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

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