Factors Affecting Knowledge, Attitude and Intention to Use Long Acting and Permanent Contraceptive Methods among Ante Natal Care Clients in Yeka Health Centers, Addis Ababa, Ethiopia
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Date
2019-06
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Addis Ababa University
Abstract
Background: Family planning is voluntary use of natural or modern contraceptive by individual
or couples. There are modern family planning methods, which are divided in to three: long acting
reversible contraceptive methods (IUCD and Implants) when removed, return to fertility is
prompt; permanent contraceptive methods (Tubal ligation for females and vasectomy for male)
and short-term contraceptive methods (oral pills, injectable, male and female condoms, foam
tablet, cervical cup and emergency contraceptive.
Objective: The objective of the study is to assess factors affecting knowledge, attitude and
intention to use long actingand permanent contraceptive methods among ANC attendants in
woreda 12 and Kotebe 02 health centers, Addis Ababa Ethiopia.
Methods: Institutional analytical cross-sectional study design that used mixed(quantitative and
qualitative) data collection methods were used. 352 respondents were selected systematically
from the daily clinic attendance.Descriptive statistics and binary logistic regression analysis were
used to determine the effect of factor(s) on the outcome variables separately.
Results: The finding on level of knowledge that 326 (92.6%) had high level of knowledge.
241(68.5%) of women had positive attitude towards Implant and 190(54%) towards Loop. Out of
the total respondents majorities of them 238 (67.6%) have intention to use LAPMs.The final
result in the analysis of this study confirmed that age of women, religion, educational status of
women, women‟s occupation, duration of stay in Addis, main source of information on
contraceptives, previous use of modern contraceptives and, attitude towards implant were
significantly associated with intention to use long acting and permanent family planning
methods.
Conclusion and Recommendations:Finally the major finding in this research from both quantitative
and qualitative methods is that appropriate information from health professionals should be accessible to
women and husband‟s in order to affect positive attitude towards and intention to use long acting
methods. The main target groups to be considered should be those with lower education,
unemployed/house wives and older(above 30) women who were found to show in greater proportion
negative attitude towards long acting methods and lower intention to use the same due to misconception.
Strengthening the training for health professionals.