Modern contraceptive utilization and associated factors among street working reproductive age women in Ethiopia: A systematic review and meta-analysis.

<h4>Background</h4>Street women are women, who make their living on the streets by begging, sleeping in the streets, or on the sides of roads. They are the most marginalized and neglected segment of society, with little access to health care, including modern contraception, and a lack of...

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Main Authors: Bekalu Getnet Kassa, Basazinew Chekol Demilew, Fentahun Yenealem Beyene, Habtamu Gebrehana Belay
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0312569
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author Bekalu Getnet Kassa
Basazinew Chekol Demilew
Fentahun Yenealem Beyene
Habtamu Gebrehana Belay
author_facet Bekalu Getnet Kassa
Basazinew Chekol Demilew
Fentahun Yenealem Beyene
Habtamu Gebrehana Belay
author_sort Bekalu Getnet Kassa
collection DOAJ
description <h4>Background</h4>Street women are women, who make their living on the streets by begging, sleeping in the streets, or on the sides of roads. They are the most marginalized and neglected segment of society, with little access to health care, including modern contraception, and a lack of knowledge about health services, particularly in Ethiopia. Therefore, this study aimed to examine modern contraceptive utilization and associated factors among street women.<h4>Methods</h4>A systematic review and meta-analysis were conducted on observational community-based studies published from January 2010 up to February 1, 2023. PubMed, Google Scholar, HINAR, Scopus, Web of Sciences, and grey literature were used to search primary studies. We used Microsoft Excel for data entry and extracting data. STATA-17 statistical software was used to analyze the data as well and I2 tests evaluated study heterogeneity. The pooled utilization of the modern contraceptive method was predicted using a random-effect model.<h4>Results</h4>A total of eight studies were included. The pooled prevalence of modern contraceptive utilization was 51.89% (95% CI: 40.89-62.9). Being married (OR = 4.22, 95%CI, 2.75-6.49); facing a history of sexual assault/rape at a street life (OR = 3.59, 95%CI, 2.46-5.23); age between 25-35 years (OR = 3.27, 95%CI, 1.73-6.18), getting advise from the health professionals (OR = 6.23, 95%CI, 1.44-27.07), having a history of pregnancy in street life (OR = 1.90, 95%CI, 1.28-2.81) and no more children wanted (OR = 2.47, 95%CI, 1.52-5.00) were significantly associated with modern contraceptive utilization.<h4>Conclusions</h4>The pooled modern contraceptive utilization was suboptimal. Every concerned body or stakeholder should give more consideration to their lifestyles and living conditions by raising awareness and providing access to contraception.
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spelling doaj-art-6718e8a98f6247ec814f3d87c1a2f7222025-01-07T05:32:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031256910.1371/journal.pone.0312569Modern contraceptive utilization and associated factors among street working reproductive age women in Ethiopia: A systematic review and meta-analysis.Bekalu Getnet KassaBasazinew Chekol DemilewFentahun Yenealem BeyeneHabtamu Gebrehana Belay<h4>Background</h4>Street women are women, who make their living on the streets by begging, sleeping in the streets, or on the sides of roads. They are the most marginalized and neglected segment of society, with little access to health care, including modern contraception, and a lack of knowledge about health services, particularly in Ethiopia. Therefore, this study aimed to examine modern contraceptive utilization and associated factors among street women.<h4>Methods</h4>A systematic review and meta-analysis were conducted on observational community-based studies published from January 2010 up to February 1, 2023. PubMed, Google Scholar, HINAR, Scopus, Web of Sciences, and grey literature were used to search primary studies. We used Microsoft Excel for data entry and extracting data. STATA-17 statistical software was used to analyze the data as well and I2 tests evaluated study heterogeneity. The pooled utilization of the modern contraceptive method was predicted using a random-effect model.<h4>Results</h4>A total of eight studies were included. The pooled prevalence of modern contraceptive utilization was 51.89% (95% CI: 40.89-62.9). Being married (OR = 4.22, 95%CI, 2.75-6.49); facing a history of sexual assault/rape at a street life (OR = 3.59, 95%CI, 2.46-5.23); age between 25-35 years (OR = 3.27, 95%CI, 1.73-6.18), getting advise from the health professionals (OR = 6.23, 95%CI, 1.44-27.07), having a history of pregnancy in street life (OR = 1.90, 95%CI, 1.28-2.81) and no more children wanted (OR = 2.47, 95%CI, 1.52-5.00) were significantly associated with modern contraceptive utilization.<h4>Conclusions</h4>The pooled modern contraceptive utilization was suboptimal. Every concerned body or stakeholder should give more consideration to their lifestyles and living conditions by raising awareness and providing access to contraception.https://doi.org/10.1371/journal.pone.0312569
spellingShingle Bekalu Getnet Kassa
Basazinew Chekol Demilew
Fentahun Yenealem Beyene
Habtamu Gebrehana Belay
Modern contraceptive utilization and associated factors among street working reproductive age women in Ethiopia: A systematic review and meta-analysis.
PLoS ONE
title Modern contraceptive utilization and associated factors among street working reproductive age women in Ethiopia: A systematic review and meta-analysis.
title_full Modern contraceptive utilization and associated factors among street working reproductive age women in Ethiopia: A systematic review and meta-analysis.
title_fullStr Modern contraceptive utilization and associated factors among street working reproductive age women in Ethiopia: A systematic review and meta-analysis.
title_full_unstemmed Modern contraceptive utilization and associated factors among street working reproductive age women in Ethiopia: A systematic review and meta-analysis.
title_short Modern contraceptive utilization and associated factors among street working reproductive age women in Ethiopia: A systematic review and meta-analysis.
title_sort modern contraceptive utilization and associated factors among street working reproductive age women in ethiopia a systematic review and meta analysis
url https://doi.org/10.1371/journal.pone.0312569
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