Solen Abera (MSc) Wubegzier Mekonnen (PhD) The assessment of determinants of unmet need among women of reproductive age group with disabilities in Addis Ababa Solen Abera (MSc) Wubegzier Mekonnen (PhD) 11/20/2018

Introduction Definition CRPD Unmet need for family planning(1) Disability(2) CRPD Adopted by UN assembly in 2006 Ethiopia ratified on July 7, 2010(3) In the developing world 222 million women have unmet need. (50 mill in SSA )(4) Unintended pregnancies in developing countries would fall from 75 mill to 22 mill / year(4) 11/20/2018

Introduction (2) Unmet need in Ethiopia- The 2011 EDHS (25%) (5) Prevalence of disability in Ethiopia - WHO and WB - 17.6% (16 million) (6) National population census of 2007 - 1.17% (864,218) and 1.2%( 32,630) in Addis Ababa. (5) The study helps- Disabled women Future researches, program and policy makers and other sectors. The country 11/20/2018

Conceptual framework 11/20/2018

Objectives General objectives To measure levels and identify determinants of unmet need among women of reproductive age group with disabilities in Addis Ababa, 2016 Specific objectives   To measure unmet need for contraception among women with disabilities in Addis Ababa, 2016 To identify factors associated with unmet need among women with disabilities in Addis Ababa, 2016 11/20/2018

Methods and materials Addis Ababa (Feb 2015-Apr 2016) Institution based cross sectional study Reproductive age women who are members of Ethiopian national association of intellectual disabilities (ENAID) and Ethiopian women with disabilities national association(EWDNA) and who are selected to be included in the study. Reproductive age women with physical, sensory or intellectual disabilities 11/20/2018

Figure 2 schematic presentation of sampling procedure Methods and materials(2) Figure 2 schematic presentation of sampling procedure 11/20/2018

Ethical issues The proposal was reviewed by ethical review committee of School of Public Health in Addis Ababa University. The study started after verbal consent was taken from each selected participant or guardians of those with intellectual disabilities. All other ethical procedures were followed. 11/20/2018

Results and Discussion Level of unmet need for family planning Unmet need of contraception - 20% among sexually active women with disabilities (10.6% for spacing and 9.4% for limiting) EDHS 2011 unmet need national (25%) , Addis Ababa (10.6%). Study done in Bahir Dar among reproductive age group with disabilities in 2013 (24.3%) (7) More availability and accessibility of health facility in AA. Regional EDHS unmet need is lower for Addis Ababa than other regions. Access and awareness on FP methods among women with disabilities might have increased through the past three years. 11/20/2018

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Results and Discussion (3) Factors associated with unmet need 11/20/2018

Limitation and strength Since this study is a cross sectional study cause and effect relationship could not be evaluated Not including men as study participants and interviewing parents of women with intellectual disability. Using large sample size and including intellectual disability The findings are also essential for the government and organization working on disability in Addis Ababa Shows direction for future researchers on where to focus concerning family planning and disability. 11/20/2018

Conclusion and recommendation Unmet need among sexually active women (20%) is found to be high. Women’s age, number of living children and discussion with partner Persons with disability organizations and other NGOs should strengthen trainings and workshops on FP and should make sure that they are husband inclusive. Trainings and supports given should also include all age groups Further researches should be done including male participants with large sample size and more emphasis should be given to rural areas 11/20/2018

References Public health at glance, unmet need for contraception. The World Bank 2010. Available on web at: http://go.worldbank.org/PCDPQW7Y70 Arcella S et al. a situational analysis of the sexual and reproductive health of women with disabilities, elaborated for the United Nations population fund. Graduate Program in International Affairs. The New School University 18 May. 2009 A human rights framework briefing paper (January 2002) Reproductive rights and women with disabilities: available on web at: www.reproductiverights.org Susheela Singh et al., Adding it Up: The Costs and Benefits of Investing in Family Planning and Maternal and Newborn Health (New York: Guttmacher Institute and UNFPA, 2009 Central statistical agency [Ethiopia] (2011) Ethiopia demographic and health survey Addis Ababa, Ethiopia. WHO and the World Bank (2011) World report on disability. Geneva. Available at: http://www.who.int/disabilities/world_report/2011/en/index.htm Tessema, A.L., Bishaw, M.A. and Bunare, T.S. (2015) Assessment of the Magnitude and Associated Factors of Unmet Need for Family Planning among Women of Reproductive Age Group with Disabilities in Bahir Dar City, Amhara Region, North West Ethiopia. Open Journal of Epidemiology, 5, 51-58 11/20/2018

THANK YOU! 11/20/2018