Utilization and determinants of long term and permanent contraceptive methods among married reproductive age women抯 at Janamora district, northwest Ethiopia, 2018

Abstract

Background: Ethiopia is the second most populous country next to Nigeria in subSaharan

country. Utilization of effective and convenient family planning methods in countries with high birth rates and limited resources have a potential to improve maternal and child health. However, the contribution of long acting contraceptives both female and male sterilization, Intrauterine device, and implant in Ethiopia is very low. Objective: To determine the magnitude of long term and permanent contraceptive utilization and determinants at Janamora district among married reproductive age (1549) females, in 2018.

Methods: Community based cross-sectional study design was conducted to determine the magnitude of long term and permanent contraceptive utilization and determinant s among reproductive age group married females from January 01 to 20 , 2018. Multistage sample technique was used to select 761 participants for the study. The data was collected by face to face interview using pre-tested structured questioner. Data was entered by using EPI INFO version 7 and exported to SPSS version 20 for further analysis. Descriptive statistics and bi-variable and multivariable binary logistic regression was computed to determine the prevalence and identify determinants of long acting and permanent contraceptive methods respectively Results: The magnitude of Long acting and permanent contraceptive method utilization was 12.9% ( 95% CI, 10%-15%).Among those 96.8 % use implants,2.1% use female sterilization and 1.1% use IUCD and none of them use male sterilization .Women whose occupation is student was three times likely to utilize long acting and permanent contraceptive methods as compared to housewife (AOR=3.12,95% CI of (1.05-9.29), A women whose husbands occupation is government employee was two and half (AOR=2.51, 95 %( 1.1-5.75) times likely to use LAPMs as compared to women whose husband was merchant, a women who had good knowledge was around four times likely to use LAPMs as compared to women who had poor knowledge(AOR=4.20,95%CI of (1.32-13.39). Conclusion: Utilization of long acting and permanent contraceptive method is very low. Among those almost all married women抯 were used implants and few of them used IUCD and female sterilization and none of them used male sterilization. The knowledge, occupation of the married women and occupation of husbands were independent predictors of utilization of long acting and permanent contraceptive methods. Extensive health information and encouragement of females for education should be provided. Key words-long acting and permanent contraceptive, family planning, long acting and reversible contraceptive, prevalence, determinants, utilization