Abstract
BackgroundDespite the fact that long acting family planning methods reduce population growth and improve maternal health, their utilization remains poor. Therefore, this study assessed the prevalence of long acting and permanent family planning method utilization and associated factors among women in reproductive age groups who have decided not to have more children in Gondar city, northwest Ethiopia.MethodAn institution based cross-sectional study was conducted from August to October, 2015. Three hundred seventeen women who have decided not to have more children were selected consecutively into the study. A structured and pretested questionnaire was used to collect data. Both bivariate and multi-variable logistic regressions analyses were used to identify factors associated with utilization of long acting and permanent family planning methods. The multi-variable logistic regression analysis was used to investigate factors associated with the utilization of long acting and permanent family planning methods. The Adjusted Odds Ratio (AOR) with the corresponding 95% Confidence Interval (CI) was used to show the strength of associations, and variables with a P-value of <0.05 were considered statistically significant.ResultsIn this study, the overall prevalence of long acting and permanent contraceptive (LAPCM) method utilization was 34.7% (95% CI: 29.5-39.9). According to the multi-variable logistic regression analysis, utilization of long acting and permanent contraceptive methods was significantly associated with women who had secondary school, (AOR: 2279, 95% CI: 1.17, 4.44), college, and above education (AOR: 2.91, 95% CI: 1.36, 6.24), history of previous utilization (AOR: 3.02, 95% CI: 1.69, 5.38), and information about LAPCM (AOR: 8.85, 95% CI: 2.04, 38.41).ConclusionIn this study the prevalence of long acting and permanent family planning method utilization among women who have decided not to have more children was high compared with previous studies conducted elsewhere. Advanced educational status, previous utilization of LAPCM, and information on LAPCM were significantly associated with the utilization of LAPCM. As a result, strengthening behavioral change communication channels to make information accessible is highly recommended.
Highlights
Despite the fact that long acting family planning methods reduce population growth and improve maternal health, their utilization remains poor
According to the multi-variable logistic regression analysis, utilization of long acting and permanent contraceptive methods was significantly associated with women who had secondary school, (AOR: 2279, 95% Confidence Interval (CI): 1.17, 4.44), college, and above education (AOR: 2.91, 95% CI: 1.36, 6.24), history of previous utilization (AOR: 3.02, 95% CI: 1.69, 5.38), and information about Long acting and permanent family planning method (LAPCM) (AOR: 8.85, 95% CI: 2.04, 38.41)
In this study the prevalence of long acting and permanent family planning method utilization among women who have decided not to have more children was high compared with previous studies conducted elsewhere
Summary
Despite the fact that long acting family planning methods reduce population growth and improve maternal health, their utilization remains poor. Modern contraceptive methods enhance health and well-being and reduce infant and maternal morbidity and mortality [4]. As a result, increasing the utilization of long acting and permanent family planning methods becomes a strategy for reducing maternal mortality. The proportions of women who want to limit their family size rather than postponing childbearing are rising globally, and the need for long acting and permanent family planning methods is surpassing the short acting contraceptive methods. Only one-quarter of women of reproductive age in Africa use modern methods of family planning [9, 10], especially short term contraceptive methods, such as pills and injectable [11,12,13]. Fear of social disapproval or partners’ objections, worries of side effects, health concerns [18], lack of knowledge about contraceptive options and their use were some of the formidable barriers in the utilization of long acting contraceptive methods [19]
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