Magnitude of Unintended Pregnancy and Associated Factors among Pregnant Women Attending ANC during Covid-19 Pandemic at Health Facilities of Dire Dawa City Administration, Ethiopia

Mengistu Abebe Tegegne; Gizaw Tesfaye Yifru; Getahun Fiseha Dejen; Bezabih Amsalu Sedeta

Authors

Mengistu Abebe Tegegne Department of Statistics, College of Natural and Computational Sciences, Dire Dawa University, Dire Dawa, Ethiopia
Gizaw Tesfaye Yifru Department of Statistics, College of Natural and Computational Sciences, Dire Dawa University, Dire Dawa, Ethiopia
Getahun Fiseha Dejen Department of Statistics, College of Natural and Computational Sciences, Dire Dawa University, Dire Dawa, Ethiopia
Bezabih Amsalu Sedeta Department of Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia

Keywords:

Magnitude, Unintended pregnancy, Factors, women

Abstract

Background: Unintended pregnancy is a major public health problem in world especially in developing countries including Ethiopia. Even though some studies have been done on prevalence of unintended pregnancy they did not consider effect of khat chewing, alcohol drinking, did not observe impact of COVID-19 on pregnancy intention. Objective of the study was to assess magnitude of unintended pregnancy and associated factors among pregnant women attending antenatal care at health facilities of Dire Dawa city Administration during COVID-19 pandemic.

Methods: A facility based cross-sectional study design was conducted from March 30th to April 30th 2021. The association between unintended pregnancy and predictors were analyzed using binary logistic regression model.

Results: A total of 603 pregnant women were included in study making 97.9% response rate. Overall magnitude of unintended pregnancy was 32.7% at (95% CI: 29%-36%), of which 25.2% were mistimed and 7.5% were unwanted. Of 230 pregnant women who did not plan to be pregnant before Covid-19, 14.3% became pregnant during pandemic. Rural, alcohol drinking (AOR=2.116, CI: 1.138-3.933), (AOR=2.053, CI: 1.031-4.088) and (AOR=2.640, CI: 1.267-5.501) were positively associated with unintended pregnancy. Using family planning, mass media, being married, birth order, age, education and being employed(AOR=.508,CI:.291-.887),(AOR=.468,CI:.225-.970), (AOR=.159, CI:.042-.599),( AOR=.538, CI: .319-.907), (AOR=. 455,CI:.219-.943), (AOR=.192, CI:.073-.503) and .447(.237-.840) were negatively associated with unintended pregnancy.

Conclusion: Magnitude of unintended pregnancy was higher than national reported by 2016 Ethiopian demographic health survey data. Using family planning, residence, age, birth order, marital status, mass media, alcohol drinking, educational level were significantly associated with unintended pregnancy.