Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting, Study Design, and Population
2.2. Sampling Procedures, Tools, and Data Collection
2.3. Data Analysis
2.4. Ethical Considerations
3. Results
3.1. Socio-Demographic Characteristics
3.2. Access and Use of FP
3.3. Status of Food Access, Security, Consumption, and Availability
3.3.1. Food Access
3.3.2. Food Security
3.3.3. Food Consumption
3.3.4. Food Availability
3.4. Association between FP and Food Security
4. Discussion
5. Limitations
6. Conclusions and Policy Implications
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Sources of Information | Frequency | % | |
---|---|---|---|
Family Planning Source of information | Television | 5 | 0.7 |
Health care providers | 16 | 2.2 | |
Health Extension Workers | 710 | 96.3 | |
No common source | 6 | 0.8 | |
Trusted source of information for Family Planning | Television | 5 | 0.7 |
Health care providers | 18 | 2.5 | |
Health Extension Workers | 706 | 95.7 | |
No common source | 8 | 1.1 |
Variables (In the Past Four Weeks) | Overall | FP User | Non-User | p-Value | ||
---|---|---|---|---|---|---|
Frequency | Percent | Percent | Percent | |||
Did you worry that your household would not have enough food? Were you or any household member not able to eat the kinds of foods you preferred because of a lack of resources? | Yes | 444 | 60.2 | 62.0 | 53.8 | 0.062 |
Yes | 467 | 63.4 | 64.4 | 59.5 | 0.254 | |
Did you or any household member have to eat a limited variety of foods due to a lack of resources? | Yes | 382 | 51.8 | 52.0 | 51.3 | 0.872 |
Did you or any household member have to eat some foods that you really did not want to eat because of a lack of resources to obtain other types of food? | Yes | 292 | 39.6 | 37.3 | 48.1 | 0.014 |
Did you or any household member have to eat a smaller meal than you felt you needed because there was not enough food? | Yes | 299 | 40.6 | 39.0 | 46.2 | 0.104 |
Did you or any household member have to eat fewer meals in a day because there was not enough food? | Yes | 203 | 27.5 | 25.0 | 36.7 | 0.004 |
Was there ever no food to eat of any kind in your household because of a lack of resources to get food? | Yes | 119 | 16.1 | 14.7 | 21.5 | 0.038 |
Did you or any household member go to sleep at night hungry because there was not enough food? | Yes | 64 | 8.7 | 8.3 | 10.1 | 0.467 |
Did you or any household member go a whole day and night without eating anything because there was not enough food? | Yes | 27 | 3.7 | 3.6 | 3.8 | 0.919 |
Variables | Frequency | % | How Often Did This Happen? | |||
---|---|---|---|---|---|---|
Rarely | Sometimes | Often | ||||
In the past four weeks, did you worry that your household would not have enough food? | Yes | 444 | 60.2 | 44.8 1 | 51.2 2 | 4.0 2 |
In the past four weeks, were you or any household member not able to eat the kinds of foods you preferred because of a lack of resources? | Yes | 467 | 63.4 | 44.1 2 | 54.6 2 | 1.3 2 |
In the past four weeks, did you or any household member have to eat a limited variety of foods due to a lack of resources? | Yes | 382 | 51.8 | 64.6 2 | 34.6 3 | 0.8 3 |
In the past four weeks, did you or any household member have to eat some foods that you really did not want to eat because of a lack of resources to obtain other types of food? | Yes | 292 | 39.6 | 59.5 2 | 38.4 3 | 2.1 3 |
In the past four weeks, did you or any household member have to eat a smaller meal than you felt you needed because there was not enough food? | Yes | 299 | 40.6 | 72.9 3 | 26.7 3 | 0.4 4 |
In the past four weeks, did you or any household member have to eat fewer meals in a day because there was not enough food? | Yes | 203 | 27.5 | 86.2 3 | 13.8 3 | 0.0 4 |
In the past four weeks, was there ever no food to eat of any kind in your household because of lack of resources to get food? | Yes | 119 | 16.1 | 90.8 4 | 9.2 4 | 0.0 4 |
In the past four weeks, did you or any household member go to sleep at night hungry because there was not enough food? | Yes | 64 | 8.7 | 90.6 4 | 9.4 4 | 0.0 4 |
In the past four weeks, did you or any household member go a whole day and night without eating anything because there was not enough food? | Yes | 27 | 3.7 | 88.9 4 | 11.1 4 | 0.0 4 |
Variable | Status of Food Security | p-Value | ||
---|---|---|---|---|
Food Insecure | Food Secure | |||
Ever used family planning | Yes | 274 (38.8%) | 326 (46.2%) | 0.071 |
Family size (mean used as cut-off) | ≤6 | 133 (18.0%) | 224 (30.4%) | 0.000 |
>6 | 197 (26.7%) | 183 (24.8%) | ||
Currently using family planning | Yes | 244 (33.1%) | 335 (45.5%) | 0.007 |
Types of Food | Weight | Average Food Consumption Per Week (in Days) | |||
---|---|---|---|---|---|
Average | Bale | Wolaita | South Omo | ||
Main staples Pulses | 2 | 6 | 7 | 5 | 4 |
3 | 3 | 7 | 2 | 4 | |
Vegetables and leaves | 1 | 2 | 2 | 1 | 3 |
Fruits | 1 | 1 | 0 | 1 | 1 |
Meat/Beef, goat, poultry, eggs, and fish | 4 | 0 | 1 | 0 | 4 |
Milk yogurt and other diaries | 4 | 3 | 7 | 1 | 7 |
Sugar and sugar products | 0.5 | 1 | 7 | 0 | 1 |
Oils, fat, and butter | 0.5 | 2 | 7 | 0 | 2 |
FCS rating | 37.5 | 76 | 24 | 69.5 | |
Category | Acceptable | Borderline food consumption | Acceptable |
Variables | Crude Odd Ratio (COR) (95% CI) | Adjusted Odd Ratio (AOR) (95% CI) | ||
---|---|---|---|---|
Model I | Model II | Model III | ||
Age | ||||
15–19 | 1 | 1 | 1 | |
20–29 | 0.42 (0.21–0.85) | 0.20 (0.05–0.89) | 0.18 (0.04–0.83) | |
30–49 | 0.18 (0.09–0.36) | 0.09 (0.02–0.39) | 0.08 (0.02–0.35) | |
Family members | ||||
≤ 6 | 1 | 1 | ||
> 6 | 0.55 (0.41–0.74) | 1.05 (0.64–1.72) | ||
Current working Status | ||||
Working | 2.19 (1.55–3.12) | 0.59 (0.34–1.05) | ||
Not-working | 1 | 1 | ||
Currently using family planning | ||||
Yes | 1.61 (1.01–3.11) | 2.01 (1.12–2.32) | 1.17 (0.05–1.89) | |
No | 1 | |||
Family planning used | ||||
≤21 months | 0.43 (0.29–0.64) | 0.53 (0.35–0.81) | 0.64 (0.42–0.99) | |
>22 months | 1 | 1 | 1 | |
Adaptive Capacity (households’ own scoring) | ||||
Excellent | 2.82 (1.46–5.46) | 3.08 (1.19–7.96) | 2.13 (0.93–4.85) | |
Very good | 1.58 (1.03–2.45) | 2.00 (1.04–3.85) | 1.56 (0.85–2.85) | |
Good | 5.06 (3.45–7.43) | 3.91 (2.25–6.79) | 3.60 (2.07–6.26) | |
Poor | 1 | 1 | ||
Distance of health facility | ||||
Less than or equal to 10 Kilometre | 0.66 (0.39–1.12) | 0.75 (0.43–1.32) | ||
Greater than 10 Kilometre | 1 | 1 | ||
Future support FP use | ||||
Yes | 0.74 (0.43–1.25) | 0.77 (0.43–1.37) | ||
No | 1 | 1 | ||
Decision-maker for FP utilization | ||||
Myself | 1 | 1 | ||
My husband | 0.73 (0.53–1.00) | 0.71 (0.50–1.00) | ||
Close relatives | 0.78 (0.34–1.87) | 0.72 (0.29–1.76) | ||
Influenced by significant others | ||||
Yes | 0.44 (0.32–0.59) | 0.45 (0.33–0.62) | 0.51 (0.33–0.80) | |
No | 1 | 1 |
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Share and Cite
Assefa, G.M.; Muluneh, M.D.; Tsegaye, S.; Abebe, S.; Makonnen, M.; Kidane, W.; Negash, K.; Getaneh, A.; Stulz, V. Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia. Nutrients 2023, 15, 1081. https://doi.org/10.3390/nu15051081
Assefa GM, Muluneh MD, Tsegaye S, Abebe S, Makonnen M, Kidane W, Negash K, Getaneh A, Stulz V. Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia. Nutrients. 2023; 15(5):1081. https://doi.org/10.3390/nu15051081
Chicago/Turabian StyleAssefa, Geteneh Moges, Muluken Dessalegn Muluneh, Sentayehu Tsegaye, Sintayehu Abebe, Misrak Makonnen, Woldu Kidane, Kasahun Negash, Abebaye Getaneh, and Virginia Stulz. 2023. "Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia" Nutrients 15, no. 5: 1081. https://doi.org/10.3390/nu15051081
APA StyleAssefa, G. M., Muluneh, M. D., Tsegaye, S., Abebe, S., Makonnen, M., Kidane, W., Negash, K., Getaneh, A., & Stulz, V. (2023). Does Voluntary Family Planning Contribute to Food Security? Evidence from Ethiopia. Nutrients, 15(5), 1081. https://doi.org/10.3390/nu15051081