Long Acting Reversible Contraception utilization and associated factors among women in extended postpartum period Hossana Town, Southern Ethiopia: cross sectional study

Abstract

Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women. Methods: Facility based cross sectional study was conducted from July 23-Aug 25, 2018. Systematic random sampling technique was employed to recruit a total of 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using LARC was fear of side effect and false information. Previous use of LARC (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: the utilization of LARC among postpartum women was found to be high in this study. Increase women’s access to realistic information on LARC, mainly on IUCD, both at community and health institution level need to be emphasized to enhance its uptake.

Utilization of Long-Acting Reversible Contraceptives and Associated Factors Among Reproductive Age Women Attending Governmental Health Institutions for Family Planning Services in Wondo Genet District, Sidama, National Regional State, Southern Ethiopia

“…Utilization of long-acting reversible contraceptives among reproductive-age women attending health centers for family planning service was 37.8%. Previous studies conducted in Arsi Negel 33.5% 16,14 Wolaita Zone 38%, 17 Hossana 36.5%, 18 Gondar City 33.7%, 16 Harar City 38%, 19 and Afar Region 33.4% 20 reported the similar finding. The finding was higher than the study done in different parts of Ethiopia, [21][22][23][24][25] Kenya, 26,27 Uganda 28 and Nepal.…”

Long-acting reversible contraception utilization and associated factors among women in extended postpartum period in southern Ethiopia

“…The finding from Hosanna (36.5%) and Durame (36.7%) town were higher than this study [15,17]. The reason for this difference might be due to the sample size, the residence of study participants, and access to information about family planning.…”

Prevalence of long-acting reversible contraceptive uses and predictors among Ethiopian women over the past five years. A systematic review and meta-analysis

“…The average age of study participants was ranged from 25 (33) to 36(37) years old, with a range of 15-49 years (17,19). Six studies were done in the Oromia region (12,19,23,24,29,31), nine studies in the Amhara region (13-15, 17, 20, 21, 26, 35, 37)and nine studies in SNNP region (16,18,19,22,27,28,33,34,36), and one study each in the Afar region (11), Harari region (30) ,and Addis Ababa city administration (32). Sample size of included studies ranges from 262 (27) to 731(36) and prevalence of LARC users among Ethiopian women over the last ve years ranges from 12.6%(21) to 53.2% (12).…”

“…The study subjects in twenty-four investigations were women of reproductive age ( (11, 13-16, 18-33, 35-37), three were about postpartum women (12,28,34), one study was about HIV/AIDS-positive women of reproductive age (20), and one study was about female health professionals of reproductive age (15) . The average age of study participants was ranged from 25 (33) to 36(37) years old, with a range of 15-49 years (17,19).…”