Factors Affecting the use of Long-Acting Reversible Contraceptive Methods among Married Women in Debre Markos Town, Northwest Ethiopia 2013

Abstract

Long-acting reversible contraceptive methods can substantially reduce the high levels of unwanted pregnancy as well as maternal mortality and morbidity more in developing countries. The main objective of this research was to assess factors affecting use of long acting reversible contraceptive methods among married women of reproductive age group in Debre Markos town. Institution based un-matched case- control study was implemented from March 1- April 30/ 2013. A total of 120 long acting and 240 short acting contraceptive method users with 1:2 cases to control ratio were included in the study. Consecutive registration was used to select the study participants. Female data collectors were recruited and a semi structured pretested questionnaire using interview technique was used for data collection. Data entry and clearing was done using EPI data 3.5.1 and it was then transported to SPSS version 16 statistical packages for analysis. Women at age 20-24 years were 3.69 times more likely to use long acting reversible contraception than women at age 30-34. Women who had experience of discussion with their husbands about contraceptive were 1.8 times more likely to use long acting contraception as compared with those who did not have discussion. Among several factors that determine the utilization of long acting reversible contraceptive methods age of women, occupation of the women and husband-wife discussion were found to be determinants of long acting reversible contraceptive method use. Family planning service needs to prepare advocacy to improve husband - wife communication to scale up the most effective & convenient service.