Utilization of Long-Acting Reversible Contraceptive (LARC) Methods in a tertiary hospital in southwestern Nigeria: A Mixed Methods Study

Aduloju, Olusola Peter; Akintayo, Akinyemi A.; Adefisan, Adeyemi Sunday; Aduloju, Tolulope

doi:10.1007/s13224-020-01386-6

Cited by 8 publications

(14 citation statements)

References 22 publications

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“…Study conducted at Kampala district, Uganda among women of reproductive age revealed the prevalence of LARC was 31.7% which was similar to our ndings while study conducted in Nigeria tertiary hospital showed the prevalence of LARC users were 65.6% from which 75% used implanon which was far from our result and the difference might be the study conducted at tertiary hospital and the overall prevalence of usage of modern contraceptives in the country .In our review we found that having good knowledge, positive attitude and previous use of LARC has been associated with use of LARC over the past ve years. Study conducted in Nigeria (39)showed previous use of LARC, positive attitude and good knowledge signi cantly associated with use of LARC. Different studies conducted in Kenya (40),Nepal (41), Pakistan (42) showed previous use of LARCs, good knowledge and positive attitude associated with use of LARC among women of reproductive age…”

Section: Discussionmentioning

confidence: 90%

Prevalence of long-acting reversible contraceptive uses and predictors among Ethiopian women over the past five years. A systematic review and meta-analysis

Dube

Yilma

Chelkeba

2022

Preprint

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Objective LARCs are a type of long-acting reversible contraception that is both safe and cost-effective for women. The aim of this review was to determine the pooled prevalence of LARC users and associated factors among Ethiopian women over the last five years. Study design : We searched Pub Med, Scopus, Science Direct, Web of Science, and Google Scholar on data published between 2017 to February 2021. The I2 index was used to measure heterogeneity between studies and subgroup analysis and leave one sensitivity analysis to determine possible causes of heterogeneity Results Among 440 studies identified, 75 were selected for a full review, and 27 met the inclusion criteria. Long-acting reversible contraceptives (LACs) users were detected in 3,588 of the 12,741 women studied, yielding a 29% overall prevalence (95% CI: 13-20%). Previous use of LARC was associated with being four times (P=0.001, 95% CI 2.55-4.57) more likely to use LARCs, women with a positive attitude towards birth control (P=0.001, 95% CI 1.5-2.3), and good knowledge (p=0.001, 95% CI 1.16-1.98) were two times more likely to use LARC. Conclusion prevalence of LARC was low among Ethiopian women, and knowledge, attitude, and previous use of LARC affects its prevalence

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Section: Discussionmentioning

confidence: 90%

Prevalence of long-acting reversible contraceptive uses and predictors among Ethiopian women over the past five years. A systematic review and meta-analysis

Dube

Yilma

Chelkeba

2022

Preprint

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“…Facility based cross sectional studies done in Kenya, Nigeria, Adaba Town, West Arsi Zone show that, Governmental Health Institutions of Gondar City, Gondar city Administration women educational level was positive signi cant association with LACMs [24,25,34,37,41]. But other studies conducted in Nigeria, Ethiopia ,show that how that women education was negatively associated with LACMs use [28,38].Another study Chinese survey ,show that emphasized the need for education and training Health care providers (HCPs) about the guidelines for contraceptive use to improve their knowledge and overcome misconceptions [42].…”

Section: Proportion Of Long-acting Contraceptivementioning

confidence: 89%

“…A facility-based studies done in Kenya, Bahir Dar city public health facility, Addis Ababa public health centers, Arsi Negele town, Gondar city, show that women who want additional children was positively associated with LACMS use [6,24,31,35,41]. But studies conducted in Nigeria, Nigeria 2019, ethiopia, show that women who children were negatively associated with LACMS use [25,28,38].Additionally, institutional base cross sectional studies conducted in East Gojjam Zone, Northwest Ethiopia, show that desire to have children among female health care providers positive signi cant association with LACMs use [19].…”

Section: Reproductive Factormentioning

confidence: 99%

“…Furthermore, A cross sectional studies done in Kenya, Nigeria, Uganda, and urban Ghana, show that, LARC methods use was 20.6% 14.8% 31.7%,71% and respectively [24][25][26][27]. Another mixed study conducted in Nigeria, show that LARC methods utilization was 65.6% [28].…”

Section: Proportion Of Long-acting Contraceptivementioning

confidence: 99%

“…A facility-based a cross sectional studies in Uganda, Nigeria, Bahir Dar City Public Health Facility, Governmental Health Institutions of Gondar City Administration, Gondar city, show that women who had knowledge positively associated with LACMS use [6,26,28,37,41]. But, other study done in Nigeria, show that Knowledge was negatively associated with LACMS use [25].A community based cross-sectional studies done in Adigrat town, Tigray, Mekelle town, Tigray region, Adama Town, Ethiopia shows that women who have knowledge was positively associated with intention to use LACPM use [5,39,40].…”

Section: Individual Factormentioning

confidence: 99%

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Utilization of Long –Acting Contraceptive Methods and Associated Factor Among Female Health Care Providers in South Wollo Zone Hospitals, North East, Ethiopia.

seid

Yimer

Seid

et al. 2022

Preprint

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Back ground: - Long-acting contraception method utilization was found low (22.7%) among female health care providers. However, as far as my literature search no study was done on long-acting contraception methods utilization among female health providers in the study area. These studies failed to include important variable like socio demography and individual factor which might affect the use of long-acting contraceptive methods female health providers and limited studies in Ethiopia. Objective: - To assessing utilization of long -acting contraceptive methods and associated factors among health care providers in south wollo zone public hospitals, Amhara region, Ethiopia 2021.Methods: -An Institutional-based cross- sectional was conducted among 354 female health care workers in south wollo zone hospitals, from March to April 22, 2021. The participants were selected using Systematic random sampling technique. Data were collected by using self-administered questionnaire. The data were entered Epi-data version 4.1 and export to SPSS versions 25 for analysis. Bivariable and multivariable logistic regression analysis were performed. The Adjusted odds Ratio (AOR) along with a 95% confidence interval (CI) was estimated to measure the association and level of significance was declared at a P- value of less than 0.05.Result: -The current utilization of long-acting contraceptive methods among female health care providers was found to be 33.6% [95%, CI 29-39)], discuss with partner [AOR= 2.277,95% CI, (1.026-5.055)], method shift/switched [AOR=4.302,95% CI, (2.285-8.102)], knowledge of respondent [AOR= 1.887,95% CI, (1.020-3.491)], ever birth [AOR=15.670,95% CI, (5.065-48.49)] were significant factors towards the utilization of long-acting contraceptive methods. Conclusion and recommendation: -The current utilization of long-acting contraceptive methods was found low. Discus with partner, methods shift/switching, ever birth and knowledge of respondents were identified as significant factor. Therefore, encouraging partner discussion targeted Information Education Communication Intervention should be intensified to improve long-acting contraceptive methods utilization.

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Permanent, long-acting and short-acting reversible contraceptive methods use among women in Bangladesh: an analysis of Bangladesh Demographic and Health Survey 2017–2018 data

Sharif,

Hasan,

Naziat

et al. 2023

BMJ Open

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ObjectivesThis study aims to explore the factors associated with the permanent and long-acting reversible contraceptive (LARC) method use compared with short-acting reversible contraceptive (SARC) methods among Bangladeshi ever-married women aged 15−49 years.DesignCross-sectional study.SettingWe used data from Bangladesh Demographic Health Survey (BDHS) 2017–2018.ParticipantsA total of 9669 Bangladeshi reproductive-aged women who gave information on contraception use were the study participants. A multilevel multinomial logistic regression model was employed where the SARC method was considered as the base category and the cluster was considered as level-2 factor.ResultsAmong the contraceptive users in Bangladeshi women, about 83.48% used the SARC method, while 11.34%, and 5.18% used permanent and LARC methods, respectively. Compared with SARC, women with no formal education and only primary education who were non-Muslims, and had parity of ≥3 had a higher likelihood of using both permanent and LARC methods. Women from the age group of 25–34 years (adjusted relative risk ratio (aRRR): 7.03, 95% CI: 4.17 to 11.85) and 35–49 years (aRRR: 12.53, 95% CI: 7.27 to 21.58) who were employed (aRRR: 1.19, 95% CI: 1.00 to 1.40), had media access (aRRR: 1.24, 95% CI: 1.03 to 1.49), gave birth in last 5 years (aRRR: 1.40, 95% CI: 1.11 to 1.76), whose contraception decision solely made by their husband (aRRR: 7.03, 95% CI: 5.15 to 9.60) and having high decision-making power (aRRR: 2.12, 95% CI: 1.62 to 2.77) were more likely to use permanent contraceptive methods. We observed that women from households with richer (aRRR: 0.65, 95% CI: 0.45 to 0.93) and richest (aRRR: 0.38, 95% CI: 0.23 to 0.63) wealth quintiles were less likely to use LARC methods.ConclusionsThis study identified that women with no/less education, non-Muslims, and having parity of ≥3 were more likely to use both permanent and LARC methods than SARC methods. Targeted interventions could be developed and implemented to promote personalised contraceptive use.

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Utilization of Long-Acting Reversible Contraceptive (LARC) Methods in a tertiary hospital in southwestern Nigeria: A Mixed Methods Study

Cited by 8 publications

References 22 publications

Prevalence of long-acting reversible contraceptive uses and predictors among Ethiopian women over the past five years. A systematic review and meta-analysis

Prevalence of long-acting reversible contraceptive uses and predictors among Ethiopian women over the past five years. A systematic review and meta-analysis

Utilization of Long –Acting Contraceptive Methods and Associated Factor Among Female Health Care Providers in South Wollo Zone Hospitals, North East, Ethiopia.

Permanent, long-acting and short-acting reversible contraceptive methods use among women in Bangladesh: an analysis of Bangladesh Demographic and Health Survey 2017–2018 data

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