{
  "abstract": "Unintended pregnancy remains a significant driver of maternal morbidity and mortality, particularly in humanitarian settings where health systems and social structures are disrupted. In Ethiopia, while the national prevalence is 26%, there is a critical research gap regarding the unique reproductive challenges faced by displaced populations. This study assessed the prevalence and associated factors of unintended pregnancy in Nguenyyiel Refugee Camp, southwestern Ethiopia. A community-based cross-sectional study was conducted from January 8 to February 10, 2026, among 422 ever-pregnant women selected through proportional allocation and simple random sampling. Data were collected using interviewer-administered questionnaires via the Kobo Collect application. Bivariable and multivariable logistic regression analyses were employed to identify predictors of unintended pregnancy, with statistical significance set at P < 0.05. The overall prevalence of unintended pregnancy was 57.1% (95% CI: 52.2%, 61.9%), consisting of 43.4% mistimed and 13.7% unwanted pregnancies. Multivariable analysis revealed that maternal age ≥ 36 years (AOR = 0.14, 95% CI: 0.03, 0.67) and no history of previous unwanted pregnancy (AOR = 0.04, 95% CI: 0.02, 0.08) were significantly inversely associated with unintended pregnancy. Conversely, grand multigravida women were 7.23 times more likely to report an unintended pregnancy compared to primigravida women (AOR = 7.23, 95% CI: 1.66, 31.45). The prevalence of unintended pregnancy in Nguenyyiel Refugee Camp is substantially higher than national and regional estimates. These findings suggest a significant gap in reproductive health autonomy and underscore the need for targeted interventions, including youth-friendly services and expanded access to long-acting reversible contraceptives (LARCs) for grand multigravida women in humanitarian settings.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University",
    "Department of Midwifery, Gambella Teachers Education and Health Science College",
    "Department of Midwifery, College of Medicine & Health Sciences, Arba Minch University",
    "School of Public Health, College of Medicine & Health Sciences, Arba Minch University"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Abel Belete"
    },
    {
      "affs": [
        1
      ],
      "name": "Kun Wal Chotper"
    },
    {
      "affs": [
        2
      ],
      "name": "Gebremaryam Temesgen"
    },
    {
      "affs": [
        3
      ],
      "name": "Abayneh Tunje"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0rtsdbg5evy2a.bib",
  "cited_by": 0,
  "doi": "10.1038/s41598-026-67365-5",
  "fulltext_url": "https://doi.org/10.1038/s41598-026-67365-5",
  "id": "0rtsdbg5evy2a",
  "issns": [
    "2045-2322"
  ],
  "landing_url": "https://doi.org/10.1038/s41598-026-67365-5",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "Q"
    ],
    [
      "lcc",
      "R"
    ],
    [
      "openalex",
      "2739|Reproductive Health and Contraception"
    ]
  ],
  "openalex": "W7203698971",
  "pdf_url": "https://www.nature.com/articles/s41598-026-67365-5_reference.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-08-01",
  "publisher": "Nature Portfolio",
  "ris": "https://research.draconitic.com/paper/0rtsdbg5evy2a.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:54Z",
      "native_id": "a671658a085d41758bba04d4fc7b321a",
      "source": "doaj",
      "url": "https://doi.org/10.1038/s41598-026-67365-5"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Reproductive Health and Contraception",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Prevalence and associated factors of unintended pregnancy in Nguenyyiel Refugee Camp, Southwestern Ethiopia",
  "title_text": "Prevalence and associated factors of unintended pregnancy in Nguenyyiel Refugee Camp, Southwestern Ethiopia",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:54Z",
  "url": "https://research.draconitic.com/paper/0rtsdbg5evy2a",
  "venue": "Scientific Reports",
  "versions": []
}