Factors associated with long acting and permanent contraceptive methods use in Ethiopia

Gedefaw Abeje Fekadu,Akinyinka O Omigbodun,Alemayehu Worku Yalew,Olumuyiwa A Roberts

doi:10.1186/s40834-019-0091-3

Abstract

BackgroundLong acting and permanent contraceptives methods are more effective, save cost and enable women to control their reproductive lives better. Although the Ethiopian government is promoting its use through various mechanisms, the level of use is low. Therefore, this study was designed to identify factors associated with long acting and permanent contraceptive methods use in Ethiopia.MethodsFour Ethiopian demographic and health survey data were used to examine trends of long acting and permanent contraceptive methods use. To identify factors associated with long acting and permanent contraceptive methods use, the 2016 Ethiopian demographic and health survey data was used. The data was accessed from the demographic and health survey program data base. Data analysis was done using Stata 15.1. Descriptive analysis was used to describe socio-economic and other variables of the study participants. Data were weighted and design effect was considered during analysis. Multicollinearity was assessed using variance inflation factor. Finally, multinomial logistic regression model was used to identify factors associated with long acting and permanent contraceptive methods use.ResultsLong acting and permanent contraceptive methods use increased significantly from 0.6% in 2000 to 11.6% in 2016. The odds of long acting and permanent contraceptive methods use was higher among richer women (AOR 2.6; 95%CI 1.2–5.4), women who were sales workers (AOR 2.1; 95%CI 1.1–3.9) and women whose ideal number of children was high (AOR; 4.2, 95%CI 1.4–13.0). But the odds of long acting and permanent contraceptive methods use was lower among female headed households (AOR 0.2: 95%CI 0.1–0.5) and women who had history of abortion (AOR 0.2: 95%CI 0.1–0.5).ConclusionLong acting and permanent contraceptive methods use increased significantly in Ethiopia. Wealth index, women’s occupation, ideal number of children, sex of head of the household and history of abortion were factors associated with long acting and permanent contraceptive methods use in Ethiopia. Improving economic status of women may help improve long acting and permanent contraceptive methods use in Ethiopia.

Highlights

Long acting and permanent contraceptives methods are more effective, save cost and enable women to control their reproductive lives better
Data To identify factors associated with long acting and permanent contraceptive method use, the 2016 Ethiopian demographic and health survey (EDHS) data was used
8734 married reproductive age women were included to identify factors associated with long acting and permanent contraceptive methods use

Summary

Introduction

Long acting and permanent contraceptives methods are more effective, save cost and enable women to control their reproductive lives better. About 50% of women in developing regions of the world want to avoid pregnancy but only three quarters could do so. This causes unintended pregnancies [1]. Long acting and permanent methods (LAPMs) are better options to reduce unintended pregnancies because these methods are more effective, save cost and enable women to control their reproductive lives better [4,5,6]. Use of long acting and permanent contraceptive methods can significantly increase contraceptive prevalence rate in countries with low contraceptive coverage [7]. A projection in SSA countries indicated that more than1.8 million unintended pregnancies would had been averted within 5 yrs period if 20% of women using oral contraceptives and injectable shift to implant [9]

Methods

Results

Discussion

Conclusion