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Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis

Received: 18 January 2021    Accepted: 7 February 2021    Published: 4 March 2021
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Abstract

Background: Children born soon after previous birth are at high risk for health problems and died at a younger age, especially if the interval between the births is less than two years. The purpose of this review is to summarize the evidence whether contraceptive use is associated with birth interval among women in Ethiopia. Methods: Studies for this meta-analysis were accessed through main databases searches (PUBMED and Advanced Google Scholar) that were published from 2010 onwards. Three blinded reviewers evaluated the abstracts as well as the full texts and performed the data extraction. To assess external and internal validity, a risk-of-bias tool was used. Pooled effect size of birth interval was estimated from the reported proportion of eligible studies using RevMan V. 5.3 software. Results: Thirteen studies were found to be eligible and included in the meta–analysis. A total of 16311 women were involved. Of which, 6112 (37.5%) women had contraceptive users and 5873 (36%) of women had experienced short birth interval. The final pooled effect size after trim and fill analysis in random effect model was found to be -0.67 (95%CI: -0.74, -0.59). This indicated that presence of a significant association between contraceptive use and the length of birth interval. Conclusions: This meta-analysis found that, in Ethiopia, promoting contraceptive use was associated with decreasing short birth interval by 33%. Thus, the existing efforts of optimizing birth interval should be enhanced through modern contraceptive use.

Published in Journal of Family Medicine and Health Care (Volume 7, Issue 1)
DOI 10.11648/j.jfmhc.20210701.12
Page(s) 7-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Contraceptive Use, Meta-analysis, Birth Interval, Systematic Reviews

References
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  • APA Style

    Abiyu Ayalew Assefa, Kaleab Tesfaye Tegegne, Eleni Tesfaye Tegegne, Mekibib Kassa Tessema, Andualem Zenebe, et al. (2021). Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis. Journal of Family Medicine and Health Care, 7(1), 7-13. https://doi.org/10.11648/j.jfmhc.20210701.12

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    ACS Style

    Abiyu Ayalew Assefa; Kaleab Tesfaye Tegegne; Eleni Tesfaye Tegegne; Mekibib Kassa Tessema; Andualem Zenebe, et al. Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis. J. Fam. Med. Health Care 2021, 7(1), 7-13. doi: 10.11648/j.jfmhc.20210701.12

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    AMA Style

    Abiyu Ayalew Assefa, Kaleab Tesfaye Tegegne, Eleni Tesfaye Tegegne, Mekibib Kassa Tessema, Andualem Zenebe, et al. Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis. J Fam Med Health Care. 2021;7(1):7-13. doi: 10.11648/j.jfmhc.20210701.12

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  • @article{10.11648/j.jfmhc.20210701.12,
      author = {Abiyu Ayalew Assefa and Kaleab Tesfaye Tegegne and Eleni Tesfaye Tegegne and Mekibib Kassa Tessema and Andualem Zenebe and Wosenyeleh Semeon Bagajjo},
      title = {Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis},
      journal = {Journal of Family Medicine and Health Care},
      volume = {7},
      number = {1},
      pages = {7-13},
      doi = {10.11648/j.jfmhc.20210701.12},
      url = {https://doi.org/10.11648/j.jfmhc.20210701.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20210701.12},
      abstract = {Background: Children born soon after previous birth are at high risk for health problems and died at a younger age, especially if the interval between the births is less than two years. The purpose of this review is to summarize the evidence whether contraceptive use is associated with birth interval among women in Ethiopia. Methods: Studies for this meta-analysis were accessed through main databases searches (PUBMED and Advanced Google Scholar) that were published from 2010 onwards. Three blinded reviewers evaluated the abstracts as well as the full texts and performed the data extraction. To assess external and internal validity, a risk-of-bias tool was used. Pooled effect size of birth interval was estimated from the reported proportion of eligible studies using RevMan V. 5.3 software. Results: Thirteen studies were found to be eligible and included in the meta–analysis. A total of 16311 women were involved. Of which, 6112 (37.5%) women had contraceptive users and 5873 (36%) of women had experienced short birth interval. The final pooled effect size after trim and fill analysis in random effect model was found to be -0.67 (95%CI: -0.74, -0.59). This indicated that presence of a significant association between contraceptive use and the length of birth interval. Conclusions: This meta-analysis found that, in Ethiopia, promoting contraceptive use was associated with decreasing short birth interval by 33%. Thus, the existing efforts of optimizing birth interval should be enhanced through modern contraceptive use.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis
    AU  - Abiyu Ayalew Assefa
    AU  - Kaleab Tesfaye Tegegne
    AU  - Eleni Tesfaye Tegegne
    AU  - Mekibib Kassa Tessema
    AU  - Andualem Zenebe
    AU  - Wosenyeleh Semeon Bagajjo
    Y1  - 2021/03/04
    PY  - 2021
    N1  - https://doi.org/10.11648/j.jfmhc.20210701.12
    DO  - 10.11648/j.jfmhc.20210701.12
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
    SP  - 7
    EP  - 13
    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20210701.12
    AB  - Background: Children born soon after previous birth are at high risk for health problems and died at a younger age, especially if the interval between the births is less than two years. The purpose of this review is to summarize the evidence whether contraceptive use is associated with birth interval among women in Ethiopia. Methods: Studies for this meta-analysis were accessed through main databases searches (PUBMED and Advanced Google Scholar) that were published from 2010 onwards. Three blinded reviewers evaluated the abstracts as well as the full texts and performed the data extraction. To assess external and internal validity, a risk-of-bias tool was used. Pooled effect size of birth interval was estimated from the reported proportion of eligible studies using RevMan V. 5.3 software. Results: Thirteen studies were found to be eligible and included in the meta–analysis. A total of 16311 women were involved. Of which, 6112 (37.5%) women had contraceptive users and 5873 (36%) of women had experienced short birth interval. The final pooled effect size after trim and fill analysis in random effect model was found to be -0.67 (95%CI: -0.74, -0.59). This indicated that presence of a significant association between contraceptive use and the length of birth interval. Conclusions: This meta-analysis found that, in Ethiopia, promoting contraceptive use was associated with decreasing short birth interval by 33%. Thus, the existing efforts of optimizing birth interval should be enhanced through modern contraceptive use.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Public Health, Hawassa College of Health Science, Hawassa, Ethiopia

  • Department of Public Health, Hawassa College of Health Science, Hawassa, Ethiopia

  • School of Nursing College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia

  • Leishmania Research and Treatment Center, University of Gondar, Gondar, Ethiopia

  • Department of Public Health, Hawassa College of Health Science, Hawassa, Ethiopia

  • Hawassa College of Health Science, Hawassa, Ethiopia

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