scholarly journals Acceptance of Long Acting Reversible Contraceptive Methods and Associated Factors Among Reproductive Age Women in <i>Adama Town, Oromia Regional State, Ethiopia</i>

2017 ◽  
Vol 6 (2) ◽  
pp. 53 ◽  
Author(s):  
Ebrahim Mohammed
Keyword(s):  
Associated Factors ◽  
Reproductive Age ◽  
Contraceptive Methods ◽  
Reproductive Age Women ◽  
Regional State ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive

scholarly journals Determinants Of Long-Acting Reversible Contraceptive Methods Utilization Among Married Women Of Reproductive Age Group In Ambo Town, Oromia Region, West Ethiopia, 2016: A Case Control Study

2019 ◽  
Author(s):  
Dawit Regassa Soboka ◽  
Fasil Tessema ◽  
Mamo Nigatu
Keyword(s):  
Wealth Quintile ◽  
Married Women ◽  
Reproductive Age ◽  
Age Group ◽  
Contraceptive Methods ◽  
Level Of Knowledge ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive ◽  
Control Study ◽  
Reproductive Age Group

Abstract Background Long-acting reversible contraceptive methods are highly effective, safe, convenient and cost-effective. The prevalence of long-acting reversible contraceptive methods utilization among married women in the study area was only 10%, which is comparatively low compared to the regional and national targets. Objective To identify determinants of long-acting reversible contraceptive methods utilization among married women of the reproductive age group in Ambo town, 2016 Methods Community based unmatched case-control study was conducted in Ambo town among married women of reproductive age group. 140 cases and 280 controls were randomly included. Bivariable and multivariable logistic regression was used to identify candidate variables and independent predictor variables respectively. Adjusted odds ratios together with their corresponding 95% CI were calculated to assess the strength of association and statistical significance. Result 139 cases and 279 controls were interviewed giving a response rate of 99%. Moderate level of knowledge on long-acting reversible contraceptive methods (AOR= 8.73, 95%CI: 3.08 - 24.77), Good level of knowledge (AOR=13.99, 95%CI:4.93-39.71), spousal discussion on long-acting reversible contraceptive methods (AOR=2.88, 95%CI:1.3-6.36), attitude toward long-acting reversible contraceptive methods (AOR=7.07, 95% CI: 3.77-13.24), intention to give birth in the future (AOR=0.085, 95%CI: 0.36-0.20), Women from households in the poorest wealth quintile (AOR= 6.83, 95%CI: 2.68-17.38), Women from households in the medium wealth quintile (AOR=5.83, 95%CI: (2.23- 15.23) and woman’s expectation of restriction to methods use (AOR=0.34, 95%CI:0.22-0.53) were significant determinants of long-acting reversible contraceptive methods utilization. Conclusion & Recommendation Good knowledge, moderate knowledge, good attitude, wealth index, spousal discussion, intention to give birth in the future and woman’s expectation of restriction to method use were determinants of long-acting reversible contraceptive methods utilization.

scholarly journals Determinants of long acting contraceptive utilization among hiv positive reproductive age women attending care at art clinics of public health facilities in Arba Minch town, Southern Ethiopia, 2019. A case control study

2020 ◽  
Author(s):  
Betselot Yirsaw ◽  
Feleke G Meskel ◽  
G-kiros G Michael ◽  
Tewoderos Shitemaw
Keyword(s):  
Contraceptive Method ◽  
Case Control Study ◽  
Response Rate ◽  
Reproductive Age ◽  
Hiv Positive ◽  
Contraceptive Methods ◽  
Reproductive Age Women ◽  
Future Fertility ◽  
Long Acting ◽  
Control Study

Abstract Background: Long acting and permanent contraceptive methods by far are the most effective, very safe and convenient methods than short acting contraceptive methods. Dual protective which includes use of a reliable hormonal contraceptive method like LAPMs and a barrier method like using the male or female condom is encouraged to prevent further transmission of HIV. But in less developed countries, use of long acting reversible contraceptive or permanent methods (LARCs/PMs) is very low. Therefore the aim of this study was to identify determinants of long acting contraceptive method utilization among HIV positive reproductive age women. Methods: An institutional based case control study was conducted among random sample of 354 HIV positive reproductive age women (total of 97.8% response rate) at Anti-Retroviral Therapy clinics from February 20 to March 20, 2019. Case to control ratio was 1:2. A structured questionnaire and information recorded from ART card review were used to collect the data. Bivariate and Multivariable logistic regression analysis were performed in order to identify the factors significantly associated with long acting contraceptive method utilization at the level of significance of p value <0.25 with 95% CI of COR and <0.05 with 95% CI of AOR respectively.Results: A total of 354 (33.3% cases and 66.7% controls) HIV positive reproductive age women were interviewed with response rate of 97.8%. The study revealed being in age group of 39 and above [AOR=0.17, 95% CI (0.06, 0.48)], being divorced/separated and widowed [AOR=0.05, 95% CI (0.003, 0.61)], having supportive opinion and strongly supportive opinion regarding family planning service availability in ART clinic [AOR= 5.01, 95% CI (1.79, 14.07)], [AOR= 7.81, 95% CI (2.54, 24.01)] and having no future fertility intention [AOR= 7.03, 95% CI (2.73, 18.06)] were statistically significant determinants for long acting contraceptive method utilization.Conclusion: Woman in age group of 39 and above, having no future fertility intention and being divorced/separated and widowed was found to be determinants of long acting contraceptive method utilization among HIV positive reproductive age women. In addition our study support the WHO Strategic Considerations for Strengthening the Linkages between Family Planning and HIV/AIDS Policies, Programs, and Services. Key words: - long acting contraceptive methods, HIV positive reproductive age women, Ethiopia

scholarly journals Utilization of Long-Acting Contraceptive Methods and Associated Factors among Female Health Care Providers in East Gojjam Zone, Northwest Ethiopia, in 2018

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Liknaw Bewket Zeleke ◽  
Manaye Meku Gella ◽  
Hunegnaw Almaw Derseh ◽  
Addisu Alehegn Alemu ◽  
Eskeziaw Abebe Kassahun ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Family Income ◽  
Northwest Ethiopia ◽  
Reproductive Age ◽  
Contraceptive Methods ◽  
Care Workers ◽  
Long Acting ◽  
Current Utilization ◽  
Long Acting Reversible Contraceptive

Introduction. Sub-Saharan Africa, including Ethiopia, faces serious population and reproductive health challenges, indicated by a higher unmet need for family planning, especially for long-acting contraceptive methods, higher fertility, and population growth rates. The utilization of long-acting reversible contraceptive methods in Ethiopia and in particular in the study area is low. Objective. This study aimed to assess the utilization of long-acting reversible contraceptive methods among female health care workers in the reproductive age group in East Gojjam Zone, Northwest Ethiopia, in 2018. Methods. Institutional-based cross-sectional study was conducted from 1 to 30 March 2018. A total of 392 female health care workers have participated. Data were collected by a structured, pretested, and self-administered questionnaire, then entered into Epi-info Version 7, and analyzed by SPSS Version 21. Bivariable and multivariate binary logistic regression analyses were carried out. p value <0.05 was considered to declare statistically significant variables. Result. The current utilization of long-acting contraceptive methods among female health workers was found to be 22.7%. Supportive attitude of their husbands/partners (AOR at 95% CI 4.62 (1.52–14.09)), having <5000 EBrr monthly family income (AOR at 95% CI 2.813 (1.04–7.57)), supportive attitude towards the utilization of long-acting contraceptive methods (AOR at 95% CI 5.13 (2.03–12.95)), and the desire to have 0–2 children (AOR at 95% CI 5.34 (1.80–15.80)) were positively associated factors towards the utilization of long-acting contraceptive methods. Conclusion. The current utilization of long-acting contraceptive methods was found low. Husbands/partners’ supportive attitude, the number of children they want to have, attitude, and monthly family income were identified as significant factors. The East Gojjam Zonal Health Department and other stakeholders should work on the promotion of partners/husbands’ involvement in the utilization of long-acting contraceptive methods among reproductive age women, including health care workers.

scholarly journals Geographic variation and associated factors of long-acting contraceptive use among reproductive-age women in Ethiopia: a multi-level and spatial analysis of Ethiopian Demographic and Health Survey 2016 data

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Oumer Abdulkadir Ebrahim ◽  
Ejigu Gebeye Zeleke ◽  
Atalay Goshu Muluneh
Keyword(s):  
Spatial Analysis ◽  
Geographic Variation ◽  
Associated Factors ◽  
Contraceptive Use ◽  
Reproductive Age ◽  
High Fertility ◽  
Fertility Rates ◽  
Unintended Pregnancies ◽  
Reproductive Age Women ◽  
Long Acting

Abstract Background High fertility rates and unintended pregnancies are public health concerns of lower and middle income countries such as Ethiopia. Long acting contraceptives (LACs) take the lion’s share in reducing unintended pregnancies and high fertility rates. Despite their numerous advantages, the utilization of LACs remains low in Ethiopia. This study is aimed to explore the geographic variation and associated factors of long acting contraceptive use among reproductive-age women in Ethiopia. Methods This is a secondary data analysis of 2016 Ethiopian Demographic and Health Survey (EDHS) data. A total of weighted sample sizes of 10,439 reproductive-age women were included in the final analysis. To clean and analyze the none-spatial data Stata 14 was used while ArcGIS 10.6 and SaTScanTM version 9.6 software were used for spatial analysis. Multilevel Mixed-effect Logistic regression model was used to identify associated factors of LACs utilization. An Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was reported to identify significant variables. Results Long acting contraceptive utilization was non-random (Moran’s I: 0.30, p-value < 0.01). Statistically, clusters with significant low utilization of LACs were found in Somali, Afar, Gambela, northern Amhara, eastern Oromia and western part of Southern Nations Nationalities and Peoples (SNNP) regions. Adjusting for other factors such as being married (AOR = 2.51, 95% CI: 1.29–4.87), having one to two (AOR = 2.14, 95% CI: 1.43–3.22), and three to four children (AOR = 1.68, 95% CI: 1.02–2.76), urban (AOR = 1.59, 95% CI: 1.16–2.19), want no more children (AOR = 1.40, 95% CI: 1.08–1.83), working status of women (AOR = 1.33, 95% CI: 1.07–1.65) increased the odds of LACs utilization. While previous history of abortion (AOR = 0.56, 95% CI: 0.39–0.80), and living in the pastoralist community (AOR = 0.22, 95% CI: 0.14–0.35) reduced the odds of LACs utilization in Ethiopia Conclusions Significant geographic variation of LACs utilization was observed in Ethiopia. Spots with Low LACs utilization were found in the eastern, north eastern and western part of the country. Socio-demographic and pregnancy related factors were significant determinants of LACs utilization. Designing intervention programs targeting the identified hot spot clusters, and variables that can hinder the utilization of LACs is very important to increase the utilization.

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