Abstract:
Background: Long-acting reversible contraceptive methods are very effective family planning
methods in preventing unplanned pregnancy. However, its utilization in a resource-limited
setting is low. Short-term family planning methods are less effective, and have a higher risk of
contraceptive failure. Unintended pregnancies account for around one third of all pregnancies
among women who use contraceptives, mostly not using Long-acting reversible family planning.
Objective: The study was conducted to identify determinants of long-acting reversible family
planning methods utilization among reproductive-age women in a Woliso town health facility.
Method and Materials: A facility-based, unmatched case-control study design was employed
from October 1 to December 24, 2022. The sample size was 118 cases and 236 controls; the total
sample size was 354. The study population for cases were selected among women who used
long-acting reversible family planning by systematic selection, and for controls, among women
using short-acting family planning by systematic selection. Data were collected through a
structured, interviewer-administered questionnaire. Data was analyzed by SPSS version 20.
Bivariable logistic regression was conducted, and variables with a p-value of <0.25 on the
bivariable model were taken to multivariable logistic regression at p-value of ≤0.05. Adjusted
Odds Ratios (AOR) and its 95% CI was used to declare the association.
Result In this study the overall response rate was 95.2%, with cases response rate was 98.3%
and controls response rate was 93.6%. The women's occupation [ AOR, 3.7 at 95% CI (1.3-
10.2)], age category of 20-25 [AOR, 4.28 at 95% CI (1.31-13.97)], desire to have a more
children [AOR, 2 at 95% CI (1.07-4.2)], partner approval [AOR, 4.67 at 95% CI (2.14-10.12)],
and gravidity [AOR, 4.65 at 95% CI (1.4-15.4)], were found to be significant determinants of
long-acting reversible family planning methods utilization among reproductive-age women.
Conclusion this study identified the determinants of long-acting reversible family planning like
age category, women's fertility desires, gravidity, women occupation and husband or partner
approval related to family planning method.
