Abstract:
Background: Unintended pregnancy and abortion are remained an alarming public health
problem. Globally, an estimated 1 in 4 pregnancies ends in induced abortion and nearly 20% of
abortion clients have had a previous abortion. Nationally, more than a third (35%) of women
seeking an induced abortion service had a previous history of abortion. Long acting reversible
contraceptive methods is the most effective, very safe, quickly reversed, and doesn’t need
frequent visit and hence, saves time and money for individual. Thus, it has been proposed as a
key strategy to reduce unintended pregnancy and repeat induced abortions.
Objective: To assess the utilization of long acting reversible contraceptives and its associated
factors among women who received abortion service at health facilities in South West Shoa
Zone, Oromia, Ethiopia, 2023.
Methods: institutional based cross-sectional study design was implemented among 395 women
who received abortion service from February 15 to April 15, 2023. Systematic random sampling
was used to select the study participants. Data were collected using interviewer-administered
structured questionnaire and entered into Epi-Info version 7.1, then exported to SPSS version 25
for processing and analysis. Descriptive statistics was used to describe the participant’s
characteristics. Binary & multivariable logistic regressions were used to assess the association
between dependent & independent variables. The strength of association between dependent &
independent variables were measured by odds ratios along with 95% confidence interval. Finally
the significance of association was declared at p-value < 0.05. The results were displayed using
text, table and graph.
Results: A total of 395 women who received abortion service were interviewed in this study
with response rate of 98.30%. Utilization of post abortion long acting reversible contraceptive
was 45.3% (95% CI: 40.3, 50.4%). Married women (AOR= 0.10; 95% CI: 0.01, 0.24), attended
primary education (AOR: 3.4; 95% CI: 1.23, 9.24), previous history of LARC use (AOR: 6.7;
95% CI: 2.77,16.03), LARC counseling before abortion (AOR=2.6; 95% CI: 1.04, 6.71), ever
heard about LARC (AOR= 4.0; 95% CI: 2.02, 8.04), abortion managed by MVA (AOR=3.0;
95% CI: 1.39, 6.49) were significantly associated with utilization of long acting reversible
contraceptive.
Conclusions: According to this study utilization of long acting reversible contraceptive among
women who received an abortion service was good as compared with studies done in different
parts of our country. Married women, attended primary education, LARC counseling before
abortion, and previous history of LARC use, ever heard about LARC and abortion managed by
MVA were significantly associated with the outcome. Thus, greater emphasis should be given
for time of counseling and women’s awareness to ensure consistent & efficient use.
