Factors associated with intrauterine contraceptive device use among women of reproductive age group in Addis Ababa, Ethiopia: A case control study

Dereje, Nebiyu; Engida, Biruk; Holland, Roger P.

doi:10.1371/journal.pone.0229071

Cited by 17 publications

(35 citation statements)

References 17 publications

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“…Despite the misinformation, a few had a strong initial interest in using the IUDs method because they did appreciate it due to be a long-acting, effective, hormone-free, and would preserve normal menses. These ndings are similar to the studies conducted in Ethiopia and Nigeria (20)(21)(22), and consistent with previous studies conducted in Addis Ababa, Ethiopia, which demonstrated that increased level of knowledge about IUDs and an understanding about effectiveness of long-acting contraceptives, increased the use of IUDs (23,24).…”

Section: Discussionsupporting

confidence: 91%

“…Several studies have indicated that a number factors account for the poor utilisation of IUDs. A study conducted in Ethiopia showed that women's perceptions and poor knowledge about IUDs were the main determinants of the low utilisation of IUDs (12)(13)(14)(15). Among the factors, comprehensive counselling about contraceptive usage, awareness creation about IUDs at the health facility level and focused messages to dispel misconceptions in the communities were identi ed as necessary strategies to increase IUDs utilisation (16).…”

Section: Introductionmentioning

confidence: 99%

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Intrauterine Device utilisation amongst short term contraceptive users in Hossana Town, Southern Ethiopia: a qualitative study

Woldeyohannes

Arega

Mwanri

2021

Preprint

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BackgroundIntrauterine devices (IUDs) are one of the long-acting, safe and effective methods of contraception in women across the world. However, this method is underutilised in many countries, including Ethiopia. Several quantitative studies have been used to address this problem and generated a list of factors associated with this problem. However, this list lacks detailed and local contexts that are necessary to inform local solutions. The current study uses a qualitative method to explore determinants of IUDs underutilization among short term modern contraceptive users from the maternal health services in the study setting. The use of a qualitative study design is necessary to obtain and rich contextual details that can inform the development of locally appropriate strategies to increase the IUDs uptake in the study area and improve women’s reproductive health outcomes.MethodA qualitative study was conducted in Hossana town public health facilities, southern Ethiopia from November 1–30, 2019. A total of thirteen in-depth interviews were conducted including with: 11 short term contraceptive users, one health centre head and one health extension worker. The interview guide comprised semi-structured questions. Interviews were audio recorded, transcribed and collected data analysed thematically.ResultThe main key determinants of IUDs service underutilisation were identified from participants’ narratives, including: (i) poor knowledge about the benefits of IUDs, (ii) insufficient counselling and ineffective delivery of health information to aid women in decision making, (iii) the absence of trained health personals, and shortage of supplies.ConclusionResults indicate that the poor utilisation of IUDs services is determined by both the service provider and the consumer related factors. Poor knowledge of short term users of contraception is a critical factor because without knowledge, clients may not use the available services effectively. The shortage of necessary supplies, poor provider-client relationships, and poor counselling by service providers are also service factors that act as barriers to uptake of IUDs. Efforts should be made to increase IUDs utilization by focusing on educating women about the importance of IUDs, improving counselling of mothers and strengthening the health systems, including allocating more resources to increase access to IUDs among the service users.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Intrauterine Device utilisation amongst short term contraceptive users in Hossana Town, Southern Ethiopia: a qualitative study

Woldeyohannes

Arega

Mwanri

2021

Preprint

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“…The nding of this study is similar to the study conducted in Ethiopia and Nigeria (20)(21)(22). My study ndings are consistent with prior researches conducted in Addis Ababa, Ethiopia, which has shown that increased level of knowledge about IUD, as well as about long-acting contraceptives, increases the use of IUD (23,24).…”

Section: Discussionsupporting

confidence: 90%

“…Several studies showed that several factors account for the poor IUD use women. A study conducted in Ethiopia showed that women perception and knowledge about IUD is one of the main determinants for the low utilization of IUD (12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

The Reasons for not Utilization of Intrauterine Device among Short Term Modern Contraceptive User Women in Hossana Town Public Health Facilities: Qualitative Study

Handiso¹

2020

Preprint

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Background Intrauterine device (IUD) is a safe, long-acting, and effective method of contraception. However, is under-utilized in many countries, including Ethiopia. The several studies presented to address the problem, nearly all are quantitative. These have primarily generated a list of associated factors and reasons that did not seem to help health systems to design effective strategies to address the problem. This study looked at the problem with a different approach to explore the issue in detail and help to develop locally appropriate strategies to increase the utilization of IUD in the study area. To this end, qualitative method focused entirely on understanding why short term contraceptive user women are not using IUD from the maternal health service programs. Objective To explore the reasons for not utilization of IUD among short term modern contraceptive users in Hossana town public health facilities, southern Ethiopia. Method A Phenomenological qualitative study was conducted in Hossana town public health facilities, Southern Ethiopia from November 1-30, 2019. A total of 13 in-depth interviews were conducted: eleven short term contraceptive users, one health centre head and one health extension worker/community health worker/ were included in the study. Semi-structured interviewer guided questions and tape recorder were used to collect data. The collected data were expanded, labelled and ordered chronologically. Data were organized after subsequent detailed reading and analysis. Thematic analysis was used to analyze the collected data. Result In this study, the reasons for not utilization of IUD was poor knowledge about the benefits of IUD, insufficient counseling and not providing informed choices, and the absence of trained health personals and shortage of necessary supplies. Conclusion The main reasons for not utilization of IUD was poor counseling of mothers, unsupportive provider-client relationships, and poor counseling by service providers. Efforts to rise IUD users need to focus on improving counseling of mothers and strengthening the health systems.

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“…Demikian pula, kemungkinan penggunaan AKDR di antara wanita yang menerima informasi tentang AKDR dari media massa atau teman sekitar empat kali lebih tinggi dibandingkan dengan mereka yang menerima informasi dari penyedia layanan kesehatan (OR = 3,81, 95% CI; 1,49-9,74). Dereje et al, 2020() Penelitian ini juga menunjukkan bahwa dengan meningkatnya jumlah komunikasi suami-istri, penggunaan kontrasepsi modern juga meningkat jika dibandingkan dengan wanita yang tidak menjalin interaksi dan komunikasi dengan suaminya. Wanita yang pernah berdiskusi dengan suaminya 4,50 kali akan menggunakan kontrasepsi modern daripada wanita yang tidak berdiskusi (AOR 4,50, 95% CI 2,15-9,42), dan wanita yang berdiskusi lebih dari tiga kali 7,32 kali untuk menggunakan kontrasepsi modern.…”

Section: Pengambilan Keputusanunclassified

Hubungan Pengetahuan dan Pengambilan Keputusan Penggunaan Kontrasepsi Intra Uterine Device oleh Pasangan Usia Subur di Wilayah Kerja Puskesmas Poasia, Kota Kendari

Sarita¹,

Syahrianti²,

Feryani³

2021

Health Inf J Penelit

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Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan rendahnya keikutsertaan Pasangan Usia Subur (PUS) dalam penggunaan alat kontrasepsi Intra Uterine Devices (IUD). Desain penelitian analitik observasional dengan metode cross sectional. Dan populasi penelitian adalah semua PUS yang ada di wilayah kerja Puskesmas Poasia, penentuan sampel menggunakan metode accidental bagi PUS yang berkunjung ke Poliklinik KIA/KB Puskesmas Poasia dengan total sampel sebanyak 43 responden. Data dianalisis secara statistik menggunakan metode uji chi square. Terdapat 14 responden (32,5%) memiliki pengetahuan kurang, 13 responden (30,3%) berpengetahuan cukup dan 16 responden (37,2%) memiliki pengetahuan baik tentang alat kontrasepsi IUD, pada 22 responden (51,3%) pengambilan keputusan dalam memilih alat kontrasepsi IUD melalui diskusi oleh pasangan suami-istri. Ada hubungan antara pengetahuan dengan rendahnya keikutsertaan PUS dalam penggunaan alat kontrasepsi IUD (hasil uji statistik, nilai p 0,02). Ada hubungan antara pengambilan keputusan dengan rendahnya keikutsertaan PUS dalam penggunaan alat kontrasepsi IUD (hasil uji statistik, nilai p 0,04).

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Factors associated with intrauterine contraceptive device use among women of reproductive age group in Addis Ababa, Ethiopia: A case control study

Cited by 17 publications

References 17 publications

Intrauterine Device utilisation amongst short term contraceptive users in Hossana Town, Southern Ethiopia: a qualitative study

Intrauterine Device utilisation amongst short term contraceptive users in Hossana Town, Southern Ethiopia: a qualitative study

The Reasons for not Utilization of Intrauterine Device among Short Term Modern Contraceptive User Women in Hossana Town Public Health Facilities: Qualitative Study

Hubungan Pengetahuan dan Pengambilan Keputusan Penggunaan Kontrasepsi Intra Uterine Device oleh Pasangan Usia Subur di Wilayah Kerja Puskesmas Poasia, Kota Kendari

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