Utilization of Long-Acting Contraceptive Methods and Associated Factors among Female Health Care Providers in East Gojjam Zone, Northwest Ethiopia, in 2018.

Liknaw Bewket Zeleke,Hunegnaw Almaw Derseh,Manaye Meku Gella,Eskeziaw Abebe Kassahun,Kelemu Abebe Gelaw,Addisu Alehegn Alemu

doi:10.1155/2019/5850629

Abstract

Introduction Sub-Saharan Africa, including Ethiopia, faces serious population and reproductive health challenges, indicated by a higher unmet need for family planning, especially for long-acting contraceptive methods, higher fertility, and population growth rates. The utilization of long-acting reversible contraceptive methods in Ethiopia and in particular in the study area is low. Objective This study aimed to assess the utilization of long-acting reversible contraceptive methods among female health care workers in the reproductive age group in East Gojjam Zone, Northwest Ethiopia, in 2018. Methods Institutional-based cross-sectional study was conducted from 1 to 30 March 2018. A total of 392 female health care workers have participated. Data were collected by a structured, pretested, and self-administered questionnaire, then entered into Epi-info Version 7, and analyzed by SPSS Version 21. Bivariable and multivariate binary logistic regression analyses were carried out. p value <0.05 was considered to declare statistically significant variables. Result The current utilization of long-acting contraceptive methods among female health workers was found to be 22.7%. Supportive attitude of their husbands/partners (AOR at 95% CI 4.62 (1.52–14.09)), having <5000 EBrr monthly family income (AOR at 95% CI 2.813 (1.04–7.57)), supportive attitude towards the utilization of long-acting contraceptive methods (AOR at 95% CI 5.13 (2.03–12.95)), and the desire to have 0–2 children (AOR at 95% CI 5.34 (1.80–15.80)) were positively associated factors towards the utilization of long-acting contraceptive methods. Conclusion The current utilization of long-acting contraceptive methods was found low. Husbands/partners' supportive attitude, the number of children they want to have, attitude, and monthly family income were identified as significant factors. The East Gojjam Zonal Health Department and other stakeholders should work on the promotion of partners/husbands' involvement in the utilization of long-acting contraceptive methods among reproductive age women, including health care workers.

Highlights

Sub-Saharan Africa, including Ethiopia, faces serious population and reproductive health challenges, indicated by a higher unmet need for family planning, especially for long-acting contraceptive methods, higher fertility, and population growth rates. e utilization of long-acting reversible contraceptive methods in Ethiopia and in particular in the study area is low
Family planning (FP) is a human right and is crucial to women’s empowerment, reduce poverty, raise female productivity, lower fertility, and improve child survival and maternal health. It can reduce 20–35% of maternal deaths [4, 5]. e Ethiopian Reproductive Health strategy sets the provision of all FP methods with special emphasis on long-acting reversible contraceptives (LARCs) as a key strategy of attaining its primary goals of reducing unwanted pregnancies and enabling individuals to meet their desired family size [5, 6]
Study Area and Period. e study was conducted in East Gojjam Zone, Northwest Ethiopia, from 1 to 30 March 2018

Summary

Introduction

Planning (FP) program is one of the key components of public health intervention in developing countries and international development assistance programs [1] It is defined as the ability of individuals and couples to anticipate and reach their desired number of children, through the use of contraceptive methods [2]. FP is a human right and is crucial to women’s empowerment, reduce poverty, raise female productivity, lower fertility, and improve child survival and maternal health. E Ethiopian Reproductive Health strategy sets the provision of all FP methods with special emphasis on long-acting reversible contraceptives (LARCs) as a key strategy of attaining its primary goals of reducing unwanted pregnancies and enabling individuals to meet their desired family size [5, 6]. In the Amhara region, the EDHS 2016 report shows that the utilization of LACMs is 15.1%, which is low, whereas the utilization of injectable contraceptive method is 63% with unclear reason [3, 13]

Methods

Result

Method shift Yes No

Findings

Ethical Approval