Журнал женского здоровья, проблем и ухода

Utilization of Long Acting Reversible Contraceptive Methods and Its Associated Factors among Women of Reproductive Age Groups in Mizan �?? Aman Town, Bench Maji Zone, South West Ethiopia

Asrat Meleko, Samrawit Sileshi, Yordanos Bekele, Abeba Daniel, Alebachew Getawey, Dawit Amare and Moges Segede

Background: Family planning considered being one of the major successes of the 20th century critically important to improve public health. Access to family planning services contributes to improved health outcomes for different peoples. But till now globally, the prevalence of Long Acting Reversible Contraceptive use is only 13% it is low in sub-Saharan Africa which 2%. In Ethiopia the most popular modern contraceptive method for all women’s are Injectable (21%).

Objective: This study was intended to assess the utilization of long acting reversible contraceptive method and its associated factors among women’s in reproductive age groups.

Methods and Material: A Community based cross –section study was conducted among women’s of reproductive age group from May-June, 2017. Systematic random sampling technique was used to select the sampling unit. A pre-tested and structured questionnaire was used to collect the data. Bivariate and multivariate data analysis was performed using STATA version 14 software to assess statistical association.

Result: Currently majority, 74.8%, of study participants were using Non LARCMs which includes Injectable 137(52.3%) and pills 59(22.5%) where. Other groups who have been using LARCMs include implant 55(20.9%) and the rest 11(4.2%) were using IUCD with overall magnitude of 66 (25.2%). Information about LARCM [AOR 6.9 (95% CI: 1.7, 27.0)] and switching from one contraceptive to other contraceptive [AOR 2.5 (95% CI: 1.2, 5.2)] were remained statistically significant with current use of LARC in the multivariate logistic regression. From participants who had heard about LARCMs (n=232) 106 (45.7%) of the participants had positive attitude towards LARCMs.

Conclusion: There was a relatively low level of current use of LARCMs among studied women’s of reproductive age group in this area. Noticeably higher number of reproductive age women were still didn’t have positive attitude towards LARCMs. Ever hearing about LARCMs and shifting from one contraceptive to other contraceptive was associated with current use of LARCMs. Thus it is imperative strengthen routine education and follow ups on LARCMs via different strategies to achieve attitudinal change.