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
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.