Abstract
BackgroundMany countries continue to have high fertility rates and most of the predicted increase in the world’s population until 2100 comes from these countries. Among family planning methods, Long Acting and Permanent Methods are convenient for users and effectively prevent pregnancy. The objective of this study was to assess factors associated with unmet need of Long Acting and Permanent Methods of contraception among women in the reproductive age group (15-49) using contraception in health facilities of Shashemene town, Oromia Region, Ethiopia.MethodsFacility based cross sectional quantitative study and stratified sampling technique was used. Total of 382 females in reproductive age group were enrolled in the study in January 2012. Pretested, structured and close-ended questionnaire was used to interview study participants. Collected data was entered by using EPI Info 17 and analyzed by SPSS version 20 statistical software.ResultsUtilization of Long Acting and Permanent Methods (LAPMs) of contraception in Shashemene town was found to be 28.4 % (104/366). From study participants, 71.6 % (262/366) used short acting methods and from these current short acting users, 127(41.5 %) desired to use LAPMs and unmet need of LAPMs was 122(33.3 %). Factors significantly associated with unmet need of LAMPs of contraception were: Education of women (< secondary level) AOR [3.8, 95 % CI: 2.9, 7.6; P < 0.001]; lack of discussion between partners AOR [2.9, 95 % CI: 1.8, 9.6; P = 0.01]; lack of proper counseling for women AOR [5.3, 95 % CI: 1.7, 11.2; P = 0.04]; and women’s occupation as a housewife AOR [4.7, 95 % CI: 3.1, 11.3; P = 0.02].ConclusionUnmet need of LAPMs of contraception in health facilities in Shashemene town was high. Women education, partner discussion and proper client counseling were found the main factors associated women LAPMs utilization.
Highlights
Many countries continue to have high fertility rates and most of the predicted increase in the world’s population until 2100 comes from these countries
This study intended to assess the extent of unmet need for Long Acting and Permanent Methods (LAPMs) and contribute factors associated with unmet need of LAPMs of Family Planning (FP) services in Shashemene town
Facility based cross sectional quantitative study was conducted in January and February, 2012, to determine the extent of unmet need of LAPMs of family planning services among women in the reproductive age group using modern family planning in the health facilities
Summary
Many countries continue to have high fertility rates and most of the predicted increase in the world’s population until 2100 comes from these countries. The objective of this study was to assess factors associated with unmet need of Long Acting and Permanent Methods of contraception among women in the reproductive age group (15-49) using contraception in health facilities of Shashemene town, Oromia Region, Ethiopia. 20 to 30 % of women who use oral contraceptives or injectable stop within two years of starting because of side effects or other health concerns. Many of these women could benefit from switching to LAPMs [4]. Ethiopia’s Reproductive Health Strategy (2006–2015) identifies priority areas to improve the reproductive health status of this country and fertility & family planning is one of the six strategies [6]
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