Utilization of Long Acting and Permanent Family Planning Methods among Women of Reproductive Age Group in Debre Birhan Town, North Shewa Ethiopia 2014

Asegidew, Wondwosen (2014) Utilization of Long Acting and Permanent Family Planning Methods among Women of Reproductive Age Group in Debre Birhan Town, North Shewa Ethiopia 2014. Masters thesis, Addis Ababa University.

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Abstract

Back ground: Contraceptive use including short and long acting and permanent methods are recorded to help families to space and limit their size to their economic capacity. Wider access and use of long-acting and permanent methods of contraception are the most effective contraceptives available to contribute to reduction of high levels of population growth and maternal mortality and morbidity. Yet, utilization of LAPMs in Ethiopian is recorded to be low. Objective: The purpose of this study is to describe utilization of long acting and permanent family planning methods and identify associated factors among women of 18-49 years age group in Debre Birhan Town, North Shewa Zone, Amhara Region. Methods: A community based cross sectional study supported with qualitative method was conducted in four selected Kebeles of Debre Birhan town. Systematic random sampling method was used to select study subjects for the survey while purposive sampling was used to select study subjects for qualitative study. A pre-tested structured questionnaire was used to collect quantitative data and interviewer topic guide was used for qualitative. The survey data was entered in to Epi, Info version 3.5.4 and exported, cleaned and analyzed using SPSS version 21. Open code version 3.6.2 was used to categorize and code qualitative data. Factors associated with utilization of LAPMs were identified using logistic regression model and content analysis of qualitative data. Results: Current utilization of LAPMs among women of reproductive age was found to be 27.3%. Those women, who are aware of LAPMs, have positive attitude about LAPMs and those who were satisfied with the service were found to be used LAPMs AOR=4.21, 95%CI 1.53-11.55, AOR=1.81, 95%CI 1.12-2.94 and AOR=1.86, 95%CI: 1.14-3.04 respectively. Myths and misconceptions about utilization of IUCD and implants were major barriers to the use of LAPMs. Conclusion: Awareness, positive attitude and satisfaction with LAPMs were factors promoting use of LAPMs, whereas myth and misconception in the community hinders the utilization of LAPMs. Therefore; sustained and appropriate information on LAPMs should be provided to raise awareness of women and the community. The Town health office should design educational programs that promote and reduce barriers to LAPMs at community level in the Town

Item Type:	Thesis (Masters)
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	02 Jul 2018 12:02
Last Modified:	02 Jul 2018 12:02
URI:	http://thesisbank.jhia.ac.ke/id/eprint/6384

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