Assessment of factors affecting women’s intention to use long acting and permanent contraceptive methods among family planning clients of public health facilities in Ambo town, Oromia National Regional state, Ethiopia
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Date
2010-06
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Addis Abeba Universty
Abstract
Back ground - contraceptive prevalence in Ethiopia increased from 8.1% of women of
reproductive age group in 2000 to 14.7% in 2005, but the prevalence of long acting and
permanent contraceptive use has remained very low. There is a high unmet need for spacing
and limiting, which implies a substantial number of unwanted pregnancies that could be
avoided with the utilization of contraceptives especially long-acting and permanent methods.
Intention to use a method of contraception is an important indicator of the potential demand
for family planning services.
Objective- The objective of this study was to assess the magnitude of intention and factors
affecting women’s intention to use long acting and permanent methods among family
planning clients of public health facilities in Ambo town, West Shoa zone, Oromia National
Regional State, Ethiopia.
Methods-The study design was facility based both cross-sectional quantitative and
qualitative method. A total of 519 family planning clients were selected from the three public
health facilities by using systematic random sampling. The sample size was assigned to each
health facility proportionally to their daily client flow for the quantitative part, and 22-women
were selected purposively for the qualitative study by taking into consideration different
socio demographic factors. Data entry& data analysis was done by Epi Info version 6 soft
ware package and SPSS version 11. Bi-variate and multivariate logistic regression was
employed.
Results- The prevalence of intention to use LAPMs among clients of other modern
contraceptive methods users was about 291(56.1%). Women’s knowledge on LAPMs,
attitude on LAPMs and total number of alive children the women had were significantly
associated with the intention to use LAPMs in the future at p<0.05. The knowledge of
LAPMs in the study area was 296(57%). Among LAPMs, implant was known by 289(97.6%)
and the least known was vasectomy 78(26.4%).
Conclusion and recommendation: intention to use LAPMs depends on knowledge and
attitude on LAPMs and total number of alive children the women had. There is a desire to use
long acting and permanent contraceptive methods in the future in the area. Investment on
LAPMs in the area, improving the attitude and knowledge on LAPMs are important factors
for the improvement of uptake of long acting and permanent contraceptive methods.
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Assessment of factors affecting women’s intention