Intention to use long acting and Permanent Contraceptive Methods and factors affecting it among Married Women in Adigrat Town, Tigray, Ethiopia, January 2012
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Date
2012-06
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Addis Abeba Universty
Abstract
Introduction: Despite the increase in contraceptive use worldwide over the last decade, there is
still discrepancy in the need to limit birth and utilization of modern contraceptives specifically
long acting and permanent contraception methods in sub-Saharan Africa including Ethiopia.
Intention to use long acting and permanent methods of contraception is an important indicator of
the potential demand for family planning services.
Objective: To assess intention to use long acting and permanent contraceptive methods and
factors affecting it among married women in the reproductive age group in Adigrat town
Method: A quantitative cross sectional study design complemented by qualitative method was
conducted. The total 594 sample size was proportionally allocated to each of the three selected
kebeles. Systematic random sampling was used to reach at the study subjects. Structured
questionnaire and guides were used for the quantitative and qualitative method respectively. Data
was entered in to Epi Info version 3.5.1 and analyzed using Statistical Package for Social
Sciences version 16. Multivariate logistic regression was done to control effect of confounders.
Open code software was used to carry out content analysis of the qualitative data.
Result: Intention to use LAPMs was 48.4%. The main reasons for not intending to use were fear
of side effect and infertility after use. Participants perception on husbands support for LAPMs
use (AOR=0.2, 95% CI=0.09, 0.45) and LAPMs can harm the womb (AOR=0.24, 95% CI=0.14,
0.41), knowledge of LAPMs (AOR=4.7, 95% CI=1.58, 14.01) were significantly associated with
intention to use LAPMs. Desire to have birth within the next 2 years (AOR=1.9, 95% CI=1.22,
3.13), ideal desired number of children (AOR=0.7, 95% CI=0.62, 0.88), partner’s education and
participants occupation status were also significantly associated with intention.
Conclusion: The magnitude of intention to use LAPMs in the study area was low. The main
limiting factors were fear of side effect and infertility after LAPMs use, knowledge on LAPMs
and perception on partner’s support. This needs more effort from the family planning providers
and program facilitators to address misconceptions that exist about LAPMs and highlight the
benefits of LAPMs and not only women but also their spouses should be included in family
planning programs.
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Intention to use long acting and Permanent Contraceptive Methods