The ethiopian
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DISCUSSIONThis survey was conducted in a relatively homogenous community, where all were employed and worked in the same environment, almost all were literate, had a permanent monthly income, a common language and showed high awareness and utilization of FP methods and a positive attitude towards utilizations. The mean number of ever born children to the respondents was 2.2 which indicates regulated fertility. But,the age of the study population particularly the female are predominantly (68% ) below 35 years, so it is expected, that the family size at the end of the fecundity age will be higher. This is reaffirmed by table 4 where the mean number of children desired is 4.3. Furthermore, the crude birth rate of 49.7 per 1000 in the study population needs serious consideration (15); since it is greater than the Addis Ababa city crude birth rate of 23.2 per 1000 (1984 census report). Nonetheless, almost all of the respondents (94% ) were aware of the existence of FP methods and even a large number of them (86% ) had a positive attitude towards the utilization of contraceptives. The current contraceptive user rate of 39% among the respondents was higher than that of the Addis Ababa city proper, which is less than 20% (16). The contraceptives method mix (condom 37.5%) is better than the national method mix, which is predominantly pill (63.5%) and condom used only by 9.1% (17). As far as sources of information for Family planning are concerned, radio is the top source followed by interpersonal influences. This pattern is also found in other developing countries (18). Since the employees collect contraceptives from various sources regularity or irregularity of supply could not be determined. This study could not also determine the number of averted unwanted pregnancies/births due to unestablished contraceptive distribution system. However a maternal mortality survey in Addis Ababa by KWASTB. revealed that 54% of the maternal deaths were due to septic abortions, which are consequences of unwanted pregnancy (19) and indicate the need for extensive Family Planning Services in the city. The prevailing high knowledge of FP and positive attitudes towards its utilization among the respondents were facilitated by the high educational status of the employees. Improvements to meet existing unmet needs (47%) of Family Planning service; by strengthening Information Education and Communication programme, counselling services and contraceptives accessibility deserve to be taken into consideration. The method mix, relatively greater use of condom (37.5%) is encouraging for HIV/AIDS control and prevention as part of FP programme. Furthermore, the relatively higher number of contraception use among married women (58%) and unmarried men (35%) is encouraging for wide prevention of unwanted pregnancy and greater involvement of male in FP programme. To increase the Contraceptive Users Prevalence rate, the employees need reassurance and education regarding rumours of medical, social and cultural consequences of the use of contraceptives. This may be achieved through improved communication mechanisms. The accessibility of the Family Planning methods at the working area needs to be improved to meet the demands of the 47% non-users, who intended to use Family planning services in the future. It was speculated that if work area FP programme is in effect the service coverage may reach 71 % of the employees. Such a rate within working areas may not be possibly achieved in the near future. This kind of systems are cost- effective, promote CPR and reduces unwanted/unplanned pregnancies (20). Experiences in Asia, African and Latin America has shown that the work area based contraceptive distribution is much more successful when all concerned groups, employees, the local labour union, the employer and the management are actively involved (21, 22, 23). It is recommended to utilize the EDDC's favourable facilities (available clinic and a health personnel) to initiate working area based FP services within the corporation domain. Furthermore, in-depth study is recommended to assess working areas status to launch national working area based FP programme. ACKNOWLEDGEMENTI would like to thank the previous Ketchene District Health Management Team Members and the staff at the Ethiopian Domestic Distribution Corporation clinic for their kind assistance during the collection and coordination of data. Furthermore I would like to express my thank to Dr. Eyob Tadesse and Dr. Monaja (UNFPA Country Support Team Member) for reviewing the manuscript. 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