Utilization of Long Acting Reversible Contraceptive and its Associated Factors among Women who Received Abortion Service at Health Facilities in South West Shoa Zone, Oromia, Ethiopia

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.