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Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia

Mussie Alemayehu, Tefera Belachew Lema UGent and Tizta Tilahun Degfie (2012) BMC PREGNANCY AND CHILDBIRTH. 12.
abstract
Background: Ethiopia is the second most populous country in Sub-Saharan Africa. Total Fertility Rate of Ethiopia is 5.4 children per women, population growth rate is estimated to be 2.7% per year and contraceptive prevalence rate is only 15% while the unmet need for family planning is 34%. Overall awareness of Family Planning methods is high, at 87%. The prevalence of long acting and permanent contraceptive methods (LAPMs) in Tigray region was very low which accounts for 0.1% for implants and no users for intra-uterine contraceptive device (IUCD) and female sterilization. Moreover almost all modern contraceptive use in Ethiopia is dependent on short acting contraceptive methods. The objective of this study was to assess factors associated with utilization of long acting and permanent contraceptive methods (LAPM) among married women of reproductive age group in Mekelle town. Methods: A cross sectional community based survey was conducted from March 9-20, 2011. Multistage sample technique was used to select the participants for the quantitative methods whereas purposive sampling was used for the qualitative part of the study. Binary descriptive statistics and multiple variable regressions were done. Results: The study consisted of quantitative and qualitative data. From the quantitative part of the study the response rate of the study was 95.6%. Of the qualitative part two FGDs were conducted for each married women and married men. 64% of the married women heard about LAPMs. More than half (53.6%) of the married women had negative attitude towards practicing of LAPMs. The overall prevalence of LAPMs use was 12.3% however; there were no users for female or male sterilization. The main reason cited by the majority of the married women for not using LAPMs was using another method of contraception 360 (93.3%). Mothers who had high knowledge were 8 times more likely to use LAPMs as compared with those who had low knowledge (AOR = 7.9, 95% CI of (3.1, 18.3). Mothers who had two or more pregnancies were 3 times more likely to use LAPM as compared with those who had one pregnancy (AOR = 2.7, 95% CI of (1.4, 5.1). Conclusion: A significant amount of the participants had low knowledge on permanent contraceptive particularly vasectomy. More than half (53.6%) of married women had negative attitude towards practicing of LAMPs. Few of married women use female sterilization and none use of female sterilization and or vasectomy. Positive knowledge of LAMPs, women who had two and above pregnancies and women who do not want to have additional child were significantly associated. Information education communication should focus on alleviating factors hinder from practicing of LAPMs.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
women, Ethiopia, Long acting permanent contraceptives, Mekele, utilization
journal title
BMC PREGNANCY AND CHILDBIRTH
BMC Pregnancy Childbirth
volume
12
article number
6
pages
8 pages
Web of Science type
Article
Web of Science id
000301492100001
JCR category
SURGERY
JCR impact factor
2.516 (2012)
JCR rank
39/195 (2012)
JCR quartile
1 (2012)
ISSN
1471-2393
DOI
10.1186/1471-2393-12-6
project
Masters thesis in reproductive health in Jimma University
language
English
UGent publication?
no
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
2123370
handle
http://hdl.handle.net/1854/LU-2123370
date created
2012-05-30 23:15:49
date last changed
2016-12-21 15:42:03
@article{2123370,
  abstract     = {Background: Ethiopia is the second most populous country in Sub-Saharan Africa. Total Fertility Rate of Ethiopia is 5.4 children per women, population growth rate is estimated to be 2.7\% per year and contraceptive prevalence rate is only 15\% while the unmet need for family planning is 34\%. Overall awareness of Family Planning methods is high, at 87\%. The prevalence of long acting and permanent contraceptive methods (LAPMs) in Tigray region was very low which accounts for 0.1\% for implants and no users for intra-uterine contraceptive device (IUCD) and female sterilization. Moreover almost all modern contraceptive use in Ethiopia is dependent on short acting contraceptive methods. The objective of this study was to assess factors associated with utilization of long acting and permanent contraceptive methods (LAPM) among married women of reproductive age group in Mekelle town. 
Methods: A cross sectional community based survey was conducted from March 9-20, 2011. Multistage sample technique was used to select the participants for the quantitative methods whereas purposive sampling was used for the qualitative part of the study. Binary descriptive statistics and multiple variable regressions were done. 
Results: The study consisted of quantitative and qualitative data. From the quantitative part of the study the response rate of the study was 95.6\%. Of the qualitative part two FGDs were conducted for each married women and married men. 64\% of the married women heard about LAPMs. More than half (53.6\%) of the married women had negative attitude towards practicing of LAPMs. The overall prevalence of LAPMs use was 12.3\% however; there were no users for female or male sterilization. The main reason cited by the majority of the married women for not using LAPMs was using another method of contraception 360 (93.3\%). Mothers who had high knowledge were 8 times more likely to use LAPMs as compared with those who had low knowledge (AOR = 7.9, 95\% CI of (3.1, 18.3). Mothers who had two or more pregnancies were 3 times more likely to use LAPM as compared with those who had one pregnancy (AOR = 2.7, 95\% CI of (1.4, 5.1). 
Conclusion: A significant amount of the participants had low knowledge on permanent contraceptive particularly vasectomy. More than half (53.6\%) of married women had negative attitude towards practicing of LAMPs. Few of married women use female sterilization and none use of female sterilization and or vasectomy. Positive knowledge of LAMPs, women who had two and above pregnancies and women who do not want to have additional child were significantly associated. Information education communication should focus on alleviating factors hinder from practicing of LAPMs.},
  articleno    = {6},
  author       = {Alemayehu, Mussie and Lema, Tefera Belachew and Degfie, Tizta Tilahun},
  issn         = {1471-2393},
  journal      = {BMC PREGNANCY AND CHILDBIRTH},
  keyword      = {women,Ethiopia,Long acting permanent contraceptives,Mekele,utilization},
  language     = {eng},
  pages        = {8},
  title        = {Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia},
  url          = {http://dx.doi.org/10.1186/1471-2393-12-6},
  volume       = {12},
  year         = {2012},
}

Chicago
Alemayehu, Mussie, Tefera Belachew Lema, and Tizta Tilahun Degfie. 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.
APA
Alemayehu, M., Lema, T. B., & Degfie, T. 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.
Vancouver
1.
Alemayehu M, Lema TB, Degfie TT. 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. 2012;12.
MLA
Alemayehu, Mussie, Tefera Belachew Lema, and Tizta Tilahun Degfie. “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 (2012): n. pag. Print.