Correlates of Unintended Pregnancy in Ethiopia: Results From a National Survey

Background: Unintended pregnancy has been a major reproductive health challenge in resource poor settings including Ethiopia. It has adverse consequences to the mother, child and the health sector’s resources. Understanding the extent of unintended pregnancy and the factors associated is crucial to devise evidence based interventions. The analysis was aimed at assessing the unintended pregnancy prevalence rate among pregnant women and the factors predisposing to unintended pregnancy. Methods: This secondary data analysis was done on women’s dataset from the 2011 Ethiopian Demographic and Health Survey (DHS). A total of 1267 pregnant women were included in the analysis. Multiple logistic regression analysis was performed using SPSS software to identify the factors associated with unintended pregnancy. Odds Ratio with 95 % confidence interval (95 % CI) was computed to assess the association of different factors with unintended pregnancy. Results: The overall prevalence of unintended pregnancy was found to be 24%: those who wanted it at a later time and not at all accounted for 17.1 % and 6.9%, respectively. The unintended pregnancy rate ranged from 1.5 % in Afar Regional State to 39.8 % in Oromiya Regional State. Women who knew the timing of ovulation had a 45 % reduced chance of unintended pregnancy (OR (95 % CI): 0.55 (0.35, 0.85)). Ever use of family planning, presence of five o