Adherence to Infection Prevention Practice Standard Protocol and Associated Factors Among Healthcare Workers.

Introduction: Healthcare-associated infection affects more than 100 million patients annually. Healthcare workers' poor adherence to standard infection prevention and control procedures can result in many negative consequences, ranging from disability to death. Methods: A facility-based, cross-sectional study was conducted in June 2021 among 379 healthcare workers selected using a stratified random sampling technique. All types of healthcare providers except pharmacy professionals were included in the study. Standardization and validation of the study tool were performed ahead of data collection. Multivariable regression was used to assess the variables associated with adherence. Results: The study found that 60.2% of healthcare workers (95% CI, 55.1-65.2) had good adherence to infection prevention practices, and 68.7% and good knowledge of infection prevention practices. Training on infection prevention methods (adjusted odds ratio [AOR] = 1.68; 95% CI, 1.04-2.72), availability of water supply at hand washing station (AOR = 2.90; 95% CI, 1.62-5.31), and attitude toward infection prevention (AOR = 2.64; 95% CI, 1.65-4.24) were identified as predictors of adherence to infection prevention and control procedures. Conclusion: More than half of the participants had good adherence to infection prevention guideline practices. In-service infection prevention training, a consistent water supply at the hand washing station, and a positive attitude of participants were associated with good adherence to infection prevention practices.

Compliance With Guidelines of Hypertension Management, and Associated Factors Among the Health Practitioners.

The consequences of uncontrolled hypertension such as stroke, myocardial infarction, retinal damage and others are significantly affecting individual and the community in large. The patients are suffering from compromised quality of life, permanent disability, and premature death in developing countries. The reason for the existence of the gap hasn't been clear yet. An institutional-based retrospective cross-sectional study designed from patient medical record data was used to assess compliance with the federal democratic and republic of Ethiopia ministry of health hypertension management guideline. Medical records of adult Patients treated for hypertension from March 2019 to March 2020 were reviewed. Systematic sampling technique from patients' medical records every 10th interval was taken to reach the total sample size. The collected data were checked for completeness, consistency, and accuracy before analysis. Data were coded, entered, and cleaned using Epi-data 7 and exported to SPSS version 25 for analysis. Overall compliance with the hypertension guideline was found to be poor; only 75 (19.5%) patients managed according to the guideline in these institutions. The majority of health practitioners complied with the pharmacological Antihypertensive treatment protocols for 238 (62.0%) patients, while for 146 (38.0%) of the patients the guideline was not followed. Combining the lifestyle modification recommendations and pharmacological antihypertensive treatment to assess compliance with the hypertension management guideline, only 75 (19.5%) patients managed as per the guideline, while 309 (80.5%) did not. Nearly more than two-thirds of the patients were not managed following the national hypertension guideline, and health practitioners are failed to recommend lifestyle modifications for most of the patients, as a result, the majority of the hypertensive patients are being exposed to complications and urgent intervention is demanded against the gap.

Agricultural livelihood resilience in the face of recurring droughts: Empirical evidence from northeast Ethiopia.

The main purpose of this study was to characterize the livelihood resilience of smallholder farmers in the face of recurring droughts in northeast Ethiopia. The data was collected using a cross-sectional survey of 274 households and five focus group discussions. Principal component analysis and multiple linear regression models were employed to analyze the data. The Livelihood Resilience Index (LRI), framed on absorptive, adaptive, and transformative capacities, was used to quantify the households' livelihood resilience. The results indicated that about 57% of the surveyed respondents were non-resilient, while 43% were resilient to different degrees. Abay Tekeze watershed (ATW) livelihood zone exhibits the highest proportion of resilient households (57.4%), while North Wollo highland belg has the lowest proportion (22.7%). The high resilience in ATW was attributed to the relatively lower persistence of droughts, better accessibility in enabling institutions, more access to agricultural inputs, and the training and support given to farmers. The better-off were more resilient (90.9%) than the medium (52.1%) and the poor (34.6%) households. Among the latent dimensions, sensitivity with ß value -0.372, climate change and variability (-0.33), and enabling institutions and environments (0.288) showed a significant (p < 0.0001) influence on LRI. This was followed by adaptive capacity and food access (0.249), agricultural practice and technology (0.213), and asset possession (0.19), in respective order. It implies that the absorptive capacity of households showed the leading influence in determining LRI, while adaptive and transformative capacities had nearly similar low effects. Thus, it is recommended that future planning for building livelihood resilience and drought risk interventions in the area should address the levels of resilience identified and the relative importance of each latent dimension indicated.

Woody species diversity and regeneration status of Sub-Alpine forest of Mount Adama exclosure site, Northwestern highlands of Ethiopia.

Forests provide a wide range of ecosystem services. Despite these facts, the expansion of agriculture and settlement at the expense of forest resources has threatened the forest resources and results in biodiversity loss. To halt this problem, various conservation practices that believed to restore the degraded lands and biodiversity of the country have been implemented. Area exclosure is among the conservation strategies that have been used to restore the degraded lands in Mount Adama forest. However, its role in woody species regeneration in Mount Adama was not investigated. Thus, the objective of the study was to evaluate the impact of area exclosure on woody plant species composition, regeneration status, structure and diversity in Mount Adama. A systematic transect sampling method was used to collect vegetation data. Hence, 53 plots with 400 m2 area were laid along 11 transects. Then, within the main plots, five subplots with 1 m2 were laid to determine the abundance and frequency of seedlings. The results showed that about 31 woody species that belong to 30 genera and 19 families including four endemic species were identified. The majority (67.74%) of the species were categorized under shrub habitat, while the remaining 19.35% and 12.90% were trees and lianas or climbers, respectively. Asteraceae family was dominant by contributing 4 species followed by Rosaceae and Solanaceae each contributed 3 species. Hypericum revolutum was the dominant species with 53.38 important value index followed by Erica arborea and Hagenia abyssinica with 49.12 and 40.05, respectively. The overall Shannon- Wiener diversity index and Shannon evenness in the exclosure site were 2.6 and 0.73, respectively. Furthermore, the number of seedlings and saplings were higher in the exclosure than the untreated site. The results of the study evidently showed that area exclosure that implemented in Mount Adam successfully contributed to the biodiversity restoration. Therefore, further conservation efforts targeting species with low IVI values are needed for sustainable management and ecological recovery of the area.

Multi-criteria decision analysis for wind farm location selection in Bahir Dar City and its surroundings, Northwestern Ethiopia.

While there is a consensus on the multifaceted advantages of wind farms, only a handful of developing countries harness it to the fullest potential. Among the various factors that contributed to the low development of wind farms in those countries, the dearth of methods for identifying a suitable site is the leading one. Studies conducted elsewhere on wind farm industry identifies criteria such as slope, wind speed, land use/land cover, geology, distance from electric transmission grids, roads, and settlements. However, the relative magnitude of each factor to the optimum location of the wind farm is inadequately examined. This study focuses on the combined use of geographic information systems (GIS) and spatial multi-criteria decision analysis (MCDA) for selecting the most appropriate sites for wind-farm development. Using a pairwise comparison method of the analytical hierarchical process, we computed the relative importance and weight of parameters affecting wind farm sites in a weighted overlay technique. Based on the analysis of pertinent data collected from Bahir Dar City and its surroundings, northwestern Ethiopia, we categorized the study area into five suitability classes ranging from extremely suitable to not suitable. Our result, revealed a spatial pattern of the potential sites suitable for wind farm investments that are economical, environmentally sound, and aesthetically amenable. We recommend replicating the method developed in this study in other areas of developing countries where transitioning to renewable energy sources through windfarm development is sought.

Agricultural drought assessment and monitoring using MODIS-based multiple indices: the case of North Wollo, Ethiopia.

Agriculture is the most sensitive sector which has largely been affected by the impacts of drought. The study aims to detect and characterize agricultural droughts using MODIS-based multiple indices in North Wollo, Ethiopia. Two Moderate Resolution Imaging Spectroradiometer (MODIS) datasets (MOD13Q1 and MOD11A2) for the period 2000 to 2019 were used to generate Normalized Difference Vegetation Index (NDVI) and Land Surface Temperature (LST). Accordingly, NDVI anomaly, Vegetation Condition Index (VCI), Temperature Condition Index (TCI), and Vegetation Health Index (VHI) were computed to characterize agricultural droughts during the crop growing season. Both the NDVI anomaly and VCI confirmed that there was no single drought-free year in the area throughout the study period. TCI showed relatively exaggerated drought stress than the other indices. However, VHI indicated lower area coverage and a lower level of stress than its aggregates (VCI and TCI). Specifically, 2002, 2004, 2009, 2010, and 2015 were all identified as severe drought years, where over 60% of the area was affected by droughts. Results of the regression analysis indicated that VCI, TCI, and VHI were having significant positive trends with precipitation in the majority of the districts. Using the aggregated drought frequency of each index, 13.5, 73.7, and 12.8% of the area were under moderate, high, and extremely high levels of agricultural drought occurrence, respectively, and the likelihood of implied risks. Therefore, all the districts of North Wollo were affected by persistent drought stress. Such drought recurrences have the potential to impose significant impacts on the agro-based livelihoods of the local community demanding ongoing drought monitoring and the application of effective early warning systems.

Spatial coverage of water hyacinth (Eichhornia crassipes (Mart.) Solms) on Lake Tana and associated water loss.

The introduction of water hyacinth poses a serious threat to economic viability of Lake Tana and its environments. This study aimed to capture the spatial coverage of water hyacinth and its effect on water loss in Lake Tana using quantitative research methods. Four satellite images representing each season of 2019 were downloaded from USGS. In addition, pan evaporation data were taken from the National Meteorological Agency. ArcGis 10.4, Envi 5.3, Qgis 3.12.1 plug in CSP and Excel used to manage land use land cover classification and water loss estimation analysis. The seasonal coverage of water hyacinth was 15.35, 4.14, 11.82 and 13.59 km2 in winter, autumn, summer and spring 2019 respectively representing 0.63 and 0.17 percent of the Lake as a maximum and minimum coverage. The mean daily evaporation of Lake Tana was 5.14 mm/day, but this increased to 18.85 mm/day due to the presence of water hyacinth. The mean net daily water loss due to water hyacinth at Lake Tana was 0.14 km2 while 52,62 km3 in 2019. The study concludes that water hyacinth caused enormous negative impact on the water volume reduction in Lake Tana. Management of the Lake Tana environment and control of the water hyacinth weed are recommended to sustain the Lake.

Adherence to Adjuvant Hormonal Therapy and Associated Factors Among Women with Breast Cancer Attending the Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019: A Cross-sectional Study.

BACKGROUND: In breast cancer patients, adherence to adjuvant hormone therapy (AHT) is uncertain. Seven in every 10 patients were hormone receptor positive and adjuvant hormone therapy (AHT) is prescribed for 5-10 years for a woman with breast cancer. Therefore, the aim of this research was to examine adherence to adjuvant hormone therapy and related factors among women with breast cancer attending the Tikur Anbessa Specialized Hospital Oncology Center. METHODS: An institutional-based cross-sectional study was conducted from March to April, 2019. Systematic random sampling technique was used to select participants. A semi-structured questionnaire was used. Medication possession ratio (MPR) was used where score ≥80% was adherence. Data were entered in EpiData version 4.4.2.1 and transferred to SPSS version 25, and analyzed using binary logistic regression. RESULTS: Out of 216 women with breast cancer 209 participated in the study with a response rate of 97%. The overall adherence in this study was 77.5%. Getting social support (OR=3.959, 95%CI: 1.570-9.980), being on anastrozole (OR=0.139, 95%CI: 0.040-0.485), getting a thorough therapeutic communication about treatment (OR=4.590, 95%CI: 1.061-19.863), undergoing mastectomy (OR=0.215, 95%CI: 0.059-0.788), having side effects (OR=0.210, 95%CI: 0.085-0.517) were found to be significantly associated with adherence to AHT. CONCLUSION: In general, the overall adherence to AHT was 77.5% for women with breast cancer. Factors such as types of adjuvant hormone therapy, lack of side effects, mastectomy, getting social support, and thorough therapeutic communication were strongly linked with adherence to them.

Is the Duration of Diabetes Diseases Positively Associated With Knowledge About Diabetic Complications? Knowledge of Diabetes Mellitus Complications and Associated Factors Among Type-2 Diabetic Patients in Public Hospitals of Addis Ababa, 2020.

Background: Although the importance of educational programs in the prevention and control of diabetes mellitus (DM) and its complication is well-recognized, there are concerns about whether these programs are achieving the desired goal of increasing knowledge of DM and its complication in developing countries. Therefore, this study assessed knowledge of DM complications and associated factors among type-2 diabetic patients in public hospitals of Addis Ababa. Method: Simple random sampling technique was used to select 422 participants. Data were entered to EpiData Version 4.6.0.1 and analyzed using SPSS Version 25 software. Multicollinearity and model goodness-of-fit was checked. A multivariate logistic regression model at 95% CI was used to identify the predictors. Result: The overall knowledge of diabetes complications among diabetic patients in the Hospitals of Addis Ababa was 54.9%. In the fitted model, being a profession of governmental workers [adjusted odds ratio (AOR) = 3.12, 95% CI (1.33, 7.34)] and merchants [AOR = 2.54, 95% CI (1.16, 5.56)]; DM duration 5-10 years [AOR = 0.41, 95% CI (0.23, 0.73)] and ≥10 years [AOR = 0.36, 95% CI (0.19, 0.69)]; family history of DM [AOR = 1.68, 95% CI (1.03, 2.75)]; and participating in diabetic counseling [AOR = 2.41, 95% CI (1.50, 3.86)] were significantly associated with knowledge about DM complications. Conclusion and Recommendation: The overall knowledge of diabetes complications among diabetic patients in the Hospitals of Addis Ababa was 54.9%. It was determined by the duration of DM, current profession, family history, and participation in diabetes counseling. Hence, emphasis on sustaining knowledge about diabetes complications for patients who are more than 5 years since diagnosis and attention is needed about knowledge diabetic farmers.

Implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia.

BACKGROUND: The nursing process was initially adopted from the general system theory, and was developed and implemented in the field of education. There is a demand to implement the nursing process in practical care in every health institution, but the perception remains that it is time-consuming and impractical. If the nursing process is not valued and not used, nurses may continue to intervene on the basis of a medical diagnosis rather than on the basis of a rational nursing Process steps. In any of the steps, oversight or omission can result in less than optimal nursing care. The purpose of this study was to assess implementation and factors affecting the nursing process among nurses working in selected government hospitals in Southwest Ethiopia. METHODS: An institution-based cross-sectional descriptive study was conducted from March 10 to April 1, 2015 in three hospitals in southwest Ethiopia using self-administered questionnaires. This study included a total of 138 nurses using simple random sampling. Data were classified, coded and entered into epidemiological information version 3.5.3, and exported to the statistical package for social science version 20 for analysis, descriptive statistics were used to describe the variables, bivariable and multivariable logistic regression were used to see the effect of each variable on the dependent variable. RESULT: The nursing process was found to be 73.9% implemented. Compared to a Bachelor of Science nurses', the likelihood of implementing the nursing process was less likely among diploma nurses. Nurses working in administratively supported hospitals implemented the nursing process more compared to those without administrative support. The nursing process had been implemented higher by trained nurses compared to untrained nurses. CONCLUSION: The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process. Low educational qualification, lack of training, and non-supportive hospital administration were predictors of the nursing process implementation. The health service management, in collaboration with Ethiopian nursing/professional associations and international governmental and non-governmental organizations should give continuous on the job professional development education, and develop nursing practice guidelines.

Combining Multi-Element Analysis with Statistical Modeling for Tracing the Origin of Green Coffee Beans from Amhara Region, Ethiopia.

Characterization of coffee terroirs is important to determine authenticity and provide confidence for consumers to select the right product. In this regard, Amhara Region, which is located at the northwestern part of Ethiopia, produces various local coffee types with distinct cup qualities. The coffees are, however, not yet registered with certification marks or trademarks for indications of their geographical origins. This study was aimed at developing analytical methodology useful to determine the geographical origin of green coffee beans produced in Amhara Region based on multi-element analysis combined with multivariate statistical techniques. For this, a total of 120 samples of green coffee beans, collected from four major cultivating zones (West Gojjam, East Gojjam, Awi, and Bahir Dar Especial Zones) were analyzed for K, Mg, Ca, Mn, Fe, Cu, Fe, Co, Ni, Zn, Si, Cr, Cd, and Pb using inductively coupled plasma-optical emission spectroscopy. The elemental analysis data were subjected to principal component analysis (PCA) and linear discriminant analysis (LDA). PCA was used to explore the natural groupings of samples and the discriminatory ability of elements. Accordingly, the elements K, Mg, Ca, and Na were found to be the main discriminators among samples. LDA provided a model to classify the coffee samples based on their production zones with an accuracy of 94.2% and prediction ability of 93.4%. Thus, the elemental composition of green coffee beans can be used as a chemical descriptor in the authentication of coffee produced in Amhara Region.

Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia.

INTRODUCTION: Patients with end-stage renal disease (ESRD) face multifaceted problems arising from complications of the disease and dialysis that require consistent and, effective self-management from the patients' side, on top of the management offered by health care professionals. However, little is known about the level of self-management and influencing factors among patients with ESRD undergoing hemodialysis in the study area. Therefore, the aim of this study was to assess self-management and associated factors of patients with ESRD undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia. METHODS: An institution-based cross-sectional survey was used to recruit 169 patients with ESRD undergoing hemodialysis from six private health facilities between March and April 2016. Data were collected using an interviewer-administered structured questionnaire inquiring about patients' self-management and associated factors. Data were entered into EpiData Version 3.1 and analyzed using the descriptive, correlation, and logistic regression using the SPSS Version 22.0 statistical software. RESULTS: The mean age of the patients was 49.86±15.58 years. The majority of the respondents (69.8%) were male, and 65.7% of them were married. Half of the respondents (50.3%) had diploma and above educational level. The great majority of the respondents (93.5%) were on hemodialysis for less than 5 years, and 53.3% of them underwent dialysis twice a week. More than half (57.4%) of the patients had low levels of self-management. There were statistically significant positive associations between self-management and education (adjusted OR [AOR] =6.25, 95% CI =1.40, 27.85), knowledge (AOR =5.5, 95% CI =2.15, 14.03), and self-efficacy (AOR =4.73, 95% CI =1.95, 11.48), while there were statistically significant negative associations between self-management and anxiety (AOR =3.19, 95% CI =1.28, 7.95) and depression (AOR =2.68, 95% CI =1.01, 7.05, P<0.05). CONCLUSION: Patients' education, knowledge, self-efficacy, anxiety, and depression were found to be independent predictors of self-management.

Adherence to prescribed antihypertensive medications and associated factors for hypertensive patients attending chronic follow-up units of selected public hospitals in Addis Ababa, Ethiopia.

OBJECTIVES: The study was aimed at assessing adherence to prescribed antihypertensive medications and its associated factors. METHODOLOGY: Institutional-based cross-sectional study was conducted in four public hospitals which were selected by lottery method. Systematic random sampling was used to select the study subjects. Data were checked, cleaned, and entered into Epidata software version 3.1 and were imported to SPSS version 21 software for analysis. The results of the descriptive statistics were expressed as percentages and frequencies. Associations between independent variables and dependent variable were analyzed using bivariate and multivariate analysis. The study was conducted from February 15 to April 15, 2016. RESULTS: The study included 404 respondents with 97% response rate. 210 (52%) were male and mean age was 54 ± 10.77 years. The respondents' adherence to antihypertensive medications was 66.8%. The medication-related adherences were found to be better in females, patients who had comorbidities and have been knowledgeable about the disease and was poor among young adult respondents. CONCLUSION: This study found out a 66.8% adherence to prescribed antihypertensive medications. This figures show that medication adherence (MA) rates are low. The factors impeding or enhancing the outcome variable was thoroughly analyzed. Sex, age, number of types of medications, and knowledge were associated with MA. Educational sessions that especially focus on MA and ongoing support for patients should be designed. Studies which assess all the components of self-management should be conducted for comparison among different subgroups.

Effectiveness of planned teaching intervention on knowledge and practice of breast self-examination among first year midwifery students.

INTRODUCTION: The prevalence of cancer is growing rapidly in all parts of the word and Ethiopia is no exception. Secondary prevention, as simple as monthly breast self-examination, is the best option to tackle the rising of this epidemic. Health awareness programs on screening and early detection are the corner stones to reduce the morbidity and mortality resulting from breast cancer. OBJECTIVE: The aim of the study is to assess the effectiveness of planned teaching program on knowledge and practice of breast self-examination among first year female midwifery students in Hawassa health Sciences College. METHODS AND MATERIALS: A pre-experimental one group pre-posttest design was used among 61 students who were selected by systematic random sampling technique. Data was collected using structured questionnaire and adapted and approved checklist. Data was entered using Epi-Info and analyzed using SPSS version 20. Pre-and post-intervention results were calculated using paired t-test. RESULTS: The mean age of the study participants was 20.13(±2.27) and 77% of the study participants were single. Before the intervention 14(23%) of respondents had information and practiced breast self-examination, only 8(13.1%) performed breast self -examination on a regular monthly basis. The number and percentage of the knowledgeable respondents pre-post intervention is 23(37.7%) and 35(57.4%), respectively. The mean knowledge difference for the pre-post intervention is 0.18±0.695 (P < 0.05). The respondents' pre- post interventions score of satisfactory practical competency were 10(16.4%) and 43(70.5%), respectively as well. The mean net gain for the pre-post breast self-examination intervention is 0.51± 0.62 (P < 0.001). Both the knowledge and practical competency scores showed highly significant increment after the intervention, showing that the research hypothesis was accepted. CONCLUSION AND RECOMMENDATIONS: Planned teaching intervention on knowledge and Breast self-examination of students has resulted in an increment of both knowledge and the practice of breast self-examination. Teaching breast self-examination with demonstration to all at risk groups as a secondary prevention for breast cancer and large scale studies on heterogeneous groups is important.

Adherence to recommended lifestyle modifications and factors associated for hypertensive patients attending chronic follow-up units of selected public hospitals in Addis Ababa, Ethiopia.

INTRODUCTION: One of the most prevalent noncommunicable diseases is hypertension (HTN). The availability of effective antihypertensive medications does not result in the expected outcomes in terms of controlling blood pressure. The rationale for these and other findings of uncontrolled HTN points toward poor adherence. The most neglected causes of uncontrolled HTN are unhealthy lifestyles. Few studies have been conducted to show the gap and magnitude of self-management adherence. OBJECTIVE: This study aimed to assess adherence to recommended lifestyle modifications of hypertensive patients undergoing follow-up at chronic follow-up units of public health hospitals in Addis Ababa, Ethiopia, 2016. METHODS: Institutional-based cross-sectional study was conducted in four public health hospitals which were selected by drawing lots. Systematic random sampling was used to select study subjects. The results of the descriptive statistics were expressed as percentages and frequencies. Associations between lifestyle modification and independent variables were ana-lyzed using bivariate and multivariate logistic regression analysis. The study was conducted from February 15, 2016 to April 15, 2016. RESULTS: The study included 404 respondents with a 97% response rate; 210 (52%) were male and the mean age was 54.00±10.77 years. The respondents' adherence to lifestyle modifications was 23%. The lifestyle adherence was found to be better in females, patients who had comorbidities, and had been knowledgeable about the disease and was poor among young adult respondents. CONCLUSION: The rates of adherence to lifestyle changes were generally found to be low. Educational sessions that especially focus on lifestyle modifications and ongoing support for patients should be designed and studies which assess all the components of self-management should be conducted for comparison among different subgroups.

Assessment of Preference and Its Determinant Factors to Ward Modern Contraceptive Methods among Women of Reproductive Age Group in Shire Indaselassie Town, Northern Ethiopia, 2011.

Background. Women's preferences for various contraceptive methods attribute vary according to the type of relations and other aspects of their life. The discrepancy between fertility preferences and contraceptive practice is regarded as an indicator of unmet demand for family planning. Objective. To assess modern contraceptive methods preference and its determinant factors among women of reproductive age group in Shire Indaselassie town, Tigray Region, Northern Ethiopia. Method. A community based cross-sectional study design was employed on 367 sampled women. Stratified sampling technique was used to select the study subjects. Then, data was collected using structured questionnaire. Result. In this study, the most commonly preferred modern contraceptive method was injectable contraceptive 202 (55%), the second 61 (16.6%) was oral contraceptives, and the third 47 (12.8%) was Norplant. Condom 31 (8.4%), IUD 14 (3.8%), female sterilization 7 (1.9%), and others were less commonly preferred methods. Some of the reasons for preference were effectiveness of the method, reversibility, fewer side effects, convenience, long duration of use, and no need to remember daily. Conclusion. This study clearly described that women preferences of modern contraceptive methods increased after they had higher number of children and less desire to limit family size.