Greener Journal of Epidemiology and Public Health Vol. 2 (1), pp. 023-031, July 2014.
ISSN: 2354-2381 © 2013 Greener Journals
Manuscript Number: 070514294
Long Acting Contraceptive Method Utilization and Associated Factors among Reproductive Age Women in Arba Minch Town, Ethiopia
Shegaw Getinet, Mohammed Amin Abdrahman, Nadew Kemaw, Tamrat Kansa, Zeru Getachew, Desta Hailu*, Yinager Workineh
Department of Nursing, Arba Minch University, Arba Minch, Ethiopia.
*Corresponding Author’s Email: destahailu19 @gmail .com
Background: Each year, approximately 287,000 women die from complications related to pregnancy and childbirth, with 99% of these deaths occurring in developing countries. Modern contraceptive, particularly long acting family planning methods are highly effective in reducing maternal mortality by preventing unintended or closely spaced pregnancies. This paper, therefore, aims to determine the level of utilization of long acting contraceptive methods and explore its determinants among child bearing age mothers in Arba Minch town, Gamogofa zone, Ethiopia. Method: Community based cross sectional study was conducted from May15-30 2014 among child bearing age women. Systematic random sampling technique was employed to select 358 study participants. A pre-tested and structured questionnaire was used to collect the data. Bivariate and multivariable data analysis was performed using Statistical Package for Social Sciences (SPSS) version 20 software to assess statistical association. Result: Long acting contraceptive method utilization was 13.1%. From the socio-economic factors, educational status of the mother, having functional radio or television at home, positive attitude and higher knowledge were found to be independent predictors of long acting contraceptive methods utilization. Conclusion: Utilization of long acting contraceptive method was very low despite multi-pronged activities have been undertaken throughout the country. Thus, community based health care workers should strengthen information, education and communication to ensure that women have higher knowledge and positive attitude towards long acting contraception methods.
Keywords: Long acting contraceptive methods, determinants, cross sectional, Ethiopia.
Adolescents and Long-Acting Reversible Contraception (2012): Implants and Intrauterine Devices. ACOG Committee Decision No. 539, October.
Alemayehu M, Belachew T and Tilahun T, (2012): Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia. BMC Pregnancy and Childbirth 12:6
Central Statistical Agency (2011). Ethiopia Demographic and Health survey. Central statistical agency, Addis Ababa.
Central Statistical Agency (2005). Ethiopia Demographic and Health survey. Central statistical agency, Addis Ababa.
Federal Ministry of Health (2010). Health Sector Development Programme IV 2010/11 -2014/15. FMOH, Ethiopia.
Hohmann HL, Cremer ML, Gonzalez E, Maza M. (2011). Knowledge and attitudes about intrauterine devices among women’s health care providers in El Salvador. Rev Panam Salud Publica.; 29(3):198–202.
Hubacher D, Kimani J, Steiner MJ, Solomon M, Ndugga MB, (2007) Con-traceptive implants in Kenya: current status and future prospects. Contraception, Jun; 75 (6):468-73
John Cleland, Stan Bernstein, Alex Ezeh, AnibalFaundes, Anna Glasier, Jolene Innis (2006). Family planning: the unfinished agenda. The Lancet Sexual and Reproductive Health Series, October.
Lawrence B, Jenna J, Megan L, (2012). Changes in use of long-acting contraceptive methods in the U.S., 2007–2009. Fertile Sterile.; 98(4):893-897.
Ross JA, Winfrey WL, (2002). Unmet need for contraception in the developing world and the former Soviet Union. International Family Planning Perspectives, 28:138–143
Safe Abortion (2003): technical and policy guidance for health systems. Geneva, World Health Organization.
Takele A, Degu G and Yitayal M, (2012): Demand for long acting and permanent methods of contraceptives and factors for non-use among married women of Goba Town, Bale Zone, South East Ethiopia. Reproductive Health 9:26.
The Maternal Mortality Estimation Inter-Agency Group (MMEIG). WHO, UNICEF, UNFPA and World Bank estimates. World Health Organization, Switzerland (2010). Availableat:http://www.unfpa.org/ webdav/site/global/ shared /documents/ publications /2012/ pdf.
Trends in Maternal Mortality (2010): 1990 to 2010.Geneva, Switzerland: World Health Organization.
UNDP (2011). Assessing Progress in Africa towards the Millennium Development Goals. Available at: http://web.undp.org/africa/ documents/MDG/full-report.pdf.
United Nations (2011). The Millennium Development Goals Report. UN, USA. Available at http://mdgs.un.org/unsd/mdg/Resources/Static/ Products /Progress2011/1131339%20 (E) %20MDG%20Report%202011_ Book 20LR.pdf.
Wendy N, Melissa B, Rollin B, Judith S, Ali M, Janusz K (2014). What Proportion of Canadian Women Will Accept an Intra-uterine Contraceptive at the Time of Second Trimester Abortion? Baseline Data from a Randomized Controlled Trial. J Obstet Gynaecol Can 2014;36(1):51–59
WHO. Make every mother and child count. Switzerland: World Health Organization. (2005). Available at: http://www.who.int/ whr/ 2005/pdf.
Wikipedia, the free encyclopedia. Arba Minch demographics (2013). Available at: "http://en.wikipedia.org/w/index.php?title=Arba_Minch_Zuria&oldid=563667791
World health organization (2005), Department of Making Pregnancy Safer.Technical Consultation report on Birth Spacing. Switzerland: WHO. Available at: http://www.who.int/maternal_child_adolescent/documents/birth_spacing.pdf
World health organization (2010). Reduction of maternal mortality. Available at: http://www.unfpa.org/upload/lib_pub_file/236_filename_e_rmm.pdf.