Assessment on Utilization of Long Acting Reversible Contraceptive Methods and its Associated Factors Among Reproductive Aged Women in Selected Health Centers in Addis Ababa, Ethiopia.
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Date
2015-06
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Addis Ababa University
Abstract
Background: Globally, female sterilization is the single-most used method and alone accounts
for one-third of all contraceptive use worldwide. The IUCD is used by (22%) of all contraceptive
users and the oral pill by (14%). The use of modern contraceptive method differs significantly
between the developing and developed areas. In Ethiopia the most popular modern contraceptive
method for all women‟s are Injectables (21%).
Objective: The study was used to assess the utilization of long acting reversible contraceptive
method and its associated factors among women in reproductive age.
Study Method: Cross-sectional Facility based study was conducted from January to June /2015
among reproductive aged women. The Study was conducted in selected health centers in Addis
Ababa, Ethiopia. Multi stage cluster sampling technique was used to determine the Sample size
to be 342. A pre-test and structured questionnaire was used to collect the data and entered using
Epi data Version 3.1 and Bivariate and multivariable data analysis was performed using
Statistical Package for Social Sciences (SPSS) version 20 software to assess statistical
association.
Result: Multivariate analysis showed that study participants who had a supportive attitude
regarding LARC were 3 times more likely to use LARCM as compared with those had non-
supportive attitude (AOR=2. 7, 95% CI (1.5, 4.8) and study participants who had shifted/switch
contraceptives were 12 times more likely to use LARCM as compared with their counter parts
(AOR=12.4, 95% CI (6.6,23.6).
Conclusion: LARCMs use among modern family planning users in health centers is higher than
the LARCM use rate reported in other studies in Ethiopia still dominated by short acting method
that were Injectables. Among several factors that would affect use of long acting reversible
contraceptive methods, study participants who had supportive attitude towards LARCM and
contraceptive shifting/switching were found to be determinants of LARCMs use.
Keywords: Utilization and associated factors
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Utilization and associated factors