LONG ACTING REVERSIBLE CONTRACEPTIVE USE AND ASSOCIATED FACTORS AMONG CONTRACEPTIVE USERS IN AMHARA REGION, ETHIOPIA, 2016. A COMMUNITY BASED CROSS SECTIONAL STUDY
Abstract
Background: Ethiopia is the second populous country in Sub-Saharan Africa. Total Fertility Rate of Ethiopia is 4.1 children per women with a contraceptive prevalence rate of 41.8%. The World Health Organization (WHO) advises using LARCs for all women whereas the contraceptive choices of Ethiopian women are slanted to short term methods.
Objective: The aim of this study was to assess factors associated with utilization of long acting reversible contraceptive methods among married women in Bati town of Amhara region.
Methods: A cross sectional community-based survey was conducted from September 9-20, 2016. A sample size of 381 family planning users residing in Bati town was selected randomly. Systematic sampling technique was applied by using structured questionnaire. Binary descriptive statistics and multiple variable regressions were done
Result: The overall LARC prevalence was 29%. Being knowledgeable (AOR = 6.9, 95% CI of (1.06, 45.26), having positive attitude (AOR=6.91; 95%: CI = 3.01, 15.88), having primary education (AOR= 0.40; 95% CI= 0.17, 0.93) and women who want to have 3-4 ideal number of children (AOR= 0.32; 95% CI=0.15, 0.69) mothers who had wrong beliefs towards IUCD (AOR =0.24 CI=0.12,0.50) were found to be predictors of LARC utilization.
Conclusion and recommendations: the overall utilization of LARC is very low. Educational status, the ideal number of children, knowledge, and attitude were the determinant factors for LARC use. Health promotion activities on the benefit of LARC need to be undertaken to increase awareness and usage of long acting contraceptives.
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