Assessment Of Intention To Use Long Acting And Permanent Contraceptive Methods And Associated Factor Among Married Women Of Reproductive Age Groups, Tulu Bolo Town, Ethiopia 2021 G.C

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