Assessment of Factors Influencing Utilization of Long Acting and Permanent Contraceptive Methods Among Married Women (18-49 Years) of Reproductive Age in Ambo Town, Oromia Region, Ethiopia
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Date
2014-06
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Addis Ababa University
Abstract
Background: Ethiopia is the second most populous country in Sub-Saharan Africa. TotalFertility Rate of Ethiopia is 4.8 children per women, population growth rate is estimated to be2.7% per year and contraceptive prevalence rate is only 29 % while the unmet need for familyplanning is 34%. Overall awareness of Family Planning methods is high, at 87%. The prevalenceof long acting and permanent contraceptive methods (LAPMs) in Oromia region is low (26.2%for any method) which accounts for 24.9% for modern method and 0.3% users for intra-uterinecontraceptive device (IUCD) and 0.2% for female sterilization.
Objective: To assess factors influencing utilization of long acting and permanent contraceptivemethods and associated factors among women of age group 18-49 years in Ambo town, westshoa Zone, Ethiopia.
Methods: A descriptive cross-sectional community-based study was conducted between April20- May /2014 in Ambo town of West Shoa Zone, Oromia National Regional State, and West Ethiopia. A total of 384 of married women were selected for the study with a multistage clustersampling.
Results: The study consisted of quantitative and qualitative data. From the quantitative part ofthe study the response rate of the study was 100%. Majority of the married women at Ambotown used implants from LAMPs (57%) and few of them practiced the female sterilization andvasectomy. About one third of the married women (34 %) had never practiced LAMPs and hadnegative attitude towards practicing of LAPMs. The overall prevalence of LAPMs use was65.6% however; there were few users for female sterilization (6.2%) or male sterilization (.3%)Mothers who had high income were 4 times more likely to use LAPMs as compared with thosewho had low income (AOR = 3.6, 95% CI of (1.494, 8.741). Mothers who were orthodox andwere 5 times more likely to use LAPM as compared with those who had other religion (AOR =4.715, 95% CI of (1.026, 21.67) and protestant were 8 times to others in practicing the LAMPs(AOR =8.492, 95% CI of (1.710-42.173).
Conclusion: Educational level, Religion, payment for service and media, Number of pregnancyhas statistical significance with utilization of long acting and permanent contraceptives methods.The prevalence of utilization of LAMPs for married women of Ambo town was 65.3%. Morethan half of the married women used implants which control Pregnancy for three years . Asignificant amount of the participants had low knowledge on permanent contraceptiveparticularly vasectomy. Few of married women use female sterilization and vasectomy.
Recommendations:The Health Berau of Ambo town should encourage public and private institutions to give Continuous health education on LAPMs, increase availability of LAPMs services andinformation education communication should focus on addressing the needs of long acting andpermanent contraceptive methods of married women
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Utilization Permanent Contraceptive Methods