Intention to use long-acting and permanent contraceptive methods and associated factors in health institutions of Aksum Town, North Ethiopia

Syum, Hailay; Kahsay, Gizienesh; Huluf, Teklehaymanot; Beyene, Berhe Mekonnen; Gerensea, Hadgu; Kebede, Ayantu; Desta, Haftom; Abay, Mebrahtu; Nuguse, Haben; Haile, Kebede

doi:10.1186/s13104-019-4769-z

Cited by 7 publications

(8 citation statements)

References 14 publications

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“…This finding is consistent with other studies conducted in Ethiopia [ 18 ], Nigeria [ 28 ], Malawi [ 29 ], and SSA [ 3 ]. However, studies conducted in the north and northwest of Ethiopia [ 37 , 38 ] were contrary to the finding of this study. The plausible reason for our finding could be that older women may have experienced a decline in coital frequency.…”

Section: Discussioncontrasting

confidence: 99%

Prevalence and factors associated with intention to use contraceptives among women of reproductive age: a multilevel analysis of the 2018 Guinea demographic and health survey

Armah-Ansah,

Bawa,

Igonya

2024

BMC Pregnancy Childbirth

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Background Contraceptive use is a key indicator of improving the health and well-being of women, mothers and their families, preventing unwanted pregnancies, and reducing maternal and child mortalities. Despite a lot of investments from the Government of Guinea to improve contraceptive use, studies reveal that contraceptive use still remains low in Guinea. However, the intention to use contraceptives in Guinea has not been well examined. Therefore, this study seeks to examine the factors associated with the intention to use contraceptives among women of reproductive age in Guinea. Methods The study made use of data from the Guinea Demographic and Health Survey (GNDHS) conducted in 2018. For this study, we included a weighted sample of 6,948 women who were either married or cohabiting and responded to all the variables of interest. The data were analyzed using Stata version 14.2. Descriptive and multilevel logistic regression were carried out to examine the factors associated with the intention to use contraceptives. The results of multilevel logistic regression were presented using adjusted odds ratios at 95% confidence intervals and p-value < 0.05 to determine the significant associations. Results The prevalence of intention-to-use contraceptives among women was 19.8% (95% CI18.3%–21.5%). Women with secondary/higher educational levels [aOR = 1.58, 95% CI = 1.26–1.99], women whose partners had secondary/higher educational level [aOR = 1.26, 95% CI = 1.04–1.52], women who were cohabiting [aOR = 1.74, 95% CI = 1.13–2.68] and were exposed to mass media [aOR = 1.60, 95% CI = 1.35–1.89] were likely to have higher intentions to use contraceptives. Additionally, women from the Kankan Region [aOR = 4.26, 95% CI = 2.77–6.54] and women who belong to the richer wealth quintile [aOR = 1.36, 95% CI = 0.91–1.89] were likely to have higher odds of intentions to use contraceptives. However, women aged 45–49 years, those from the Peulh ethnic group, and those who lack the competence to make healthcare decisions alone had lower odds of intention to use contraceptives. Conclusion The study revealed a low prevalence of intention to use contraceptives among women of reproductive age in Guinea. The study has highlighted that both individual-level and household/community-level factors were significantly associated with the intention to use contraceptives. Therefore, policymakers and stakeholders need to consider these factors discussed in this paper when developing policies and interventions to promote and enhance intention-to-use contraceptives among women of reproductive age in Guinea. The findings call on the Government of Guinea and all stakeholders in Guinea to ensure that female education is promoted to help improve their social status, decision-making on fertility, and reduce fertility rates and maternal mortality.

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Section: Discussioncontrasting

confidence: 99%

Prevalence and factors associated with intention to use contraceptives among women of reproductive age: a multilevel analysis of the 2018 Guinea demographic and health survey

Armah-Ansah,

Bawa,

Igonya

2024

BMC Pregnancy Childbirth

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“…Good socioeconomic status factors were usually associated with health services utilization and birth planning, while the opposite might be true. In underdeveloped countries, women have no work, are poorly educated (both couples), and economically poor ( [ 5 , 33 – 35 ]. These are the concerns that need to be managed as the main factors to solve utilization problems) (Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Assessment of intention to use contraceptive methods with spatial distributions and associated factors among women in Ethiopia: evidence from EDHS 2016

Gilano

Hailegebreal

2021

Arch Public Health

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Background Modern contraceptive methods have immense influences on the health of mothers and their children. Using contraceptive methods is seen to control family size and unnecessary pregnancies. Considering different factors like resources and various cultural aspects, assessing the intention to use contraception might bring areas with these problems into the light for intervention. Methods We analyzed the cross-sectional survey data from EDHS 2016, which comprised 5651 reproductive-age women. Spatial autocorrelation was checked with global Moran’s statistics, at ±1 for dispersion and clustering. Aselin Local moran’s statistics also indicated types of clusters. Hot spot(Getis-Ord Gi) statistics further used to measure autocorrelation over different spatial locations. The significance level was checked by calculating Z-score and hot and cold spots indicated the variation in intention to use contraceptives per catchments. Interpolation was also applied to see the number of intents to use contraceptive areas other than the sampled using ordinary Kriging spatial interpolation. We used Kulldorff’s SatScan for specific local clustering and the Bernoulli model test was applied to check significance. Individual and community-level factors were examined using multilevel logistic regression. Due to the clustering nature of data where p-value< 0.05 signaled associations. The disproportional nature of data was adjusted using sampling weights. Result From the total sample of women, the intention to use contraceptive methods was 2366.08(44.11%) and was highly clustered in North and Western Ethiopia. The mean number of children was (4.5 ± 2.90); age at first cohabitation was (16.9 ± 3.99); the ideal number of children was (4.77 ± 2.00). Age and the ideal number of children were negatively associated with the use of contraception. Primary education, number of children, counseling at health facilities, and age at first cohabitation were negatively associated. Conclusion We observed various distributions among regions. Educational status and various socio-cultural including working with the religious organization might need serious considerations to increase the intention to use contraceptive methods. Besides the efforts done, policy decisions might need to consider this finding and uphill the intervention against the negatively associated socio-cultural and demographic variables in outplayed areas.

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“…In this study the overall the current use of LAMP at west Guji zone was 51.1%. This is very high when compared to research done in Bombe district, Gonder City, Dendi district and Janamora District which were 16.3%, 34.7%, 17.6% and 12.9% respectively [ 14 – 17 ] and which is less than the study done in Ilu Aba Bor Zone, Aksum city, and Lay-Armachiho district, Amhara regional state, Ethiopia that was 62.2%, 52.1%, and 65.4% respectively [ 18 – 20 ]. This difference could be in study setting, time of the study, the deployments of health extension worker which strengthen the awareness of LAPMs at community level and the government attention towards these methods increases the utilization [ 21 ].…”

Section: Discussionmentioning

confidence: 75%

Utilization of long acting and permanent contraceptive methods and associated factor among women of reproductive age in west Guji zone, Southwest Ethiopia

et al. 2022

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Background Increasing access to family planning helps to ensure the reproductive right, decrease unintended pregnancy, improve the health and nutritional status of children, reduction of maternal mortality, and enhance longer birth spacing. However, there is continually low utilization of long acting and permanent contraceptive methods among low and middle-income countries. This study aimed to assess the utilization of long acting and permanent contraceptive methods (LAPMs) and associated factors among women of reproductive age in the West Guji Zone, Ethiopia. Methods An institution-based cross-sectional study was carried out among 507 women of reproductive age in the West Guji Zone, Southwest Ethiopia from April 15 to May 15, 2018. Data were collected by a structured, pretested, and interview-based questionnaire with open ended and closed ended questionnaire, then entered, and analyzed by SPSS Version 20. Bivariable and multivariate logistic regression analyses were carried out. A 95% confidence interval (CI) AND P-value < 0.05 was considered to declare statistically significant variables. Result The current utilization of LAPMs at West Guji zone among the reproductive-aged group was found to be 51.1%. More than the median of participants had negative altitude (72.4%) and poor knowledge (57%) towards the LAPMs. Educational status of women, the number of alive children, acceptance of utilization of LAPMs, how treated by other staff, and waiting time during service delivery are significant determinant factors of LAPMs. Conclusion Overall, more than half of women had a negative attitude and poor knowledge of LAPMs. Educational status of women, the number of alive children, acceptance of utilization of LAPMs, how treated by other staff, and waiting time during service delivery were factors affecting utilization of LAPMs. Therefore, sustained, and appropriate information on LAPMs should be provided to raise knowledge and build the attitude of women and the community. Treating the clients with respect, reducing the waiting time, and collaborative work with health extension worker will enhance utilization of LAPMs.

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Intention to use long-acting and permanent contraceptive methods and associated factors in health institutions of Aksum Town, North Ethiopia

Cited by 7 publications

References 14 publications

Prevalence and factors associated with intention to use contraceptives among women of reproductive age: a multilevel analysis of the 2018 Guinea demographic and health survey

Prevalence and factors associated with intention to use contraceptives among women of reproductive age: a multilevel analysis of the 2018 Guinea demographic and health survey

Assessment of intention to use contraceptive methods with spatial distributions and associated factors among women in Ethiopia: evidence from EDHS 2016

Utilization of long acting and permanent contraceptive methods and associated factor among women of reproductive age in west Guji zone, Southwest Ethiopia

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