Uptake of long-acting reversible contraceptive devices in Western region of the Gambia

Abstract

Background: The contraceptive method has become an essential factor in the life of most women of reproductive age group; although it varies in different stages of their life course. The use of long acting reversible methods (LARC) is proposed as a strategy to reverse undesirable maternal health consequences in developing countries. Objective: To determine the uptake of long-acting reversible contraceptive in The Gambia. Methods: A community based cross-sectional study of women attending family planning clinic were studied using intervieweradministered questionnaire which included information on socio-demographic factors, reproductive health and contraceptive use of the participants. Results: About 89 % of study participants used long acting reversible contraceptive methods. Of the three commonly available long acting reversible contraceptive methods, Depo Provera was the most commonly used method; 78 of 141 (55.32%); followed by implants (43.3%) and intrauterine contraceptive (1.42%). Being housewives, with 3-4 living children and having secondary level education were associated with high uptake of LARC. Conclusion:The uptake of long acting reversible contraceptive was high; with Depo Provera as the most commonly used contraceptive method in The Gambia. There seemed to be an increase in the uptake of implants; with intrauterine contraceptive device being the least commonly used method.

Uptake of long-acting reversible contraception in federal medical centre, Asaba: A three year review

“…The uptake of LARC in this study was 72.6%. This was similar to the rate reported by Dassah et al in Kumasi Ghana (70%) and ACOG among American women of 75% [4,9] but lower than the rate obtained in Enugu (90.2%) [10] and Gambia (88.7%) [11] . It was however higher than the reported rates of 26% in Malawi [12] , 38.7% in Kaduna [13] , 10.6% in Nnewi [14] , and that of the 2013 Nigerian health and demographic survey [1] .…”

Community health worker promotions increase uptake of long-acting reversible contraception in Rwanda

“…Almost half of women who selected the IUD had a secondary education or higher, while 71% of implant users had no or only primary education. Most studies have found that higher education is associated with LARC uptake [37, 38], but these studies have not compared demographic differences in IUD versus implant uptake. It is possible that less educated women are still exposed to and aware of the hormonal implant simply because it is a more well-known method, but that only women with higher education are receiving information about the IUD.…”

Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis

“…Huda et al also mentioned OCP as the first choice, followed by contraceptive injections after reviewing ten FP articles of Bangladesh related to contraceptive practices among married women of reproductive age [ 26 ]. In some places in Africa [ 27 ], after having a child long-acting reversible contraceptive (LARC) was found at the highest rate in contraceptive use. Use of condom as contraceptive was less than 5% in rural community that showed minimum male participation in fertility control and it was also matched with the findings of BDHS [ 8 ].…”