Long acting reversible contraceptive use and associated factors among women who receive abortion service in Hawassa public health facilities, Southern Ethiopia 2020.
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Date
2020-01
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Addis Abeba University
Abstract
Background: One component of post abortion care is preventing repeat abortions by providing
family planning counseling and contraception. Provision of long-acting reversible contraceptive
methods has a higher potential to interrupt the continuous cycle between abortion and unplanned
pregnancies that result in reduction of maternal morbidity and mortality.
Objective: To assess utilization of long acting reversible contraceptive and associated factors
among women who receive abortion service in Hawassa public health facilities, southern
Ethiopia.
Methods: Facility based cross-sectional study design using quantitative method was
implemented in Hawassa public health facilities, southern Ethiopia. Three hundred ninety six
study participants were included and proportionally allocated to the two public hospitals and 4
public health centers. The data was collected by interview using pretested structured
questionnaire. Data entry was done using Epidata 3.1 version then data was cleaned and export
to SPSS for data analysis. Frequency and median were displayed through tables and words.
Bivariate and multivariable logistic regressions were used to analyze the association factors of
the dependent variable using odd ratio and 95% confidence interval. P value < 0.05 during multi
variable analysis considered as significance.
Result: A total of 396 women came to the facility for abortion services were interviewed in this
study with 96.4% of response rate. The overall utilization of long acting reversible contraceptive
was 20.5% [16.4-24.8]. Decision making by both partners on long acting reversible contraceptive
methods (AOR=3.3; 95% CI [1.56-7.09]), history of abortion (AOR=3.93; 95% CI [1.48-10.4]),
counseling on family planning after abortion procedure (AOR=3.01; 95% CI [1.43-6.33]) and
grand multiparous (AOR=6.68; 95% CI [2.28-19.5]) were associated with post abortion long
acting reversible contraceptive utilization.
Conclusion: Parity, previous abortion history, partners a companion decision making and time
of counseling had significant association with post abortion long acting reversible contraceptive
utilization. Programs that support male involvement should be supported and initiated to improve
family planning utilization among abortion women.
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Keywords
PAFP utilization, LARC, Ethiopia.