Science Journal of Public Health

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Determinants of Long Acting Contraceptive Use among Reproductive Age Women in Ethiopia: Evidence from EDHS 2011

Received: 28 December 2014    Accepted: 15 January 2015    Published: 06 February 2015
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Abstract

Introduction: Promotion and utilization of effective and convenient family planning methods in countries with high birth rates and limited resources have a potential to improve maternal and child health. These could reduce the costs of achieving millennium development goals. However, the contribution of long acting contraceptives both female and male sterilization, intrauterine device, and implant in Ethiopia is very low. Thus, the aim of this study was to identify the determinants of long acting contraceptive use in Ethiopia to improve its utilization. Methods: Unmatched case control study design was employed using data from the 2011 Ethiopian Demographic and Health Survey. Questionnaire was used to extract data from EDHS data set. The extracted data was transformed, edited and recoded using SPSS data editor command. Cross-tabulation was used to describe cases and controls. Logistic regression analysis was used to identify the determinants of LACs use. Strength of the association was assessed using odds ratio with 95% confidence interval. Result: The mean age of cases and controls were 32±7 and 31± 9, respectively. Sixteen seven (18.4 %) of cases have secondary and above level of education. Among the cases, 199 (54.7%) of them did not want any more children. Fifty four percent of cases were exposed to family planning messages through mass media. Secondary and above level of education [AOR (95%CI) =3 (1.5, 5.0)], working status of women [AOR (95%CI) = 1.7 (1.3, 2.2)], being visited by family planning workers [AOR (95%CI) = 1.8 (1.4, 2.5)] and exposure to family planning messages through media [AOR (95% CI) = 1.5 (1.1, 2.00)] were significantly associated with the use long acting contraceptive. Conclusions and Recommendations: Educational and working status of women, being visited by family planning workers, exposure to family planning messages and wanting no more children have positive association on LACs use. Provision of information about long acting contraceptives using mass media in advance and encouraging women to complete secondary level of education and above were important to improve LACs utilization.

DOI 10.11648/j.sjph.20150301.33
Published in Science Journal of Public Health (Volume 3, Issue 1, January 2015)
Page(s) 143-149
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Long Acting Contraceptives, Ethiopia, Reproductive Age Women, EDHS

References
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[2] US Agency for International Development (USAID). Using Quantification to Support Introduction and Expansion of Long-Acting and Permanent Methods of Contraception. USA: USAID|Deliver Project, Engender Health/The RESPOND Project October, 2010.
[3] Jacobstein R, Stanley H. Contraceptive implants: Providing better choice to meet growing family planning demand. Global Health Science and Practice, New York, USA, August 14, 2013, 1(1), 11-17. http://dx.doi.org/10.9745/GHSP-D-13-00003.
[4] US Agency for International Development (USAID). Long Acting and Permanent Methods of Contraception: Meeting Clients’ Needs: Issue Brief. August 2006.
[5] Family Health International (FHI), Long-Acting and Permanent Methods:Highlights of the Contraceptive and Reproductive Health Technologies Research and Utilization Program, 2005–2010. 2010.
[6] Sundrama A, Vlassoff M, Bankole A, Gebrehiwote Y. Benefits of Meeting the Contraceptive Needs of Ethiopian Women: In Brief, New York. Guttachmar institute July, 2010.
[7] USAIDS/FHI. Addressing Unmet Need for Family Planning in Africa, The Case for Long-Acting and Permanent Methods, 2007.
[8] USAID. Long-Acting and Permanent Methods of Contraception: Meeting Clients’ Needs. Issue Brief. 2006.
[9] Janowitz B, Gmach R, Otterness C. The Commercial Sector’s Role in Providing Long-Acting and Permanent Methods. Bethesda, MD: Private Sector Partnerships-One Project/Abt Associates Inc. 2006.
[10] Thoai D. Ngo ON, Kate Reiss, Shreya K. Pereira. Expanding long-acting and permanent contraceptive use in sub-Saharan Africa to meet FP2020 goals. Marie stops international. 2013.
[11] Sedgh G, Hussain R. Women with an unmet need for contraception in developing countries and their reasons for not using a method Akinrinola Bankole and Susheela Singh Occasional Report 2007; No. 37. Occasional Report:1–80.
[12] Westoff, Charles F. New estimates of unmet need and the demand for family planning. DHS Comparative Reports No. 14. Calverton, Md: Macro International Inc. 2006.
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[14] Van Lith LM, Yahner M, Bakamjian L, Women’s growing desire to limit births in sub-Saharan Africa: meeting the challenge. Available http://www.ghspjournal.org/cgi/doi/10.9745/GHSP-D-12-00036. Accessed Oct 21, 2013. Global Health: Science and Practice. 2013;1(1):97–107.
[15] Federal Ministry of Health. National Guideline for Family Planning Services in Ethiopia Addis Ababa: Ministry of Health, October, 2011.
[16] Central Statistical Agency. Ethiopia Demographic and Health Survey 2000. Addi Ababa Ethiopia: 2001.
[17] Central Statistical Agency. Ethiopia Demographic and Health Survey 2005 Addis Ababa Ethiopia: 2006.
[18] Central Statistical Agency. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia: March 2012
[19] Federal Ministry of Health. Health Sector Development Programme IV 2010/11 – 2014/15, Addiss Ababa, Ethiopia, October 2010.
[20] FDRE, Constitution of the Federal Democratic Republic of Ethiopia (FDRE), Addis Ababa, Ethiopia,1995.
[21] Oscar SR, Rojas G. Guide to DHS STATISTICS, Demographic and Health Surveys Methodology. ORC Macro Calverton, Maryland 2006.
[22] USAID. Standard recode manual for DHS 5. Demographic and Health Surveys, USAID, August 22, 2012, Version 1.
[23] Mussie A, Teferra B, Tizita T. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray Region, north Ethiopia. BMC Pregnancy and Childbirth Research. 2012; 12 (6).
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[25] Anley H, Misganaw F. Demand for long acting and permanent contraceptive methods and associated factors among family planning service users in Batu Town, East Showa, Ethiopia, 2009.
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Author Information
  • Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia

  • Amhara National Regional Health Bearau, Bahir Dar, Ethiopia

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    Alemayehu Shimeka Teferra, Abebach Asmamaw Wondifraw. (2015). Determinants of Long Acting Contraceptive Use among Reproductive Age Women in Ethiopia: Evidence from EDHS 2011. Science Journal of Public Health, 3(1), 143-149. https://doi.org/10.11648/j.sjph.20150301.33

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    ACS Style

    Alemayehu Shimeka Teferra; Abebach Asmamaw Wondifraw. Determinants of Long Acting Contraceptive Use among Reproductive Age Women in Ethiopia: Evidence from EDHS 2011. Sci. J. Public Health 2015, 3(1), 143-149. doi: 10.11648/j.sjph.20150301.33

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    AMA Style

    Alemayehu Shimeka Teferra, Abebach Asmamaw Wondifraw. Determinants of Long Acting Contraceptive Use among Reproductive Age Women in Ethiopia: Evidence from EDHS 2011. Sci J Public Health. 2015;3(1):143-149. doi: 10.11648/j.sjph.20150301.33

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  • @article{10.11648/j.sjph.20150301.33,
      author = {Alemayehu Shimeka Teferra and Abebach Asmamaw Wondifraw},
      title = {Determinants of Long Acting Contraceptive Use among Reproductive Age Women in Ethiopia: Evidence from EDHS 2011},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {1},
      pages = {143-149},
      doi = {10.11648/j.sjph.20150301.33},
      url = {https://doi.org/10.11648/j.sjph.20150301.33},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sjph.20150301.33},
      abstract = {Introduction: Promotion and utilization of effective and convenient family planning methods in countries with high birth rates and limited resources have a potential to improve maternal and child health. These could reduce the costs of achieving millennium development goals. However, the contribution of long acting contraceptives both female and male sterilization, intrauterine device, and implant in Ethiopia is very low. Thus, the aim of this study was to identify the determinants of long acting contraceptive use in Ethiopia to improve its utilization. Methods: Unmatched case control study design was employed using data from the 2011 Ethiopian Demographic and Health Survey. Questionnaire was used to extract data from EDHS data set. The extracted data was transformed, edited and recoded using SPSS data editor command. Cross-tabulation was used to describe cases and controls. Logistic regression analysis was used to identify the determinants of LACs use. Strength of the association was assessed using odds ratio with 95% confidence interval. Result: The mean age of cases and controls were 32±7 and 31± 9, respectively. Sixteen seven (18.4 %) of cases have secondary and above level of education. Among the cases, 199 (54.7%) of them did not want any more children. Fifty four percent of cases were exposed to family planning messages through mass media. Secondary and above level of education [AOR (95%CI) =3 (1.5, 5.0)], working status of women [AOR (95%CI) = 1.7 (1.3, 2.2)], being visited by family planning workers [AOR (95%CI) = 1.8 (1.4, 2.5)] and exposure to family planning messages through media [AOR (95% CI) = 1.5 (1.1, 2.00)] were significantly associated with the use long acting contraceptive. Conclusions and Recommendations: Educational and working status of women, being visited by family planning workers, exposure to family planning messages and wanting no more children have positive association on LACs use. Provision of information about long acting contraceptives using mass media in advance and encouraging women to complete secondary level of education and above were important to improve LACs utilization.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Long Acting Contraceptive Use among Reproductive Age Women in Ethiopia: Evidence from EDHS 2011
    AU  - Alemayehu Shimeka Teferra
    AU  - Abebach Asmamaw Wondifraw
    Y1  - 2015/02/06
    PY  - 2015
    N1  - https://doi.org/10.11648/j.sjph.20150301.33
    DO  - 10.11648/j.sjph.20150301.33
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 143
    EP  - 149
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20150301.33
    AB  - Introduction: Promotion and utilization of effective and convenient family planning methods in countries with high birth rates and limited resources have a potential to improve maternal and child health. These could reduce the costs of achieving millennium development goals. However, the contribution of long acting contraceptives both female and male sterilization, intrauterine device, and implant in Ethiopia is very low. Thus, the aim of this study was to identify the determinants of long acting contraceptive use in Ethiopia to improve its utilization. Methods: Unmatched case control study design was employed using data from the 2011 Ethiopian Demographic and Health Survey. Questionnaire was used to extract data from EDHS data set. The extracted data was transformed, edited and recoded using SPSS data editor command. Cross-tabulation was used to describe cases and controls. Logistic regression analysis was used to identify the determinants of LACs use. Strength of the association was assessed using odds ratio with 95% confidence interval. Result: The mean age of cases and controls were 32±7 and 31± 9, respectively. Sixteen seven (18.4 %) of cases have secondary and above level of education. Among the cases, 199 (54.7%) of them did not want any more children. Fifty four percent of cases were exposed to family planning messages through mass media. Secondary and above level of education [AOR (95%CI) =3 (1.5, 5.0)], working status of women [AOR (95%CI) = 1.7 (1.3, 2.2)], being visited by family planning workers [AOR (95%CI) = 1.8 (1.4, 2.5)] and exposure to family planning messages through media [AOR (95% CI) = 1.5 (1.1, 2.00)] were significantly associated with the use long acting contraceptive. Conclusions and Recommendations: Educational and working status of women, being visited by family planning workers, exposure to family planning messages and wanting no more children have positive association on LACs use. Provision of information about long acting contraceptives using mass media in advance and encouraging women to complete secondary level of education and above were important to improve LACs utilization.
    VL  - 3
    IS  - 1
    ER  - 

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