Level and determinants of long-acting family planning utilization among reproductive age women in Harar, Eastern Ethiopia

Abstract

Background: Ethiopia’s population is currently estimated to be 117,814,659 people and continues to have countries with the highest maternal mortality rates. Family planning is one of the most effective techniques for lowering mother and child mortality, in addition to limiting rapid population expansion. Objective: The aim of this study was to assess level and determinants of long-acting family planning method among reproductive age women in Harar, Eastern Ethiopia, 2021 Method: Community-based cross-sectional study was conducted among 845 randomly selected reproductive age women. Data were collected by trained data collector using pretested structured questionnaire. Data were coded and entered into Epidata v.3 and analyzed using SPSS v.26 software. Descriptive statistics, bivariate and multivariate logistic regression analysis was used. Variable with p-value less than 0.05 was declared as statistically significant. Result: The prevalence of long-acting family planning method was 74.7%, while 53.6% and 46.4% was from rural and urban, respectively. The mean age of participants was 28.5 (± 5.6) years. Married women four times (AOR: 4.1; 95% CI: 1.6, 10.4) more likely to use long-acting family planning method than single women. Women with educated husband four times (AOR: 4.4; 95% CI: 1.8, 10.6) more likely to use long-acting family planning method than women with illiterate husband. Conclusion: There is high level of utilization of long-acting family planning. The women’s marital status, increased education level of husbands, increasing in age of women, intention to spacing birth, and having less than five children were found to significantly increase the utilization of long-acting family planning.

Utilization of Long-Acting Reversible Contraceptive (LARC) and its determinants in multiparous women in a Tertiary Hospital

“…This variation is reflected not only in various part of the country but is seen globally. Uptake in Ghana (70%), 17 Gambia (88.7%) 18 and ACOG among American 75% 17 but lower rates were obtained in Malawi (2%), 19 Ethiopia(29%), Kenya (20.6) 6 Indonesia (10.66%) 9 ,Australia(11%) among contraceptive users4. Several factors have been shown to mitigate the utilization of LARCs such as age, education, family income, cost of contraception, , knowledge, woman beliefs, attitude, , availability, contraceptive-related skills, provider bias, support from partners, friends,, and also support from leaders in the community, access to quality services 10,16,17,18,20,22 Among the LARCs, some studies agree that IUCD was the most used, closely followed by implants 4,16,23,24 which is similar to the finding in this study, The study revealed that equal number of women IUCD users used implants.…”

“…Developing regions account for approximately 99% (302 000) of global maternal deaths in 2015, with sub-Saharan Africa alone accounting for roughly 66% (201 000), followed by Southern Asia (66 000). 9 In most Sub Saharan countries the maternal mortality ratio is about 415 -maternal deaths per 100,000 live births, that is more than 40 times higher than that of most of the European countries, and almost 60 times higher than in Australia and New Zealand. 10,11 Family planning is one of the intervention tools in achieving the SDG target 3.1.…”

“…9 In most Sub Saharan countries the maternal mortality ratio is about 415 -maternal deaths per 100,000 live births, that is more than 40 times higher than that of most of the European countries, and almost 60 times higher than in Australia and New Zealand. 10,11 Family planning is one of the intervention tools in achieving the SDG target 3.1. 2 The use of appropriate contraceptive methods plays a major role in reducing maternal deaths.…”

“…In Nigeria, knowledge about LARC in terms of intrauterine devices (IUD) and implant shows that 36.8% of women have knowledge of IUCD and 49.5% of implants 12,13 Nigeria like most sub-Saharan African countries has a low life expectancy, high fertility rate and low contraceptive uptake. 11 Many maternal deaths are associated with unplanned pregnancies 13 with low-and middle-income countries accounting for 99% of global maternal deaths which is 14 times higher than that of high-income countries. Increasing LARC access and encouraging its use has the potential to fill this gap and reduce the unmet need for contraception, as well as, the maternal mortality rate and Unplanned pregnancy rate.…”

Knowledge, Attitudes, and Practices of Family Planning among Mothers attending Antenatal Care in Rural Uganda: Implications for Maternal Health and Population Growth

“…Family planning refers to a consideration of the number of children a person wishes to have, including a choice to have no children, at the age at which they wish to have them [1,2]. Worldwide, the maternal mortality ratio remains high, at 287 maternal deaths per 100,000 births; a large proportion of these deaths occur among young women [2,3].…”