Determinants of Long-Acting Reversible Contraceptive Methods Utilization Among Married Women of Reproductive Age Group In Ambo Town, Oromia Region, West Ethiopia, 2016: A Case Control Study

Abstract

Dawit Regasa, Fasil Tessema, Mamo Nigatu

Background: The contraceptive utilization rate in Ethiopia is approximately 29%. In contrast, only 3.7% of married women in Ethiopia use the most effective and convenient methods, i.e., long-acting contraceptive  methods. This rate is approximately 3.2% in the Oromia region, the most populous region in Ethiopia. In regard to this, the current study aimed to identify determinants of long-acting reversible contraceptive method utilization among married women in Ambo town, Ethiopia.

Objective: To identify determinants of long-acting reversible contraceptive method utilization among married women of reproductive age in Ambo town, 2016 Methods: A community-based unmatched case-control study was carried out in Ambo town on 420 married women of reproductive age who were randomly selected. The study population comprised users [case group; n=140] and nonusers [control group; n=280] of one of the longacting reversible methods. Multivariable logistic regression analysis was performed to determine independent predictors. Adjusted odds ratios together with their corresponding 95% CIs were calculated to assess the strength of association and declare statistical significance.

Result: A total of 418 married women participated in the study, with a response rate of 99.45%. Moderate level of knowledge on long-acting reversible contraceptive methods [AOR= 8.73, 95%CI: 3.08 - 24.77], good level of knowledge [AOR=13.99, 95%CI:4.93-39.71], spousal discussion on long-acting reversible contraceptive methods [AOR=2.88, 95%CI:1.3-6.36], positive attitude toward long-acting reversible contraceptive methods [AOR=7.07, 95% CI: 3.77-13.24], women from households in the poorest wealth quintile [AOR= 6.83, 95%CI: 2.68- 17.38], women from households in the medium wealth quintile [AOR=5.83, 95%CI: 2.23- 15.23] were positive determinants, whereas intention to give birth in the future [AOR=0.09, 95% CI: 0.02- 0.36] and women’s expectations of restriction to methods use [AOR=0.2, 95% CI: 0.08- 0.48] were negative determinants of long-acting reversible contraceptive method utilization.

Conclusion: Good knowledge, moderate knowledge, positive attitude, wealth index and spousal discussion were positive determinants, whereas intention to give birth in the future and woman’s expectation of restriction to method use were negative determinants of long-acting reversible contraceptive method utilization. Stakeholders should emphasize behavioral change communication to increase knowledge on long-acting reversible contraceptive methods, strengthen inter-spousal discussion and bring a positive attitude towards long-acting reversible contraceptive methods.

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