Demand for long acting reversible contraceptive method and associated factors among married women in Sebeta Town,Oromia Regional state,Ethiopia,2018.
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Date
2019-10
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Addis Abeba University
Abstract
Background: - Demand for long acting contraceptive methods is one of the key factors for total
fertility rate and reproductive health issues. Report globally and in Africa including Ethiopia,
about 210 million women become pregnant worldwide and one-third of pregnancies ends in
miscarriage and stillbirth. Based on the reports in 2012 contraceptive use prevented 218 millions
of unplanned pregnancies in developing countries in turn, 55 millions of unplanned births, 138
millions of abortions , 25 million miscarriages and 118,000 maternal deaths.
The Sub-Sahara Africa region’s unmet need for family planning is the highest in the world (48.8
million women) and half of the married women of reproductive age (MWRA) want to space or
limit the number of children they have. However, only 2.7 million MWRA use long-acting
contraception. A comparison of results from the past EDHS surveys reveals that the largest
increase was observed in the use of short acting(from 3% to 23%),where as the increment of long
acting methods were very low(Implanon increase from1% to 8% and IUD to 2%) until 2016
Objective: The aim of this study was to assess demand for long acting reversible contraceptive
and associate factors among married women in Sebeta town, Oromia Regional State, South West
Ethiopia.
Method: A community based cross sectional study was conducted, from December 2018 –
February 2019. Multi stage sampling technique (Town-kebele-Got-House hold)was used to select
518 study participants. Pre tested structured Amharic version questionnaire was used to collect the
data through face to face interview. Data was entered in to Epi Info and analyzed by using SPSS
version 21. Bivariate and multivariate analyses were applied to identify factors associated to
demand for long acting contraceptive methods by using logistic regression model. Odds ratio with
95% CI was used to assess the association between the independent variables and demand for
long acting contraceptive methods.
Result:- The total demand for LARCs was 262 (51.1%). Of which 149(29.04%)of the
respondents, had unmet need for LARCs and 113(22.03%) of the respondents were met need.
Being merchant in occupations (AOR=2.1,95%CI=[1.14,3.45]), college and above educational
level [AOR=3.13;95%CI;8.44,11.631], women married at age greater than or equal to 18years
[AOR=2.37;95%CI;1.18,4.76], having three or four children(AOR = 10.32, 95% CI =
[2.98,59.45]), time to desire for child after two years [AOR = 4.05; 95% CI: 1.74,9.45], heard
about LARCs method in the last three months [AOR = 7.95; 95% CI: 4.41,14.36] and joint
decision maker[AOR=5.66,95% CI: 1.39,22.97]. were factors significantly associated with
demand for LARCs.
Conclusions: The study showed that more than half of respondents had demand for LARC.
Variables such as being merchants in occupation, college and above educational level, age at first
marriage, number of alive children, time to desire for child after 2 years, decision maker, and
heard about LARCs in the last three months were significantly associated with having higher
demand for LARCs.
Recommendation:- Based on this study the demand and unmet need for LARC was found high,
so it is better to increase contraceptive utilization. The government should promote education of
women beyond secondary school. Strengthening information about LARC and empowering
women to participate in decision making are very important.
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Keywords
Contraceptive method