Abstract:
Background: Despite the increase in contraceptive use worldwide over the last decade, there is
still discrepancy in the need to limit birth and utilization of modern contraceptives specifically
long acting and permanent contraceptive methods in sub-Saharan Africa including Ethiopia.
Intention to use long acting and permanent methods of contraception is an important indicator of
the potential demand for family planning services.
Objective: To assess intention to use long acting and permanent contraceptive methods
(LAPMs) and identifying associated factors among currently married women in Tulu bolo town.
Methods: A community based cross sectional study design complemented with a qualitative
method was conducted in Tulu bolo town. A total of 240 study subjects were interviewed.
Systematic random sampling method was used to select study subjects. Quantitative data were
analyzed using SPSS version 16. Open code software version 3.6.2.0 was used to facilitate
coding of the qualitative data. Factors associated with intention were identified using logistic
regression model and content analysis was done on the qualitative data.
Results: Intention to use LAPMs was 42 %. Intention to use LAPMs was higher among women
who knew at least one of LAPMs (COR = .126, 95% CI = ,054 ,.295) and women who have
discussion with partner on Family Planning (COR = .352 , 95% CI = .134 , .925). Similarly,
participants in the focus group discussion have expressed their concern on the return of fertility
after using implants or IUCD as well as insertion and removal procedures.
Conclusions: The magnitude of intention to use LAPMs in the study area was low. The main
limiting factors were fear of side effect, knowledge on LAPMs ,Discussion with partner on
family planning and ever use of modern contraceptive LAPMs use. To further promote the use
of LAPMs addressing associated misconceptions through effective communication strategies and
involving spouses in family planning programs is essential
