Abstract
BackgroundAccording to available evidence, one in three married women in Ethiopia tends to avoid multiple children. On the other hand, women using Long Acting and Permanent Contraceptive Methods (LAPMs) are just 5 %. So, we aimed at identifying the factors associated with the utilization of LAPMs.MethodsWe conducted a community based unmatched case control study among married women living in the rural areas of North Shoa zone, Ethiopia, in March 2015. The cases were married women using LAPMs, while controls were married women who were using modern short term methods. We recruited a total sample of 406 married women for this study on a 1:1 case to control ratio basis. We collected the data through interview using a pre tested questionnaire, and then a logistic regression model was fitted to the data to examine factors associated with the utilization of LAPMs. Adjusted Odds Ratio (AOR) with the corresponding 95% confidence interval was computed.ResultsIn our study, women whose husbands were daily laborers [AOR; 95% CI: 4.4(1.23,15.72)], who had $85–$140 monthly household income [AOR; 95% CI: 1.8(1.10,3.14)], and who were aged less than 20 years and below when they gave the first birth [AOR; 95% CI: 1.78, 4.90) were more likely to use LAPMs compared to women whose husbands were government employees, who had less than $85 monthly household income, and who were aged 20 years and above when they gave first child.ConclusionWe found that husbands’ characteristics were more important than their wives characteristics in influencing women’s utilization of LAPMs though such husband characteristics considered in this study were few in number. So, we recommend further research to examine the different characteristics of husbands responsible for women’s utilization of LAPMs.
Highlights
According to available evidence, one in three married women in Ethiopia tends to avoid multiple children
There is a rapid fall in the average number of children per woman in such developing countries, as China, India, Indonesia, Iran, Brazil, and South Africa, while rapid growth is expected to continue over the few decades in countries with high levels of fertility such as Nigeria, Niger, the Democratic Republic of Congo, Ethiopia, Uganda, Afghanistan, and
Study design and setting We conducted a community based unmatched case control study to identify factors associated with Long Acting and Permanent Contraceptive Methods (LAPMs) utilization among married women in Basona Worana district, North Shoa zone, Ethiopia
Summary
One in three married women in Ethiopia tends to avoid multiple children. We aimed at identifying the factors associated with the utilization of LAPMs. Population is still growing rapidly in some developing countries, especially in Africa it has slowed down in the rest of the world. There is a rapid fall in the average number of children per woman in such developing countries, as China, India, Indonesia, Iran, Brazil, and South Africa, while rapid growth is expected to continue over the few decades in countries with high levels of fertility such as Nigeria, Niger, the Democratic Republic of Congo, Ethiopia, Uganda, Afghanistan, and. High fertility affects the well-being of mothers and their children, increasing maternal morbidity and mortality [4].
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call