LEVEL AND FACTORS ASSOCIATED WITH THE USE OF LONG ACTING REVERSIBLE CONTRACEPTIVE METHODS AMONG CURRENTLY MARRIED WOMEN OF REPRODUCTIVE AGE IN SHONE TOWN ADMINISTRATION, HADIYA ZONE, SOUTHERN ETHIOPIA.

Abstract

Background: There was low utilization of long acting reversible contraceptive method in developing countries. There are diversity factors associated with use of long acting reversible contraceptive method. Currently married women prefer to use short acting rather than long acting contraceptive method. This study was focused aimed to clarify identified factors associated with use of long acting reversible contraceptive method in one setting of southern Ethiopia. Objectives: To assess level and factors associated with use of long acting reversible contraceptive method among currently married women of reproductive age in Shone Town, Hadiya Zone, Southern Ethiopia, from Jan 26 – Feb 05 /2018. Methods: Community based cross-sectional study was employed an interviewer- administered questionnaire was used to collect data from 576 reproductive age married women, who were randomly selected. All married women who were age group of 15 to 49 years old and live in Shone Town above 6 months and those fulfill the inclusion criteria were included and actual data collection was done after pretest on 29 reproductive age married women. Frequencies, proportion, and summary statistics were used to describe the study population in relation to relevant variables and presented in tables. Bivariate analysis was carried out to identify factors that are associated with long acting reversible contraceptive method. Multiple logistic regression analysis was performed for those factors that showed a statistically significant association in the bi-variate analysis to identify the factors independently associated with the utilization of the long acting reversible contraceptive method. Result: The overall long acting reversible contraceptive method use in Shone Town was 164(29.2%). History of LARC use [AOR = 3.58; 95%: CI=2.27-5.64)], discussion with health care provider on LARC in last 6 month [AOR=2.85; 95%CI (1.65-4.90)], high knowledge of LARC method [AOR= 2.86; 95: CI (1.69-4.84)], moderate knowledge of LARC method [AOR=2.68; 95: CI (1.60-4.51)] and positive attitude towards LARC [AOR=2.63; 95%: CI (1.71-4.04)], to be associated with the LARC use. Conclusion; - The level of long acting reversible contraceptive methods in Shone Town was 162(29.2%). In multivariable logistic regression analysis, the covariates: History of LARC use, discussion with health care provider on LARC in last 6 month, knowledge of LARC method and Attitude towards LARC were found to be statistically significant predictors of the outcome variable this study.