We declare that we have no competing interests.
KM conceived the study, developed the proposal, carried out data collection, and conducted the analysis and reviewing the manuscript. SR participated in reviewing the proposal, reviewing the analysis and participated in final study document development. BG provided general guidance in overall study progress and participated in drafting and reviewing the manuscript. All authors read and approved the final manuscript.
Many countries continue to have high fertility rates and most of the predicted increase in the world’s population until 2100 comes from these countries. Among family planning methods, Long Acting and Permanent Methods are convenient for users and effectively prevent pregnancy. The objective of this study was to assess factors associated with unmet need of Long Acting and Permanent Methods of contraception among women in the reproductive age group (15-49) using contraception in health facilities of Shashemene town, Oromia Region, Ethiopia.
Facility based cross sectional quantitative study and stratified sampling technique was used. Total of 382 females in reproductive age group were enrolled in the study in January 2012. Pretested, structured and close-ended questionnaire was used to interview study participants. Collected data was entered by using EPI Info 17 and analyzed by SPSS version 20 statistical software.
Utilization of Long Acting and Permanent Methods (LAPMs) of contraception in Shashemene town was found to be 28.4 % (104/366). From study participants, 71.6 % (262/366) used short acting methods and from these current short acting users, 127(41.5 %) desired to use LAPMs and unmet need of LAPMs was 122(33.3 %). Factors significantly associated with unmet need of LAMPs of contraception were: Education of women (< secondary level) AOR [3.8, 95 % CI: 2.9, 7.6; P < 0.001]; lack of discussion between partners AOR [2.9, 95 % CI: 1.8, 9.6; P = 0.01]; lack of proper counseling for women AOR [5.3, 95 % CI: 1.7, 11.2; P = 0.04]; and women’s occupation as a housewife AOR [4.7, 95 % CI: 3.1, 11.3; P = 0.02].
Unmet need of LAPMs of contraception in health facilities in Shashemene town was high. Women education, partner discussion and proper client counseling were found the main factors associated women LAPMs utilization.
USAID: Long-Acting and Permanent Methods of Contraception: Meeting clients’ needs. http://pdf.usaid.gov/pdf_docs/pnadi070.pdf. Accessed on: February 5, 2015
Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat. World Population Prospects. The 2010 Revision, available at http://esa.un.org/unpd/wpp/index.htm.
Federal Democratic Republic of Ethiopia Ministry of Health. National reproductive health strategy. Addis Ababa, Ethiopia: Federal Democratic Republic of Ethiopia Ministry of Health; 2006.
Wikipidia. List of African Countries by population. Accessed on February, 2015 http://en.wikipedia.org/wiki/Ethiopia.
Federal Democratic Republic of Ethiopia Central Statistical Agency. Population projection of Ethiopia for all regions at Wereda level from 2014 – 2017. Addis Ababa, Ethiopia: Federal Democratic Republic of Ethiopia Central Statistical Agency; 2013.
Central Statistical Agency - Ethiopia, ORC, Macro. Demographic and health survey - 2005. Addis Ababa, Ethiopia: Central Statistical Agency - Ethiopia, ORC, Macro; 2006. Calverton, Maryland.
Central Statistical Agency - Ethiopia, ICF International. Ethiopia Demographic and Health Survey (EDHS) 2011. Addis Ababa, Ethiopia: Central Statistical Agency - Ethiopia, ICF International; 2011.
Family Health International. Long acting and permanent methods: addressing unmet need for family planning in Africa. FHI, 2007. NC: Research Triangle Park; 2007.
Abulie T, Getu D, Mezgebu Y. Demand for long acting and permanent methods of contraceptives and factors for non-use among married women of Goba Town, Bale Zone, South East Ethiopia. Reprod Health. 2012;9:26. CrossRef
Getachew A, Tatek A, Teresa K. Demand for long acting and permanent contraceptive methods and associated factors among married women of reproductive age group in Debre Markos Town, North West Ethiopia. BMC Women’s Health. 2014;14:46. CrossRef
Shashemene town health office. Shashemene town health office annual report. Shashemene, Ethiopia: Shashemene town health office; 2011.
Korra A. Attitudes toward family planning, and reasons for nonuse among women with unmet need for family planning in Ethiopia. Calverton, Maryland USA: ORC Macro; 2002.
Alemayehu M, Belachew T, Tilahun T. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, northEthiopia. BMC Pregnancy and Childbirth 2012; 12:6.
Gordon C, Sabates R, Bond R, Wubshet T. Women’s education and modern contraceptive use in Ethiopia. International Journal of Education. 2011;13(1):18.
Malwenna L, Jayawardana P, Balasuriya A. Effectiveness of a community based health educational intervention in reducing unmet for modern methods of family planning among ever married reproductive age women in the Kalutara district Sri Lanka. Int J Collabarative Res Intern Med Public Health. 2012;4(6):1097–114.
Eskindir L, Mekonnen A, Chali J, FasilTessema. Assessment of quality of care in family planning service in Jimma zone, Ethiop. JHealth Dev. 2003;18(1):8–18.
Kasedde S. Long-term and permanent family planning methods in Uganda: a literature review. Baltimore, MD: Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs; 2000.
- Unmet need of long-acting and permanent family planning methods among women in the reproductive age group in shashemene town, Oromia region, Ethiopia: a cross sectional study
- BioMed Central
Neu im Fachgebiet Gynäkologie und Geburtshilfe
Meistgelesene Bücher aus dem Fachgebiet
e.Med Kampagnen-Visual, Mail Icon II