Utilization of Long-Acting Reversible Contraceptives and Associated Factors Among Reproductive Age Women Attending Governmental Health Institutions for Family Planning Services in Wondo Genet District, Sidama, National Regional State, Southern Ethiopia

Abstract

Background: Utilization of family planning services improves women’s reproductive health outcomes. Long-acting reversible contraceptive (LARCs) methods, in particular, prevent unwanted pregnancy and significantly reduce maternal mortality and morbidity. In Ethiopia utilization of LARCs was very low. Therefore, this study was aimed at assessing the utilization of LARCs and associated factors among reproductive-age women in Wondo Genet District, Southern Ethiopia. Method: Institution based cross-sectional study was conducted from 15 May to 15 August 2020 among reproductive-age women. A systematic sampling method was applied to recruit 376 women and the sample size was allocated to health centers proportionally. Data collection was conducted by trained collectors using pretested and structured questionnaires. Data coded and entered into EPI Info 7 and the analysis was done using SPSS version 25. Binary and multiple logistic regression analyses were done. Statistical significance was declared with P < 0.05. Result: The utilization of LARCs was 37.8% (95% CI: 32.9-42.7). The multivariable analysis showed that odds of the utilization of LARCs were increased among reproductive-aged ≥25 years (Adjusted odds ratio (AOR) = 2.21, 95% CI: 1.04, 4.41), gave birth to ≥3 live births (AOR = 2.2, 95% CI: 1.2, 4.04), employed (AOR = 1.92, 95% CI: 1.17, 3.14), earned high monthly income (AOR = 2.02, 95% CI: 1.25, 3.26) and discussed contraceptive methods with their husbands (AOR = 2.87, CI: 1.68, 4.89]. Conclusions: Utilization of LARCs was low. The odds of the utilization of LARCs were increased in women aged ≥25 years, gave birth to 3 or more children, earned high monthly income, and discussed with their husbands about contraception methods.

Long acting reversible contraceptive utilization and its associated factors among modern contraceptive users in high fertility sub-Saharan Africa countries: a multi-level analysis of recent demographic and health surveys

“…Women who have one to two, three to four, and five and above living children had 2.35, 2.98, and 2.82 times higher odds of LARC utilization respectively, as compared to women who have no living children. This finding is consistent with a study conducted in Ethiopia [46,47] Uganda [48], Nigeria [49], Malawi [50], Ghana [51]. The possible reasons might be explained as those women who might have already attained their plan of fertility could use LARCs up to reaching menopause or need to space or limit births may choose effective long acting contraceptive methods from the available options.…”

Long-acting reversible contraceptives use among adolescent girls and young women in high fertility countries in sub-Saharan Africa

“…The result is lower than that of a study of sexually active women from 26 countries in SSA, which found that 21.73% of them use LARCs [ 12 ]. The rise in the use of LARCs could be attributed to enhanced community mobilisation and understanding of LARCs among women, as well as variations in study time, location, and socio-demographic backgrounds [ 31 , 32 ].…”

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

“…The average age of study participants was ranged from 25 (33) to 36(37) years old, with a range of 15-49 years (17,19). Six studies were done in the Oromia region (12,19,23,24,29,31), nine studies in the Amhara region (13-15, 17, 20, 21, 26, 35, 37)and nine studies in SNNP region (16,18,19,22,27,28,33,34,36), and one study each in the Afar region (11), Harari region (30) ,and Addis Ababa city administration (32). Sample size of included studies ranges from 262 (27) to 731(36) and prevalence of LARC users among Ethiopian women over the last ve years ranges from 12.6%(21) to 53.2% (12).…”