Prevalence and factors predictive of long-acting reversible contraceptive use in a tertiary hospital in urban Ghana

Abstract

The prevalence of LARC uptake was much higher than the national average. Significant factors associated with current LARC use were the number of surviving children and previous LARC use.

Prevalence, Perceptions and Factors Contributing to Long Acting Reversible Contraception Use among Family Planning Clients, Jimma Town, Oromiya Region, South-West Ethiopia

“…The association between the previous and current use of LARC was also confirmed by other studies [10,21]. Contrary to a recent study in Ethiopia [17], a surprising finding in this study is that literate women were less likely to use LARC than illiterate women [AOR: 0.49; 95% CI=0.286, 0.837], which might be due to the fact that literate women may be more afraid of side effects of LARC than their counterparts.…”

“…This study also indicated that, at the time of the survey, 6.6% of women in need of contraception reported using LARC methods: 2.6% of women were using the implant, 1.5% had a copper IUCD [10]. In the same study, the odds of using LARC were more than 4 times higher in women in their twenties as compared to teenagers.…”

“…While a study in Uganda showed the current use of LARC was 31.7%, [14], in Ghana 71% [10], in US 11.6% [16], in Western Ethiopia 17.6% [17] and a study in France showed the current LARC use was much lower (6.6% ) of which 2.6% were using the implant, 1.5% had a copper IUCD [11]. Variation among these studies might be due to the difference in sampling procedures, study designs, setting and time of study.…”

“…Studies done across regions reflected different factors contributing to use of LARC. For instance a study done in Ghana identified that LARCs were used mainly by women with more living children and those who had previously used LARCs [10]. Another study in France on lifetime use of LARC and factors associated with current use of LARC methods indicated that 11.4% of women at potential risk of an unintended pregnancy at the time of the survey had ever used a LARC method, with 5.4% who had ever used an implant and 6.6% who had ever used an IUCD [11].…”

Highly Effective Birth Control Use Before and After Women's Incarceration

“…20 As has been found in the literature, greater number of past pregnancies was associated with use of highly effective birth control in our sample. 34 Women may elect to use permanent or long-acting reversible contraceptives when they have decided not to have more children. 35,36 However, even when women wish only to avoid pregnancy for the time being, they still might not elect for more effective birth control methods, which is certainly an area for increased public health programming efforts.…”