Utilization of Long Acting and Permanent Contraceptive Methods and Associated Factors Among Married Women of Reproductive age in Bishoftu Town, Oromia Regional State, Ethiopia

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Addis Abeba Universty


Background: The benefit of contraceptive methods has become an important factor in the life of reproductive age of women. Specially, the utilization of Long Acting and Permanent contraceptive Methods (LAPMs) is most effective methods of contraceptive available and are very safe and suitable; do not need daily initiation on the part of the users, and no need of frequent visit to service providers and hence, saves time and money for individual and the government. Objectives: To assess utilization of long acting and permanent contraceptive methods and associated factors among married women of reproductive age in Bishoftu town Methods: Community based cross-sectional study was conducted from September, 2016 among married women of reproductive age in Bishoftu town. Study Kebeles selected by lottery method. Systematic sampling used to select study households while all eligible women in the selected households recruited for the study. The minimum sample size required for the study was 419. A pre-test and structured questionnaire used to collect data from each respondent. The data field edited and entered in to EPI-Info 7 version and cleaned then exported to SPSS version 16 for analyses. Descriptive statistics such as frequency tables and percentages used to describe the study participants. In a bivariate analysis Odds Ratio (OR) and 95% Confidence Intervals calculated to see the magnitude and significance of the association between independent and the dependent variables, respectively. Multiple logistic regression analysis was conducted to determine the independent predictors of LAPMs utilization in the study area. Result: Utilization of LAPMs was 35.7%, the most common is Implant 101(25.5%), and followed by Intra Uterine Contraceptive Device (IUCD) 37(9.4%) and the least was female sterilization 3(0.8%). The result of multivariate analysis revealed that, the significant association of education of respondent on utilization of LAPMs [AOR 2.76, 95% CI (1.16, 6.55)], attitude of husband on LAPMs [AOR 2.97, 95%CI (1.58, 5.59)], discussion with service providers on use of LAPMs [AOR 5.68, 95%CI (2.06, 15.68)], and married women those who need any more additional children was found to be associated [AOR 2.01, 95%CI (1.19, 3.40)]. Conclusion: Utilization of LAPMs among contraceptive methods users in a town was 35.7% and higher than the LAPMs use rate reported other studies and Ethiopia Demographic and Health Survey (EDHS) 2014, but still lead by short acting methods that was inject-able followed by Implant and the least female sterilization.



Utilization of Long Acting and Permanent Contraceptive Methods