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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Addis Ababa University


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



Utilization and associated factors