Determinants Of Long-Acting Reversible Family Planning Utilization Among Reproductive Age Women In Woliso Town Health Facilities; A Case Control Study

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.