Assessment of Factors Influencing Utilization of Long Acting and Permanent Contraceptive Methods Among Married Women (18-49 Years) of Reproductive Age in Ambo Town, Oromia Region, Ethiopia
Creators: name: Kenassa, Ketema
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2014

description: Background: Ethiopia is the second most populous country in Sub-Saharan Africa. Total Fertility Rate of Ethiopia is 4.8 children per women, population growth rate is estimated to be 2.7% per year and contraceptive prevalence rate is only 29 % while the unmet need for family planning is 34%. Overall awareness of Family Planning methods is high, at 87%. The prevalence of long acting and permanent contraceptive methods (LAPMs) in Oromia region is low (26.2% for any method) which accounts for 24.9% for modern method and 0.3% users for intra-uterine contraceptive device (IUCD) and 0.2% for female sterilization. Objective: To assess factors influencing utilization of long acting and permanent contraceptive methods and associated factors among women of age group 18-49 years in Ambo town, west shoa Zone, Ethiopia. Methods: A descriptive cross-sectional community-based study was conducted between April 20- May /2014 in Ambo town of West Shoa Zone, Oromia National Regional State, and West Ethiopia. A total of 384 of married women were selected for the study with a multistage cluster sampling. Results: The study consisted of quantitative and qualitative data. From the quantitative part of the study the response rate of the study was 100%. Majority of the married women at Ambo town used implants from LAMPs (57%) and few of them practiced the female sterilization and vasectomy. About one third of the married women (34 %) had never practiced LAMPs and had negative attitude towards practicing of LAPMs. The overall prevalence of LAPMs use was 65.6% however; there were few users for female sterilization (6.2%) or male sterilization (.3%) Mothers who had high income were 4 times more likely to use LAPMs as compared with those who had low income (AOR = 3.6, 95% CI of (1.494, 8.741). Mothers who were orthodox and were 5 times more likely to use LAPM as compared with those who had other religion (AOR = 4.715, 95% CI of (1.026, 21.67) and protestant were 8 times to others in practicing the LAMPs( AOR =8.492, 95% CI of (1.710-42.173). Conclusion: Educational level, Religion, payment for service and media, Number of pregnancy has statistical significance with utilization of long acting and permanent contraceptives methods. The prevalence of utilization of LAMPs for married women of Ambo town was 65.3%. More than half of the married women used implants which control Pregnancy for three years . A significant amount of the participants had low knowledge on permanent contraceptive particularly vasectomy. Few of married women use female sterilization and vasectomy. Recommendations The Health Berau of Ambo town should encourage public and private institutions to give Continuous health education on LAPMs, increase availability of LAPMs services and information education communication should focus on addressing the needs of long acting and permanent contraceptive methods of married women