Utilization of Long Acting and Permanent Contraceptive Methods and Associated Factors among Women of Modern Contraceptive Users in Debre Markos town, North West Ethiopia, 2016

Abstract

Introduction: Globally utilization of long acting and permanent contraceptive methods is high in which more than fifty percent of contraceptive users were practicing female sterilization and intrauterine contraceptive device, but in sub-Saharan countries the proportion of women using long acting and permanent contraceptive methods is significantly lower than the proportion using short-acting methods. Particularly in Ethiopia, despite the fact that utilization of long acting and permanent methods are believed to be low, there are limited evidences on the real magnitude of utilization of the methods and associated factors.Objective: This study was aimed to assess utilization of long acting and permanent contraceptive methods and associated factors among women of modern contraceptive users in Debre Markos town, North West Ethiopia, 2016 Methods: Community based cross sectional study was conducted from January 13-29, 2016. Systematic random sampling technique was used to select 455 study participants. Pre tested structured Amharic version questionnaire was used to collect the data through interview. Both bivariate and multiple logistic regressions were used to identify associated factors. Results: Out of the total modern contraceptive users 213(46.8%) were using long acting and permanent contraceptive methods and from them 165(77.5%) were using implants.  modern contraceptive user mothers who had information about other contraceptive methods that could be used from FP service providers  were 14 times more likely to utilize long acting and permanent contraceptive methods as compared to participants who hadn’t information about other contraceptive methods from family planning service providers(AOR=13.77; 95% CI: 6.30, 30.10). Desired number of children, future reproductive plan, and having common choice of contraceptive method by discussion were also significantly associated with utilization of long acting and permanent contraceptive methods.Conclusion and Recommendations: Long-acting and permanent contraceptive methods utilization in this study was relatively high. To further increase and meet the national plan involving husbands during counseling service, ensuring sustainable availability and accessibility of long acting and permanent contraceptive methods is needed.

Keywords: contraceptive users, Long acting and permanent contraceptive methods, Modern contraceptive methods,  Utilization