Prevalence and Determinant Factors of Long Acting Contraceptive Utilization among Married Women of Reproductive Age in Adaba Town, West Arsi Zone, Oromia, Ethiopia
Abstract:Background: Ethiopia is the second most populous country in Africa. Total Fertility Rate of Ethiopia is 4.6 children per women, population growth rate is estimated to be 2.7% per year and contraceptive prevalence rate is only 29% while the unmet need for family planning is 34%. The prevalence of long acting contraceptive methods (LACMs) is very low.
“…As women's education level increases, the preference of long term contraceptive method increases among married women. This agrees with studies done in Adaba, Western Ethiopia and Durame [19,20,26]. The possible explanation could be that better educated women would likely have access for information on modern contraceptive methods and their increased knowledge on modern contraceptives.…”
Section: Discussionsupporting
confidence: 90%
“…It was observed that there was increasing trend on the preference of long term contraceptive methods with increment of age category as compared to age category of 15-24. This is similar with a study conducted in Adaba town and at national level [19,25]. The educational status of women was also found to be an important predictor of long term contraceptive method preference.…”
Section: Discussionsupporting
confidence: 90%
“…Regarding preference of modern contraceptive methods, among 573 modern contraceptive users, 426 (74.3%) women were preferred short term methods, whereas about 147 (25.7%) women were long term users like injectable, implant and intrauterine devices users. This finding is nearly in line with the evidence from a study conducted on long-Acting reversible contraceptive methods (LARM) among married women of reproductive age group in Adaba town (30.3%) and Western Ethiopia (20%) [19,20]. However, the finding of this study was higher as compared with the study in Mekelle (12%), report of EDHS 2011 and national based estimates 6.1% of women use LARM as reported in Ethiopia mini DHS, (2014) [21][22][23] and lower as compared to the results of the study conducted in Adigrat town (37%) [24].…”
Ethiopia is one of the sub-Saharan African countries with alarming population growth rate and high total fertility rate. To reduce high population growth and high fertility, the usage of modern contraceptive methods which classified as short term and long term methods is crucial among women. Despite widespread adoption of family planning in the developing world, the usage of modern contraceptive methods and preference of long term method is still relatively very low in sub-Saharan Africa including Ethiopia. Hence, the general objective of this study was assessing the prevalence of modern contraceptive methods and identifying the potential factors influencing the preferences of long term contraceptive methods among married women of reproductive age in Arba Minch town. Community based cross sectional study design was employed. A single stage simple random sampling was used as sampling technique and sample of 990 women was determined using a formula for estimation of single population proportion. Descriptive analysis was employed to estimate the prevalence and potential predictors were selected by using chi-square test of association between preference of the modern contraceptive methods and predictors. Those predictors that showed p-value less than or equal to 0.25 were taken to binary logistic regression analysis to identify the determinants. From a descriptive analysis, out of 990 sampled married women about 57.9% (573) were modern contraception methods users. Among these 573 modern contraceptive method users, 147 (27.73%) were long term methods users, like injectable, implant and intrauterine devices. From binary logistic regression analysis, age of the respondent, religion of women, number of children in a family, education level of women, desire for more child, experience on modern contraceptive use, frequency of watching television, availability of service in nearby place and service provider were found to be statistically significant predictors of preference of long term contraceptive methods among married women of reproductive age in Arba Minch town.
“…As women's education level increases, the preference of long term contraceptive method increases among married women. This agrees with studies done in Adaba, Western Ethiopia and Durame [19,20,26]. The possible explanation could be that better educated women would likely have access for information on modern contraceptive methods and their increased knowledge on modern contraceptives.…”
Section: Discussionsupporting
confidence: 90%
“…It was observed that there was increasing trend on the preference of long term contraceptive methods with increment of age category as compared to age category of 15-24. This is similar with a study conducted in Adaba town and at national level [19,25]. The educational status of women was also found to be an important predictor of long term contraceptive method preference.…”
Section: Discussionsupporting
confidence: 90%
“…Regarding preference of modern contraceptive methods, among 573 modern contraceptive users, 426 (74.3%) women were preferred short term methods, whereas about 147 (25.7%) women were long term users like injectable, implant and intrauterine devices users. This finding is nearly in line with the evidence from a study conducted on long-Acting reversible contraceptive methods (LARM) among married women of reproductive age group in Adaba town (30.3%) and Western Ethiopia (20%) [19,20]. However, the finding of this study was higher as compared with the study in Mekelle (12%), report of EDHS 2011 and national based estimates 6.1% of women use LARM as reported in Ethiopia mini DHS, (2014) [21][22][23] and lower as compared to the results of the study conducted in Adigrat town (37%) [24].…”
Ethiopia is one of the sub-Saharan African countries with alarming population growth rate and high total fertility rate. To reduce high population growth and high fertility, the usage of modern contraceptive methods which classified as short term and long term methods is crucial among women. Despite widespread adoption of family planning in the developing world, the usage of modern contraceptive methods and preference of long term method is still relatively very low in sub-Saharan Africa including Ethiopia. Hence, the general objective of this study was assessing the prevalence of modern contraceptive methods and identifying the potential factors influencing the preferences of long term contraceptive methods among married women of reproductive age in Arba Minch town. Community based cross sectional study design was employed. A single stage simple random sampling was used as sampling technique and sample of 990 women was determined using a formula for estimation of single population proportion. Descriptive analysis was employed to estimate the prevalence and potential predictors were selected by using chi-square test of association between preference of the modern contraceptive methods and predictors. Those predictors that showed p-value less than or equal to 0.25 were taken to binary logistic regression analysis to identify the determinants. From a descriptive analysis, out of 990 sampled married women about 57.9% (573) were modern contraception methods users. Among these 573 modern contraceptive method users, 147 (27.73%) were long term methods users, like injectable, implant and intrauterine devices. From binary logistic regression analysis, age of the respondent, religion of women, number of children in a family, education level of women, desire for more child, experience on modern contraceptive use, frequency of watching television, availability of service in nearby place and service provider were found to be statistically significant predictors of preference of long term contraceptive methods among married women of reproductive age in Arba Minch town.
“…In this study, merchants by occupation more likely to utilized LTFP methods than their counter parts. Occupation of the women was associated to FP utilization in different studies conducted in Ethiopia [15, 25–27]. Monthly income of the household was positively associated with LTFP utilization.…”
ObjectiveThis health institution based cross section study was designed to determine factors associated with utilization of long term family planning methods among women reproductive age attending Bahir Dar health facilities.ResultA total of 406 women were interviewed in this study. The mean age (standard deviation) of the study participants was 26.96 ± 6.31. About 99% of the study participants were consisted from Amhara ethnic group and 60.6% of them urban dwellers. In this study about 90.9% of the study participants had information about LTFP methods and 26.4% of them utilizing the methods. Factors like; knowledge of the women towards LTFP, spousal discussion on FP and occupation of the women affects LTFP utilization (6 times, 3 times and 4 times, respectively) when compared with their counter parts. In addition monthly income of the household was also associated to LTFP methods. In this study less percentage (26.4%) of women’s utilizing LTFP methods that were significantly associated with the knowledge of women on LTFP, spousal discussion on FP, occupation of the women and monthly income of the household. As result continuous health education will be recommended.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-4031-0) contains supplementary material, which is available to authorized users.
“…Among these only 9.2% use LARC (7.7%-Implants & 1.5%-IUD). Different studies conducted in different parts of Ethiopia also indicated lower prevalence of LARC use [6][7][8][9][10][11][12][13]. Utilization of LARC was found to have significant association with women's sociodemographic and reproductive characteristics.…”
Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women. Methods: Facility based cross sectional study was conducted from July 23-Aug 25, 2018. Systematic random sampling technique was employed to recruit a total of 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using LARC was fear of side effect and false information. Previous use of LARC (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: the utilization of LARC among postpartum women was found to be high in this study. Increase women’s access to realistic information on LARC, mainly on IUCD, both at community and health institution level need to be emphasized to enhance its uptake.
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