Demand for Long Acting Contraceptive Methods and Associated Factors Among Family Planning Service Users in Public Health Centers, Addis Ababa, Ethiopia, 2017

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Addis Ababa Universty


Background: -All individuals and couples have a basic human right to decide freely and responsibly the number, spacing, and timing of their child. However, the use of FP in Ethiopia has been limited to short-acting methods due to limited access to LAFPM, commodity shortages, and lack of skilled health care providers to offer services at the community level. The prevalence of LACMs use is 13% in the world and LACM use coverage is 2%, for Sub-Saharan Africa [6] and for Ethiopia, LACM use coverage is 3.7% [7] also the prevalence of implant in 2000, 2005, 2011 and 2016 show (0, 0.3, 3, 8) respectively but still the trend show slow improvement [8]. Objective: To measure the demand for long acting contraceptive methods and associated factors among family planning service users in public health centers, Addis Ababa, Ethiopia, 2017. Methods: Cross-sectional facility based descriptive quantitative study was conducted from July 1 - August 1, 2017 in selected government HCs in Addis Ababa, Ethiopia. Multi stage sampling technique was used to select the 848 study samples. A pre-tested and structured questionnaire was used to collect the data. The data analysis was performed using Statistical Package for Social Sciences (SPSS) version 20 software. Descriptive, bivariate and multivariable logistic regression analysis was done. Odds ratio from logistic regression was used to identify their association with demand of LACMs. P-value <0.05 was considered to show statistical significance. Result: The demand for LACM was 650 (76.7%). Among demanded LACM, 305 (36%) meet need and 345 (40.7%) unmet need. The multivariate analysis showed that being married [AOR: 0.562(0.335, 0.941)], primigravida [AOR: 0.402(0.228, 0.709)], ever heard about LACM [AOR: 2.762(1.529, 4.991)], knowledge on LACM [AOR: 2.210(1.298, 3.763)], attitude [AOR: 15.755 (9.628, 25.782)], perceived good quality service at health facility [AOR: 4.219(2.781, 6.40)] were found predictors of the demand for LACM in this study. Conclusion: the demand for LACM according to this study was high and the unmet need for LACM also high. Marital status, gravidity, information on LACM, knowledge on LACM, attitude on LACM and perceived quality of health facility service affect the demand for LACM in this study. Recommendation: - Based on this study the demand and unmet need for LACM was found high so it is better to utilize the opportunity to provide the service to meet



Family Planning