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Modern contraception use in Ethiopia: Does involving husbands make a difference?

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  • Terefe, A.
  • Larson, C.P.

Abstract

Objectives. This study was undertaken to determine the relative efficacy of home visitation with and without husband participation on the use of modern contraception in Ethiopia. Methods. A randomized field trial of a family planning education intervention using home visitation with and without husband participation was conducted in Addis Ababa, Ethiopia, from August 1990 to December 1991 and included a 12-month postintervention follow-up. A total of 266 experimental and 261 control subjects were entered, of whom 91.7% and 88.9%, respectively, were followed through 12 months. Results. A greater proportion of couples in the experimental group were practicing modern contraception at 2 months (25% vs 15%) and 12 months (33% vs 17%) following the home visit intervention. By 12 months following the home visits, experimental subjects were less likely to have defaulted and more likely to have started using modern contraception following an initial delay. Conclusions. The inclusion of husbands in family planning programs will result in relevant increases in the use of modern contraception. However, there exists an important 'sleeper' effect to the education intervention, reflected by a delay of greater than 2 months in the initiation of modern contraception for most couples.

Suggested Citation

  • Terefe, A. & Larson, C.P., 1993. "Modern contraception use in Ethiopia: Does involving husbands make a difference?," American Journal of Public Health, American Public Health Association, vol. 83(11), pages 1567-1571.
    • Handle: RePEc:aph:ajpbhl:1993:83:11:1567-1571_6
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    Cited by:

    1. Laurie DeRose & Alex Ezeh, 2010. "Decision-Making Patterns and Contraceptive Use: Evidence from Uganda," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 29(3), pages 423-439, June.
    2. Dana Sarnak & Stan Becker, 2022. "Accuracy of wives' proxy reports of husbands' fertility preferences in sub-Saharan Africa," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 46(17), pages 503-546.
    3. Lídia Farré, 2013. "The Role of Men in the Economic and Social Development of Women: Implications for Gender Equality," The World Bank Research Observer, World Bank, vol. 28(1), pages 22-51, February.
    4. F. Dodoo, 1998. "Men matter: Additive and interactive gendered preferences and reproductive behavior in kenya," Demography, Springer;Population Association of America (PAA), vol. 35(2), pages 229-242, May.
    5. Corrina Moucheraud & Rifat Hasan, 2016. "Beginning a Family and Adopting a Healthy Lifestyle," World Bank Publications - Reports 24573, The World Bank Group.
    6. Corrina Moucheraud & Rifat Hasan, 2015. "Beginning a Family and Adopting a Healthy Lifestyle," World Bank Publications - Reports 23870, The World Bank Group.
    7. Áine Aventin & Martin Robinson & Jennifer Hanratty & Ciara Keenan & Jayne Hamilton & Eimear Ruane McAteer & Mark Tomlinson & Mike Clarke & Friday Okonofua & Chris Bonell & Maria Lohan, 2023. "Involving men and boys in family planning: A systematic review of the effective components and characteristics of complex interventions in low‐ and middle‐income countries," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(1), March.
    8. McCarthy, Aine Seitz, 2019. "Intimate partner violence and family planning decisions: Experimental evidence from rural Tanzania," World Development, Elsevier, vol. 114(C), pages 156-174.

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