Acceptance of Long Acting Reversible Contraceptive Methods and Associated Factors Among Reproductive Age Women in <i>Adama Town, Oromia Regional State, Ethiopia</i>

Abstract

Abstract:The global population is expected to reach between 7.5 and 10.5 billion by the year 2050. Ethiopia is the second most populous country in Sub-Saharan Africa next to Nigeria. Total Fertility Rate of Ethiopia is 4.1 children per women; contraceptive prevalence rate is 29% for all child bearing age women. The prevalence of long acting reversible contraceptive methods (LARCs) in Ethiopia was very low (4.2%). The cause for low prevalence of LARCs is not known. Thisstudy assessed the acceptance and factors associated with acceptance of long acting reversible contraceptive methods (LARCs) among reproductive age women in Adama Town, Oromia regional state, Ethiopia, 2016. Institution-based cross-sectional study was employed. A total of 644 women attending family planning clinics in health facilities in Adamatownin March 2016 were randomly selected. Structured, pretested and interviewer administered questionnaire was used to collect data. Univariateand Multivariable logistic regression analysis was employed to identify factors associated with acceptance of LARCs methods. Adjusted Odds ratios (AOR) with 95% confidence interval (CI) were used to assess the association among study variables. The acceptance of LARCs methods was found 27.9% Respondents` age (25-34 years) (AOR, 0.19; 95% CI: 0.07, 0.54) were negatively associated, occupation (govern employed) (AOR, 8.80; 95% CI: 1.38, 56.13), Supportive partners attitude (AOR, 30.26; 95% CI: 10.52, 87.03), time taken to arrive the health facility (AOR, 5.68; 95% CI: 2.11, 15.27), partners discussion (AOR, 23.23; 95% CI: 8.55, 63.08) and ever using LARCs before (AOR, 5.50; 95% CI: 2.11, 14.31) were found to have significant and positive association with acceptance of LARCs. CurrentLARCs acceptance is low (27.9%). Regional Health Bureau, Adama Town Health Office and other stakeholders should continue promotion of LARCs. Health professionals should teach both the clients and their partners about the benefits and disadvantage of LARCs. Partners should discus on benefits of using LARCs.

Prevalence and pattern of long acting reversible contraception (LARC) methods use in immediate postpartum period at Jimma University Medical Center, Ethiopia

“…Regarding pattern of LARC methods use, birth control Implant was the method used by almost 9 out of ten mothers. This finding was in line with findings of most previous studies conducted in different parts of Ethiopia where Implant was used by at least three-fourths of mothers (27,(30)(31)(32)(33)(34)(35)(36)38,40,42,43,(45)(46)(47) and higher than findings of some studies (37,39,41). This could be because of convenience and privacy as implants are inserted under the skin into the upper arm area whereas…”

“…Our finding was also higher than 22.9% (30) (27,(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46) and found that our finding was higher than pooled prevalence.…”

“…In this study, counseling at ANC was significantly associated with immediate postpartum LARC methods utilization. Studies conducted in different corners of Ethiopia reported that women counseled at ANC and/or during delivery and/or postpartum and/or received postnatal care were more likely to use LARC methods (27,36,48 (33,39,41,47) or previously used it (27,30,43) were more likely to utilize it now. Prior use of LARC methods was also positively associated with current use of LARC methods in our study which was in line with literature.…”

Prevalence and pattern of long acting reversible contraceptive (LARC) methods use in immediate postpartum period at Jimma University Medical Center, Ethiopia

“…Regarding pattern of LARC use, birth control Implant was the method used by almost 9 out of ten mothers. This finding was in line with findings of most previous studies conducted in different parts of Ethiopia where Implant was used by at least three-fourths of mothers (27,(30)(31)(32)(33)(34)(35)(36)38,40,42,43,(45)(46)(47) and higher than findings of some studies (37,39,41). This could be because of convenience and privacy as implants are inserted under the skin into the upper arm area whereas IUDs are inserted into the uterus.…”

“…Our finding was also higher than 22.9% (30) Bahir Dar town, Northern Ethiopia. We also calculated 23.84% pooled prevalence from eighteen facility or community based cross-sectional studies conducted in different corners of Ethiopia (27,(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)) and found that our finding was higher than pooled prevalence.…”