Utilization of long acting Contraceptives among reproductive age women in Addis Ababa Public Health Centers.
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Date
2014-06
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Addis Abeba University
Abstract
Background: Long acting contraceptives such as intrauterine devices and hormonal implants are
among the most effective methods that prevent unintended pregnancies. Long acting
contraceptive is more convenient to clients who want to space or limit their births. Clients have
better compliance to long acting contraceptive than the short acting methods, since they do not
need to remember to use them or to visit family planning clinics frequently for method re-supply
or administration.
Objectives: To assess the utilization of long acting contraceptives among female family
planning users at public health centers in Addis Ababa.
Methods: A facility based cross sectional study that employed exit interviews with family
planning clients and an assessment of the availability of the necessary resources was conducted
in selected five public health centers, from March 11 –April 4, 2014 in Addis Ababa. Systematic
sampling technique was used to select 447 study participants .Pre tested structured Amharic
version questionnaire was used to collect the data through interview and inventory was carried
out by using checklist. Both bivariate and multiple logistic regressions were used to identify
associated factors.
Result: Of 447 female family planning users interviewed 98.9% of them were aware of long
acting contraceptive methods and 23.9% were using the methods. However, 48.3% respondents
have negative attitude towards long acting contraceptive. Facility assessment showed that in the
health centers assessed there were no shortages of resources for provision of long acting
contraceptive including equipments and supply, trained health provider and contraceptives
methods. Attitude of clients, previous use of long acting contraceptive, desire to have no children
in the future and discussion with partners about long acting contraceptives were factors
associated with long acting contraceptives use.
Conclusion and recommendation: Knowledge about long acting contraceptive is high in
contrary to the negative attitude for most respondents have towards the methods and low level of
utilization. Providing appropriate counseling on long acting contraceptive, strengthening
continuous education by model long acting contraceptive user, strengthening couple discussion
and availing printed materials on long acting contraceptive are recommended.
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Keywords
Reproductive age ,women