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Demand for Long Acting and Permanent Contraceptives Methods and Associated Factors Among Married Women Visiting Assosa Town Health Institution for Family Planning

Received: 16 June 2021     Accepted: 13 July 2021     Published: 23 August 2021
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Abstract

Background: Demand for long acting and permanent contraceptive method is one of the key factors that determine the fertility and the reproductive health of the women. These demand for LAPM was not consistent with and the utilization of LAPM. The objective of this study is therefore, to assess demand for LAPM and associated factors among married women visiting Assosa governmental health institution for family planning service. Method used to conduct the study was, institutional based cross sectional study were conducted to assess demand for LAPM and its associated factor from April 12-May 10/2019 for total of 251 sample size. Data was collected by using pretested structured questionnaire. For the qualitative study, in-depth interview was conducted on purposively selected key informant. Data was analyzed by using SPSS 24. Th study result indicates, the demand for LAPM at the study area was 158 (62.9%). Awareness about LAPM (AOR=2.503 95%CI =1.188-5.2274), knowledge of LAPM (AOR=2.62, 95%CI =1.295-5.299), previous utilization of LAPM (AOR= 3.369, 95%CI =1.805-5.291) and couple discussion about any LAPM (AOR=2.067, 95% CI =1.027-4.163) were associated with demand for LAPM. Fear of the side effect was the main reason for non-utilization of LAPM. Conclusion: demand for LAPM was not consistent with the utilization. The finding shows that, 62.9% of the respondent had demand for LAPM. On the basis of the finding, It needs to do more on the limiting factors to utilize LAPM. So the recommendation gos to MOH, RHB, the institution manager together with health care provider and different NGO work more to meet the increasing demand for LAPM.

Published in Journal of Family Medicine and Health Care (Volume 7, Issue 3)
DOI 10.11648/j.jfmhc.20210703.12
Page(s) 65-76
Creative Commons

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), 2021. Published by Science Publishing Group

Keywords

Demand for Long Acting, Permanent Contraceptive Methods, Married Women

References
[1] UNICEF, WHO, UNESCO, UNFPA, UNDP, UNAIDS, WFP and the World Bank, Facts for Life. vailable at www.factsforlifeglobal.org. 2010; 4th eddition.
[2] MAITETHIA MJ. UTILIZATION OF LONG-TERM AND PERMANENT FAMILY PLANNING METHODS AMONG FAMILY PLANNING CLIENTS AT WESTLANDS HEALTH FACILITIES, NAIROBI COUNTY, KENYA: KENYATTA UNIVERSITY; 2016.
[3] WHO @ Accelerating uptake of voluntary, rights-based family planning in developing countries 2018, avilable at http:/www.who.int.
[4] Family Planning and Population, Division of Reproductive Health, World Health Organization, health benefite of family planning, 1211 Geneva 27, Switzerland.
[5] Takele A, Degu G, Yitayal M. 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. Reproductive health. 2012; 9: 26.
[6] Ewerling F, Victora CG, Raj A, Coll CVN, Hellwig F, Barros AJD. Demand for family planning satisfied with modern methods among sexually active women in low- and middle-income countries: who is lagging behind? Reproductive health. 2018; 15 (1): 42.
[7] Zenebe CB, Adefris M, Yenit MK, Gelaw YA. Factors associated with utilization of long-acting and permanent contraceptive methods among women who have decided not to have more children in Gondar city. BMC women's health. 2017; 17 (1): 75.
[8] United Nations, Department of Economic and Social Affairs, Population Division (2015). Trends in Contraceptive Use Worldwide 2015 (ST/ESA/SER.A/349).
[9] Tibaijuka L, Odongo R, Welikhe E, Mukisa W, Kugonza L, Busingye I, et al. Factors influencing use of long-acting versus short-acting contraceptive methods among reproductive-age women in a resource-limited setting. BMC women's health. 2017; 17 (1): 25.
[10] Sarah R. Blackstone. Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review. International Quarterly of Community Health Education 2017; Vol. 37 (2) 79–9 (DOI: 10.1177/0272684X16685254.
[11] Babalola S, John N. Factors underlying the use of long-acting and permanent family planning methods in Nigeria: a qualitative study. New York: EngenderHealth/The RESPOND Project. 2012.
[12] Yalew SA, Zeleke BM, Teferra AS. Demand for long acting contraceptive methods and associated factors among family planning service users, Northwest Ethiopia: a health facility based cross sectional study. BMC research notes. 2015; 8: 29.
[13] MOH. Central Statistical Agency (CSA) [Ethiopia] and ICF. 2016. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF. 2016.
[14] Ochako R, Mbondo M, Aloo S, Kaimenyi S, Thompson R, Temmerman M, et al. Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study. BMC public health. 2015; 15 (1): 118.
[15] U.S. Agency for International Development (USAID). Facts for Family Planning. Washington, DC: USAID, 2012.
[16] Azmoude E, Behnam H, Barati-Far S, Aradmehr M. Factors Affecting the Use of Long-Acting and Permanent Contraceptive Methods Among Married Women of Reproductive Age in East of Iran. Women's Health Bulletin. 2017; 4.
[17] Nthusi JN. Factors Associated with Choice of Long Acting Contraceptive Methods among Women of Reproductive Age in Bungoma East Sub-County: Moi University; 2015.
[18] Huda FA, Robertson Y, Chowdhuri S, Sarker BK, Reichenbach L, Somrongthong R. Contraceptive practices among married women of reproductive age in Bangladesh: a review of the evidence. Reproductive health. 2017; 14 (1): 69.
[19] Azmat SK, Ali M, Ishaque M, Mustafa G, Hameed W, Khan OF, et al. Assessing predictors of contraceptive use and demand for family planning services in underserved areas of Punjab province in Pakistan: results of a cross-sectional baseline survey. Reproductive health. 2015; 12 (1): 25.
[20] Bulto GA, Zewdie TA, Beyen TK. 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 (1): 46.
[21] Ouma S, Turyasima M, Acca H, Nabbale F, Obita K, Rama M, et al. Obstacles to family planning use among rural women in Atiak health center IV, Amuru District, northern Uganda. East African medical journal. 2015; 92 (8): 394.
[22] Shabana Anjum PMD, Mahadeo Shinde. Knowledge of Contraceptives Methods and Appraisal of Health Education among Married Woman. International Journal of Science and Research (IJSR). March 2014; Volume 3 Issue 3, www.ijsr.net
[23] Malawi Demographic and Health Survey, National Statistical Office Zomba, Malawi ICF Macro Calverton, Maryland, USA 2010.
[24] Zomba, Malawi ICF Macro Calverton, Maryland, USA 2010.
[25] Palamuleni ME, Adebowale AS. Women empowerment and the current use of long acting and permanent contraceptive: Evidence from 2010 Malawi Demographic and Health Survey. Malawi Medical Journal. 2014; 26 (3): 63-70.
[26] Tesfalidet Tekelab* ASaDW. Factors Affecting Intention to Use Long Acting and Permanent Contraceptive Methods among Married Women of Reproductive Age Groups in Western Ethiopia: A Community Based Cross Sectional Study. amily Medicine & Medical Science Research. 2015; Volume 4 (Issue 1 • 1000158).
[27] Azmat SK, Ali M, Ishaque M, Mustafa G, Hameed W, Khan OF, et al. Assessing predictors of contraceptive use and demand for family planning services in underserved areas of Punjab province in Pakistan: results of a cross-sectional baseline survey. Reproductive health. 2015; 12 (1): 25.
[28] Mosha I, Ruben R, Kakoko D. Family planning decisions, perceptions and gender dynamics among couples in Mwanza, Tanzania: a qualitative study. BMC public health. 2013; 13 (1): 523.
[29] Ho LS, Wheeler E. Using program data to improve access to family planning and enhance the method mix in conflict-affected areas of the Democratic Republic of the Congo. Glob Health Sci Pract. 2018; 6 (1): 161-177. https://doi.org/10.9745/GHSP-D-17-00365.
[30] Semere Sileshi Belda1* MTH, Abulie Takele Melku2 and Abdurehaman Kalu Tolol. Modern contraceptive utilization and associated factors among married pastoralist women in Bale eco-region, Bale Zone, South East Ethiopia. BMC health serivce reaserch 2017; 194.
[31] Nieto-Andrade B, Fidel E, Simmons R, Sievers D, Fedorova A, Bell S, et al. Women's Limited Choice and Availability of Modern Contraception at Retail Outlets and Public-Sector Facilities in Luanda, Angola, 2012-2015. Global health, science and practice. 2017; 5(1): 75-89.
[32] Abajobir AA (2014) Intention to use Long-acting and Permanent Family Planning Methods among Married 15-49 years Women in Debremarkos Town, Northwest Ethiopia. Fam Med Med Sci Res 3: 145. doi: 10.4172/2327-4972.1000145.
[33] Paul Kisia Malalu, Koskei Alfred, Robert Too, Amon Chirchir. Determinants of Use of Modern Family Planning Methods: A Case of Baringo North District, Kenya. Science Journal of Public Health. Vol. 2, No. 5, 2014, pp. 424-430. doi: 10.11648/j.sjph.20140205.18.
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  • APA Style

    Zelalem Birku, Semarya Berhe, Yeshi Assefa. (2021). Demand for Long Acting and Permanent Contraceptives Methods and Associated Factors Among Married Women Visiting Assosa Town Health Institution for Family Planning. Journal of Family Medicine and Health Care, 7(3), 65-76. https://doi.org/10.11648/j.jfmhc.20210703.12

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    ACS Style

    Zelalem Birku; Semarya Berhe; Yeshi Assefa. Demand for Long Acting and Permanent Contraceptives Methods and Associated Factors Among Married Women Visiting Assosa Town Health Institution for Family Planning. J. Fam. Med. Health Care 2021, 7(3), 65-76. doi: 10.11648/j.jfmhc.20210703.12

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    AMA Style

    Zelalem Birku, Semarya Berhe, Yeshi Assefa. Demand for Long Acting and Permanent Contraceptives Methods and Associated Factors Among Married Women Visiting Assosa Town Health Institution for Family Planning. J Fam Med Health Care. 2021;7(3):65-76. doi: 10.11648/j.jfmhc.20210703.12

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  • @article{10.11648/j.jfmhc.20210703.12,
      author = {Zelalem Birku and Semarya Berhe and Yeshi Assefa},
      title = {Demand for Long Acting and Permanent Contraceptives Methods and Associated Factors Among Married Women Visiting Assosa Town Health Institution for Family Planning},
      journal = {Journal of Family Medicine and Health Care},
      volume = {7},
      number = {3},
      pages = {65-76},
      doi = {10.11648/j.jfmhc.20210703.12},
      url = {https://doi.org/10.11648/j.jfmhc.20210703.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20210703.12},
      abstract = {Background: Demand for long acting and permanent contraceptive method is one of the key factors that determine the fertility and the reproductive health of the women. These demand for LAPM was not consistent with and the utilization of LAPM. The objective of this study is therefore, to assess demand for LAPM and associated factors among married women visiting Assosa governmental health institution for family planning service. Method used to conduct the study was, institutional based cross sectional study were conducted to assess demand for LAPM and its associated factor from April 12-May 10/2019 for total of 251 sample size. Data was collected by using pretested structured questionnaire. For the qualitative study, in-depth interview was conducted on purposively selected key informant. Data was analyzed by using SPSS 24. Th study result indicates, the demand for LAPM at the study area was 158 (62.9%). Awareness about LAPM (AOR=2.503 95%CI =1.188-5.2274), knowledge of LAPM (AOR=2.62, 95%CI =1.295-5.299), previous utilization of LAPM (AOR= 3.369, 95%CI =1.805-5.291) and couple discussion about any LAPM (AOR=2.067, 95% CI =1.027-4.163) were associated with demand for LAPM. Fear of the side effect was the main reason for non-utilization of LAPM. Conclusion: demand for LAPM was not consistent with the utilization. The finding shows that, 62.9% of the respondent had demand for LAPM. On the basis of the finding, It needs to do more on the limiting factors to utilize LAPM. So the recommendation gos to MOH, RHB, the institution manager together with health care provider and different NGO work more to meet the increasing demand for LAPM.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Demand for Long Acting and Permanent Contraceptives Methods and Associated Factors Among Married Women Visiting Assosa Town Health Institution for Family Planning
    AU  - Zelalem Birku
    AU  - Semarya Berhe
    AU  - Yeshi Assefa
    Y1  - 2021/08/23
    PY  - 2021
    N1  - https://doi.org/10.11648/j.jfmhc.20210703.12
    DO  - 10.11648/j.jfmhc.20210703.12
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
    SP  - 65
    EP  - 76
    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20210703.12
    AB  - Background: Demand for long acting and permanent contraceptive method is one of the key factors that determine the fertility and the reproductive health of the women. These demand for LAPM was not consistent with and the utilization of LAPM. The objective of this study is therefore, to assess demand for LAPM and associated factors among married women visiting Assosa governmental health institution for family planning service. Method used to conduct the study was, institutional based cross sectional study were conducted to assess demand for LAPM and its associated factor from April 12-May 10/2019 for total of 251 sample size. Data was collected by using pretested structured questionnaire. For the qualitative study, in-depth interview was conducted on purposively selected key informant. Data was analyzed by using SPSS 24. Th study result indicates, the demand for LAPM at the study area was 158 (62.9%). Awareness about LAPM (AOR=2.503 95%CI =1.188-5.2274), knowledge of LAPM (AOR=2.62, 95%CI =1.295-5.299), previous utilization of LAPM (AOR= 3.369, 95%CI =1.805-5.291) and couple discussion about any LAPM (AOR=2.067, 95% CI =1.027-4.163) were associated with demand for LAPM. Fear of the side effect was the main reason for non-utilization of LAPM. Conclusion: demand for LAPM was not consistent with the utilization. The finding shows that, 62.9% of the respondent had demand for LAPM. On the basis of the finding, It needs to do more on the limiting factors to utilize LAPM. So the recommendation gos to MOH, RHB, the institution manager together with health care provider and different NGO work more to meet the increasing demand for LAPM.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • College of Health Sciences School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia

  • College of Health Sciences School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia

  • College of Health Sciences School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia

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