Determinants of long acting and permanent contraceptive methods utilization among married women of reproductive age groups in western Ethiopia: a cross-sectional study

Abstract

Introduction: in Ethiopia information on the level of utilization of the long-term and permanent contraceptive methods and associated factors is lacking. The aim of this study was to understand the determinant factors of long-acting and permanent contraceptive methods use among married women of reproductive age in Western Ethiopia.

Methods: a community-based cross- sectional study design was employed. Multi-stage sampling was used to select 1003 study participants. Data was collected from April 10 to April 25,2014 using a pre- tested structured questionnaire. The data were entered using Epi-info version 3.5.1 and exported to SPSS version 20 for analysis. Multivariate logistic regression analysis was done to identify predictors of long-acting and permanent contraceptive methods at 95% CL.

Results: use of long acting and permanent contraceptive methods in this study was found to be 20%. Survey results showed a significant positive association between utilization of long acting and permanent contraceptive methods andwomen's education (AOR=1.72, 95%CI = 1.02 - 3.05), women's occupation (AOR = 2.01, 95% CI = 1.11 -3.58), number of live children (AOR = 2.42, 95% CI: 1.46- 4.02), joint fertility related decision (AOR = 6.11, 95% CI: 2.29- 16.30) ,having radio/TV (AOR = 2.31, 95% CI: 1.40 - 3.80), and discussion with health care provider about long acting and permanent contraceptive methods (AOR = 13.72, 95% CI: 8.37 - 22.47).

Conclusion: efforts need to be aimed at women empowerment, health education, and encouraging open discussion of family planning by couples.