Utilization Of Long Acting Reversible Contraceptive Methods And Associated Factors Among Married Reproductive Age Women In Walmera District,Centeral Oromiya, Ethiopia

Abstract

Background: Long-acting reversible contraception methods is a modern birth control that provides over 99% effectiveness for an extended period of time preventing unwanted pregnancy at least for 3 years to 12 years. Due to low contraceptive utilization particularly Long-acting reversible or high unmet need, about 295,000 women lost their lives during and following pregnancy worldwide, while most of these occurred in low income countries. Objective: utilization of long acting reversible contraceptive methods and its associated factors among married reproductive age women in Wolmera District, Oromiya Special Zone Finifine Surrounding, Oromiya, Ethiopia, 2021 Methods: Community based cross-sectional study design supplemented by qualitative focus group discussion was conducted from December 1_ 30/2021 with sample size of 400.Data collection was conducted by trained data collectors, using structured and pretested interviewed administered questionnaire. Finally, data we rechecked for completeness, consistencies, coded and entered in to Epi Data version 3.1 then exported to SPSS version 23 for further analysis. A multivariate logistic regressions was utilized to ascertain the associated of LARC utilization at 95% confidence interval. P-value <0.05 was taken as a cut of point to declare the level of statistical significance. The result was presented in the form of narratives, tables, pie charts, and graphs. Results: The overall utilization of long acting reversible contraception was35.3%. At [95% CI: p (30-40)]. Having knowledge about LARC (AOR, 95% CI: 0.13(0.05, 0.63), supportive attitude (AOR,95% CI:0.22(0.05, 0.95), desire to have children in the near future (AOR,95% CI:0,15(0.05,0.44), discussion with partner when to use contraceptive(AOR,95%CI:0.09 (0.03, 0,24) and media exposure of the respondents (AOR,95%CI:0.13(0.05, 0.34) were predictors of utilization of long acting reversible family planning method. Conclusion and recommendations: the overall utilization of LARC is low in the study area as compare to national target of country. Knowledge, Attitude, desire to have children in the near future, discussion with partner, and media exposure were the associated factors for LARC use. Health promotion activates on the benefit of LARC need to be undertaken to increase awareness and usage of long acting contraceptives.