scholarly journals Long Acting Contraceptive Method Utilization and Associated Factors among Reproductive Age Women in Arba Minch Town, Ethiopia

2014 ◽  
Vol 2 (1) ◽  
pp. 023-031 ◽  
Author(s):  
Getinet Shegaw ◽  
◽  
Amin Abdrahman Mohammed ◽  
Kemaw Nadew ◽  
Kansa Tamrat ◽  
...  
Keyword(s):  
Contraceptive Method ◽  
Associated Factors ◽  
Reproductive Age ◽  
Reproductive Age Women ◽  
Long Acting

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 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.

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 ◽  
Response Rate ◽  
Reproductive Age ◽  
Hiv Positive ◽  
P Value ◽  
Fertility Intention ◽  
Contraceptive Methods ◽  
Reproductive Age Women ◽  
Future Fertility ◽  
Long Acting

Abstract Background: Long acting and permanent contraceptive methods by far are the most effective, very safe and convenient methods than short acting contraceptive methods. 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. Each variable was entered in Bivariate analysis with dependent variables and those variables with P-value of ≤ 0.25 were included in the Multivariate analysis. Significance was determined at the level of P-value <0.05 with 95% CI of AOR. 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.

scholarly journals 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

2021 ◽  
Vol 8 ◽  
pp. 233339282110024
Author(s):  
Amelo Bolka Gujo ◽  
Assefa Philipos Kare
Keyword(s):  
Family Planning ◽  
Associated Factors ◽  
Unwanted Pregnancy ◽  
Multivariable Analysis ◽  
Reproductive Age ◽  
Southern Ethiopia ◽  
Monthly Income ◽  
Family Planning Services ◽  
Reproductive Age Women ◽  
Long Acting

Background: Utilization of family planning services improves women’s reproductive health outcomes. Long-acting reversible contraceptive (LARCs) methods, in particular, prevent unwanted pregnancy and significantly reduce maternal mortality and morbidity. In Ethiopia utilization of LARCs was very low. Therefore, this study was aimed at assessing the utilization of LARCs and associated factors among reproductive-age women in Wondo Genet District, Southern Ethiopia. Method: Institution based cross-sectional study was conducted from 15 May to 15 August 2020 among reproductive-age women. A systematic sampling method was applied to recruit 376 women and the sample size was allocated to health centers proportionally. Data collection was conducted by trained collectors using pretested and structured questionnaires. Data coded and entered into EPI Info 7 and the analysis was done using SPSS version 25. Binary and multiple logistic regression analyses were done. Statistical significance was declared with P < 0.05. Result: The utilization of LARCs was 37.8% (95% CI: 32.9-42.7). The multivariable analysis showed that odds of the utilization of LARCs were increased among reproductive-aged ≥25 years (Adjusted odds ratio (AOR) = 2.21, 95% CI: 1.04, 4.41), gave birth to ≥3 live births (AOR = 2.2, 95% CI: 1.2, 4.04), employed (AOR = 1.92, 95% CI: 1.17, 3.14), earned high monthly income (AOR = 2.02, 95% CI: 1.25, 3.26) and discussed contraceptive methods with their husbands (AOR = 2.87, CI: 1.68, 4.89]. Conclusions: Utilization of LARCs was low. The odds of the utilization of LARCs were increased in women aged ≥25 years, gave birth to 3 or more children, earned high monthly income, and discussed with their husbands about contraception methods.

scholarly journals Intimate partner violence against reproductive-age women and associated factors in Peru: Evidence from national surveys, 2015-2017

Heliyon ◽  
2021 ◽  
pp. e07478
Author(s):  
Ruth M. Burgos-Muñoz ◽  
Anderson N. Soriano-Moreno ◽  
Guido Bendezu-Quispe ◽  
Diego Urrunaga-Pastor ◽  
Carlos J. Toro-Huamanchumo ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Associated Factors ◽  
Intimate Partner ◽  
Reproductive Age ◽  
National Surveys ◽  
Reproductive Age Women
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