Utilization of Long Acting and Permanent Contraceptive method and Associated factors among Married Women in Adama Town, Oromia Region, Central Ethiopia: Community based Cross Sectional Study.
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Date
2014-07
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Addis Abeba University
Abstract
Background፡ About 29% of couples in Ethiopia are not using any contraceptive methods to
either space or limit childbirth. In addition long acting and permanent contraceptive method
utilization is less than five percent.
Objective: Is to assess level of utilization of long acting and permanent contraceptive methods
and associated factors among married women in Adama town.
Methodology: Community Based Cross Sectional Study complemented with Qualitative method
was conducted in four kebeles of Adama town from April15-30, 2014. Multistage sampling
technique was used to select participant for quantitative part where as purposive sampling was
used for qualitative part of the study. Quantitative data was cleaned and entered using Epi info
3.5.3 and analyzed using statistical package for social science version 20.0. Open code version
3.6.2.0 was used to code qualitative data. Factors associated with utilization of long acting and
permanent contraceptive method were identified using logistic regression model and content
analysis was done for qualitative data.
Result: Eighty seven percent of the respondents knew long acting and permanent contraceptive
and 55% had positive attitude about it. Magnitude of long acting and permanent contraceptive
method was 20.9% and the main reason for not using was fear of side effect (63.5%). Current use
long acting and permanent contraceptive method was higher among women who have high
knowledge (AOR=5.26, 95% CI=1.90-14.69) and positive attitude about the method (AOR=3.25,
95% CI=1.60-6.58). Participants need to have more children use this method less likely compared
to those did not want to have more children. Those who gave birth to 3-4 used long acting and
permanent contraceptive methods more likely than those who did not give birth. In qualitative
part, discussants have expressed their concern of side effect though they had knowledge about
this method.
Conclusion and recommendation: Current use of long acting and permanent contraceptive
method in Adama town was low. The main reason for not using was fear of side effect. Main
factors identified to affect use of this method were level of knowledge and attitude about long
acting and permanent contraceptive methods. Targeted Information Education Communication
Intervention should be intensified to improve utilization of this method.
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Keywords
Contraceptive Methods,Women