Abstract
BackgroundDespite the increase in contraceptive use worldwide over the last decade, there is still discrepancy in the need to limit birth and utilization of modern contraceptives specifically long acting and permanent contraceptive methods in sub-Saharan Africa including Ethiopia. Intention to use long acting and permanent methods of contraception is an important indicator of the potential demand for family planning services.ObjectiveTo assess intention to use long acting and permanent contraceptive methods (LAPMs) and identifying associated factors among currently married women in Adigrat town.MethodsA community based cross sectional study design complemented with a qualitative method was conducted in three selected Kebeles of Adigrat town. A total of 594 study subjects were interviewed. Systematic random sampling method was used to select study subjects. Quantitative data were analyzed using SPSS version 16. Open code software version 3.6.2.0 was used to facilitate coding of the qualitative data. Factors associated with intention were identified using logistic regression model and content analysis was done on the qualitative data.ResultsIntention to use LAPMs was 48.4%. Intention to use LAPMs was higher among women who knew at least one of LAPMs (AOR = 4.7, 95% CI = 1.58, 14.01) and women who do not want to have birth within the next 2 years (AOR = 1.9, 95% CI = 1.22, 3.13). Intention to use LAMPs was less among women who perceive poor support from their husbands (AOR = 0.2, 95% CI = 0.09, 0.45) and those who perceive LAPMs are harmful for the womb (AOR = 0.24, 95% CI = 0.14, 0.41). Similarly, participants in the focus group discussion have expressed their concern on the return of fertility after using implants or IUCD as well as insertion and removal procedures.ConclusionsThe magnitude of intention to use LAPMs in the study area was low. The main limiting factors were fear of side effect, infertility after LAPMs use, knowledge on LAPMs and perception on partner’s support of LAPMs use. To further promote the use of LAPMs addressing associated misconceptions through effective communication strategies and involving spouses in family planning programs is essential.
Highlights
Despite the increase in contraceptive use worldwide over the last decade, there is still discrepancy in the need to limit birth and utilization of modern contraceptives long acting and permanent contraceptive methods in sub-Saharan Africa including Ethiopia
About one quarter of the participants have less than 600 Ethiopian birr (ETB) monthly family income
Other factors which were significantly associated with intention to use Long acting and permanent contraception methods (LAPMs) were knowledge of any of LAPMs, partner’s educational level, participants working status, women’s desire to have additional children within the two years or soon, and ideal number of children wanted to have
Summary
Despite the increase in contraceptive use worldwide over the last decade, there is still discrepancy in the need to limit birth and utilization of modern contraceptives long acting and permanent contraceptive methods in sub-Saharan Africa including Ethiopia. Long acting and permanent contraception methods (LAPMs) are convenient for users and effectively prevent pregnancy and cost effective for programs overtime. They can result in substantial cost savings for couples, governments, and contribute directly to reaching national and international health goals by providing long lasting contraceptive protection [1]. 25% of women and couples in sub-Saharan Africa (SSA) who want to space or limit their births are not using any type of contraception [3]. Many potential clients in SSA lack information or have misconceptions about LAPMs [4,5]
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