The Rate of Intrauterine Contraceptive Device Use and Associated Factors Among Married Women of Reproductive Age in Mettu Rural Community, Southwest Ethiopia

Abstract

Background: Intrauterine device (IUD) is the second most commonly utilized modern family planning method in the world next to female sterilization. It is the most cost-effective, safe, long-lasting, rapidly reversible method of contraception, but only 2% of married women are using the IUD in Ethiopia. Objective: To assess the rate of IUD use and associated factors among married reproductive age women in Mettu rural community, Southwest Ethiopia. Methods: A community-based cross-sectional study was done among 501 married reproductive age women in Mettu rural district, Southwest Ethiopia from April to May 2018. Data were collected by using an interviewer-administrated questionnaire. Bivariate and multiple variable logistic regression analysis were employed. Results: Twenty-one (4.1%) women were currently using the IUD. Women’s primary education, adjusted odds ratio (AOR) 4.40 (95% C.I 1.32-14.64); secondary and above education, AOR 5.05 (95% C.I 1.11-22.01); having favorable attitudes, AOR 3.24 (95% C.I 1.06-9.89); absence of myth and misconception, AOR 3.40 (95% C.I 1.23-9. 39); having discussion about IUD with women health development army, AOR 3.11 (95% C.I 1.02-9.49); and possessing more than 2 children AOR 3.48 (95% C.I 1.31-9.27) were positively associated with IUD utilization. Conclusion: Only 1 in 25 women was using an IUD. Sociodemographic factors (education and number of children) and behavioral factors (attitudes, myths, and misconceptions) were found to be significant predictors. Scientific community should explore the local contexts of intrauterine use in different parts of Ethiopia.

Reasons for low utilization of intrauterine device utilisation amongst short term contraceptive users in Hossana town, Southern Ethiopia: a qualitative study

“…At the time of in-depth interview, misunderstanding about IUDs was not well-addressed by counseling and providing the contraceptives including IUDs by the health personals and community health workers. This finding is not surprising and supported by studies conducted elsewhere in poor resourced settings including in Pakistan [ 28 – 31 ]. The IUDs underutilization is such a public health issues of significance that requires quality counseling and follow up in order to increase utilization of IUDs [ 32 – 34 ] and to improve inequalities in women’s health.…”

“…Data were transcribed verbatim and translated into English language. The two researchers (DW and AA who speak both English and Amharic fluently) critically read and reviewed all the transcripts for accuracy and completeness and analysed the data using a thematic analysis (TA) method for identifying and analysing patterns of meaning in qualitative dataset [ 31 ]. For the TA, an initial coding structure was developed through open coding method.…”

Barriers and Enablers Influencing Women's Adoption and Continuation of Vaginally Inserted Contraceptive Methods: A Literature Review

“…2019; Teshome et al. 2020; Goswami, Yadav, and Patel 2015; Bulto, Zewdie, and Beyen 2014; Luo et al. 2018; Dereje, Engida, and Holland 2020; Asghar, Homayun, and Awan 2016; Rominski et al.…”

“…Kumar et al 2018;S. Castle et al 2019;Blumenthal et al 2016;Mahlalela and Maharaj 2015;POW PDP 2015;Coffey et al 2013;Ezegwui et al 2013;Moagi, Snyman, and Makin 2019;Sahin-Hodoglugil et al 2011;Malik et al 2014;Nigam et al 2018;Robinson et al 2016;Gambir et al 2019;Chipfuwa et al 2014;Animen, Lake, and Mekuriaw 2018;Agha 2010;Wang, Liu, and Cheng 2016;Martin et al 2016;Husain, Husain, and Izhar 2019;Enyindah, Ojule, and Bassey 2012;Kathpalia and Mustafa 2015;Huda et al 2014;Khatri et al 2019;Teshome et al 2020;Morineau 2011;Robabi et al 2016;Divakar et al 2019;Goswami, Yadav, and Patel 2015;Takele, Degu, and Yitayal 2012;Masvawure et al 2014;Puri et al 2020). For some women, this was tied to the covert use of certain methods; of the five methods included in this review, only female condoms are visible to male partners (PSI et al 2019;Sahin-Hodoglugil et al 2011).…”

Determinants of Intrauterine Contraceptive Device Discontinuation Among Women Using Family Planning, in Southwest Ethiopia: Unmatched Case–Control Study

“… 22 Furthermore, prior short-term method users, 6 lack of pre-post IUCD insertion counseling, partner disapproval, and lack of information. 23 , 24 Therefore, identifying the determinants of IUCD discontinuation has paramount importance for utilizing IUCDs as per the recommendations. Therefore, this study aims to identify the determinants of IUCD discontinuation among users in southwest Ethiopia.…”