Factors Affecting Intra Uterine Contraceptive Device Utilization among Family Planning Clients Attending Sexual and Reproductive Health Centers, Addis Ababa, Ethiopia

Desalegn, Abenet (2014) Factors Affecting Intra Uterine Contraceptive Device Utilization among Family Planning Clients Attending Sexual and Reproductive Health Centers, Addis Ababa, Ethiopia. Other thesis, Addis Ababa University.

[img] PDF (Factors Affecting Intra Uterine Contraceptive Device Utilization Among Family Planning Clients Attending Sexual and Reproductive Health Centers, Addis Ababa, Ethiopia)
Abenet Desalegn.pdf - Accepted Version
Restricted to Repository staff only

Download (1MB) | Request a copy

Abstract

Background: Globally, IUCD is the second most commonly used contraceptive method (next to female sterilization) among married women of reproductive age. Although it is the safest, very effective, long acting and reversible contraceptive method, in many developing countries including Ethiopia IUCD is used at a very low rate compared to other modern contraceptive methods. Objective: To assess factors affecting IUCD utilization among FP clients attending Sexual and Reproductive Health centers in Addis Ababa. Method: A quantitative facility based unmatched case control study was carried out in Addis Ababa selected SRH centers of MSIE and FGAE from May1 to July 30, 2014. Cases were women of reproductive age who used IUCD during the study, whereas controls were women of reproductive age who used hormonal contraceptives (OCPs and injectable) during the study. The source population for the study was women of reproductive age who came to the selected sexual and reproductive health centers for FP services. Accordingly, 113 women of reproductive age who used IUCD during the study were included as cases, and 216 women of reproductive age who used hormonal contraceptives (OCPs and injectables) during the study were enrolled as controls in the study. Results: Bivariate analysis showed that age, marital status, monthly family income, family size, number of pregnancy, number of alive children, age of youngest child, desired number of children and IUCD use causes infertility had significant association with IUCD use (P-value <0.2). In addition participants who were told about IUCD as a method option, availability of IUCD, availability health professional capable of inserting IUCD, IUCD can protect against pregnancy for 12 years and IUCD use need minimal follow up after insertion were significantly associated with IUCD use (P-value <0.2). When variables that had significant association with IUCD use in the bivariate analysis were all included in the logistic regression model then number of pregnancies and desired number of children continued to have statistically significant association with use of IUCD (P-value <0.05).Women who were pregnant for three or more times are 14.55 times more likely to use IUCD than those women who experienced pregnancy only once (OR=14.551, 95% CI: 1.289, 164.250).Women with a desired number of children less or equal to three are 0.35 times less likely to use IUCD than those with a desired number of four and higher children. (OR=0.352, 95% CI: 0.142, 0.873). Conclusion: This study has identified women's number of pregnancies and desired number of children as major determinants for use of IUCD among family planning clients in Addis Ababa. Hence, strategies aimed at addressing the aforementioned determinants will be vital to improve utilization of IUCD.

Item Type: Thesis (Other)
Subjects: R Medicine > RG Gynecology and obstetrics
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 01 Oct 2018 12:13
Last Modified: 01 Oct 2018 12:13
URI: http://thesisbank.jhia.ac.ke/id/eprint/5817

Actions (login required)

View Item View Item