Long Acting Contraceptive Method Utilization and Associated Factors among Reproductive Age Women in Arba Minch Town, Ethiopia

Abstract

Background: Each year, approximately 287,000 women die from complications related to pregnancy and childbirth, with 99% of these deaths occurring in developing countries. Modern contraceptive, particularly long acting family planning methods are highly effective in reducing maternal mortality by preventing unintended or closely spaced pregnancies. This paper, therefore, aims to determine the level of utilization of long acting contraceptive methods and explore its determinants among child bearing age mothers in Arba Minch town, Gamogofa zone, Ethiopia. Method: Community based cross sectional study was conducted from May15-30 2014 among child bearing age women. Systematic random sampling technique was employed to select 358 study participants. A pre-tested and structured questionnaire was used to collect the data. Bivariate and multivariable data analysis was performed using Statistical Package for Social Sciences (SPSS) version 20 software to assess statistical association. Result: Long acting contraceptive method utilization was 13.1%. From the socioeconomic factors, educational status of the mother, having functional radio or television at home, positive attitude and higher knowledge were found to be independent predictors of long acting contraceptive methods utilization. Conclusion: Utilization of long acting contraceptive method was very low despite multi-pronged activities have been undertaken throughout the country. Thus, community based health care workers should strengthen information, education and communication to ensure that women have higher knowledge and positive attitude towards long acting contraception methods.

Utilization of Long Acting and Permanent Contraceptive Methods and Associated Factors among Married Childbearing Age Women in Bombe District, Southern Ethiopia

“…This finding supports other study conducted in Misha district, Southern Ethiopia [19]. This might be due to the fact that reproductive age women and health extension workers communication on matters pertaining to family planning and other reproductive health services has been an enabling environment for women to disclose and implement their fertility desires and contraceptive needs.…”

“…A woman considered as utilizing LAPM if she was responded "Yes" for current using of Implants, or IUCD or sterilization during the survey [19,20]. If she responded "No" for using the above mentioned methods during data collection, the study participant was considered as not utilizing LAPM.…”

Prevalence and Determinant Factors of Long Acting Contraceptive Utilization among Married Women of Reproductive Age in Adaba Town, West Arsi Zone, Oromia, Ethiopia

“…Mothers who competed grade twelve were about 4 times [AOR = 4.42, 95% CI: (1.11-17.62)] more likely to utilize long acting contraceptive methods as compared to those who had not attended formal education at all or illiterate which supports the evidence from study conducted in Arba Minch Ethiopia [30]. This can be explained by the fact that educated women have better access to health care information, have greater autonomy to make decisions and have greater ability to use quality health care services.…”

“…This community based cross-sectional study attempts to assess the prevalence and determinant factors affecting utilization of LARCM and showed that the overall prevalence of LARCs was 30.3% [21][22][23][24][25][26][27][28][29][30]. This finding is nearly in line with the evidence from a study conducted in Adigrat town (37%) however; the finding of this study was higher as compared with the study in Mekelle (12%) report of EDHS 2011 and Kenya (8.4%) [31][32][33].…”

Factors associated with utilization of long-acting and permanent contraceptive methods among women who have decided not to have more children in Gondar city

“…The finding was higher than the EDHS report [21],and those of studies done at Mekelle (12.3%) [13], Arbaminch (13.1%) [22], Debremarkos (19.5%) [23], Nekemete (20%) [24], Goba (18.1%) [11], and Jinka (7.3%) [25]. The better utilization of permanent family planning methods noted in this study compared to the studies mentioned above may be due to the fact that a large number of our participants were urban dwellers who had more access to information.…”