Demand for long acting and permanent contraceptive methods and associated factors among married women of reproductive age group in Debre Markos Town, North West Ethiopia

Abstract

BackgroundEthiopia is the second most populous country in sub Saharan Africa with high total fertility rate, and high maternal and child mortality rates. In sub Saharan African countries, including Ethiopia, even though studies show that demand for contraception is high, the practice is low. Particularly, in Ethiopia, despite the fact that practices on long acting and permanent methods are believed to be low, there are limited evidences on the real magnitude of demand for the methods.MethodsTo assess demand for long acting and permanent contraceptive methods and associated factors among married women of reproductive age group in Debre Markos town, Amhara Regional State, North West Ethiopia, A community based cross sectional study was conducted, from April 08–19, 2012. Systematic sampling technique was used to select 523 study participants. Pre tested structured Amharic version questionnaire was used to collect the data through interview. Both bivariate and multiple logistic regressions were used to identify associated factors.ResultsAmong 519 respondents, 323 (62.2%) were using modern family planning (FP) methods in which 101 (19.5%) were using long acting and permanent contraceptive methods (LAPMs). Among all respondents, 171 (32.9%) had unmet need for LAPMs. The total demand for LAPMs was 272 (52.4%) of which 37.1% were satisfied and 62.9% unsatisfied demand. Being in the older age group (40-44 years) [AOR = 2.8; 95% CI:1.12, 9.55], having no desire for more child [AOR = 20.37; 95% CI:9.28, 44.72], desire to have a child after 2 years [AOR = 6.4; 95%CI:3.04,13.47], not ever heard of modern FP [AOR = 5.73; 95% CI:1.26, 25.91], not ever using of modern FP [AOR = 1.89; 95% CI:1.01, 3.55] and having no spousal discussion in the last six month [AOR = 1.642, 95% CI: 1.049, 2.57) were some of the factors significantly associated with demand for LAPMs.ConclusionsDemand and unmet need for LAPMs were high in the study area. Therefore raising awareness of the community, counseling/discussion about the methods with all clients, encouraging spousal involvement are fundamental areas of intervention. Moreover, increasing the availability and accessibility of LAPMs is required to meet the unmet needs.

Acceptance and Positive Attitude Increased Utilization of Long Acting and Permanent Family Planning Methods Among Reproductive Age Group Women from Debre Berhan District, Ethiopia: Quantitative and Qualitative Analysis

“…Regarding injectable 95.2%, followed by implants and IUD which were 91.5% and 88.7%, respectively. This result was consistent with finding from 2011 EDHS and research done in Butajira and Debre Markos which were 97% and 99%, respectively [8,14,16]. This study also showed that 88.2% of women had had awareness about LAPMs and 97.7%, 94.3% and 46.6% had awareness about implants, IUD, and female sterilization, respectively.…”

“…Current utilization of LAPMs found to be higher for implant 117(86.03%). This is in line with study done in Mekelle and Debre Markos; majority of women were used implants among current user of LAPMs which 87% and 81.2% [12,14]. The major source of LAPMs for the women was a public health facility (80.1%).…”

“…This is consistent with study done in rural Ethiopia, which stated majority of implanon users were in age group of 25-34 [22][23][24]. Nevertheless, this was inconsistent with studies done in Mekelle, Adgirat and Debre Markos, where most users were in age group of 35 years and above [12,14,23]. This difference could be due to difference in study setting, categorization of age and time gap of the study.…”

“…The women who were willing to use long-term family planning methods were 2.5 times more likely to use the methods than not willing to use [9]. A woman's perception that her relatives support family planning use is important for the formation of her intention to use a contraceptive method [14]. Those women who had positive attitude towards long acting and permanent family planning methods were 1.81 times more likely to utilize LAPMs as compared with those women who had negative attitude towards long acting and permanent family planning methods (AOR=1.81, 95% CI: 1.12-2.94).…”

Post Abortion Women’s Perceptions of Utilizing Long Acting Reversible Contraceptive Methods in Uganda. A Qualitative Study

“…Women's decision to utilize contraception in Africa, depends on the support they get from their partners [28] [34] [36] [37].…”