Impact of Medicaid Eligibility Changes on Long-acting Reversible Contraception Use in Massachusetts and Maine

Abstract Background: In Cameroon, 23% of married women, 34% of sexually active single women have unmet needs for family planning and 58% of the reproductive age patients are not interested in family planning. While a long acting contraception such as intra uterine devise is known to be safe, highly effective, and cost effective; less than 1% of reproductive age women in Cameroon use a long acting reversible contraception. These contribute to Cameroon’s mother mortality rate of 600 per 100,000 live births. In this study, we tried to identify the determinants of use or none use of long acting contraception among Cameroonian women using a modern contraception so that they can be acted upon to improve long acting contraception use in cameroon.Methods: The study uses data from 2,231 women aged 15 to 49 years old, using a modern contraception and included in the demographic health survey of Cameroon 2018/19. Bivariate, then multivariate logistic regression analysis was conducted for the study outcome of short versus long term modern contraception. Statistical significance was taken at p < 0.05.Results: Among women using a modern contraception in Cameroon, 45.4% were using a long acting contraception. The mean determinants for this were: increase age, being more than 10 people in the household, belonging to the poorer and middle economic quintiles, being insulted or made to feel bad sometimes by the husband or the partner. Conclusion: To improve the use of long acting contraception among women using a modern contraception in Cameroon, a special consideration should be given to women experiencing domestic violence without forgetting the other determinants.

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Long Acting Reversible Contraception use among postpartum women in Hossana Town, Southern Ethiopia: cross sectional study

10.21203/rs.2.19848/v1 ◽

2020 ◽

Author(s):

Biruktawit Fekade Woldu ◽

Tadesse Lelago Ermolo ◽

Lidiya Gutema Lemu ◽

Negeso Gebeyehu Gejo

Keyword(s):

Postpartum Period ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Postpartum Women ◽

Sectional Study ◽

Cross Sectional ◽

Immunization Service ◽

Contraception Use ◽

Long Acting

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 among 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: Less than one fifth (18.1%) of participants intend to give birth within 2 years. The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using was fear of side effect and false information. Previous use of LARC n (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: Despite their lesser intention to give birth within 2 years, the utilization of LARC among postpartum women was found to be low in this study. Provision of health education and expanding access should be emphasized to enhance its utilization.

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