, intention, and barriers to using vasectomy. A bivariable and multivariable logistic regression model was used to analyze the association between variables.&#13;
Results&#13;
Two hundred sixty-four married men were included in this study. The mean age of the study participants was 38.73±10.76. The study showed that the intention to use vasectomy as a method of contraception was reported in 18% of married men. About 51.7% of the participants had good knowledge, and 59.4% had a positive attitude toward the use of vasectomy. In multivariate analysis, participants who had a positive attitude towards vasectomy were 2.1 times more likely to use vasectomy than their counterparts.&#13;
Conclusion&#13;
The intention to use vasectomy as a method of contraception among married men in our study was comparable to studies in similar settings. Having a positive attitude towards vasectomy was significantly associated with the intention to use vasectomy for future life. So, engaging in better education that improves the attitude of couples towards vasectomy is essential to enhance the intention of men to use vasectomy.&#13;
Key Words – Vasectomy, Family Planning, Intention, Barrier, Ethiopia&#13;
 &#13;
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