Abstract:
Background: There are a number of choices and trained health professionals on provisions
of family planning service, particularly on Long Acting Revisable Contraceptive (LARC) at
all level in Ethiopia. Despite its availability, the magnitude of LARC use was low. Few
studies conducted and limited data on LARC use among extended postpartum mothers. We conducted study to assess LARC use and associated factors among extended postpartum
mothers in Haramaya district, Oromia, Eastern Ethiopia, from February 15 to 28, 2017.
Methods: A community based cross sectional study design was employed on mothers in
extended post-partum period. A Systematic sampling technique was employed to recruit
samples from eight kebeles of the district with proportional allocation. A pretested structured
questionnaire was used to collect data. We used bivariable and multivariable logistic
regression to identify factors that are associated with utilization of LARC. A P-value (<0.05)
and adjusted OR with 95% CI were used to identify significance level and strength of
association. Results: A total of 783 mothers were participated in the study Current LARC use was
7.3%.The odds of using LARC methods were higher among mothers who had earned lower
average monthly family income (<1050 ETB) (AOR=2.37; 95%CI (1.11-5.03) , attended at
least one PNC (AOR=2.38; 95%CI (1.15-4.96)), ever used LARC methods (AOR=2.38;
95%CI (3.82-19.60) more likely to use LARC compared to their counter parts. Whereas, history of previous cesarean delivery (AOR=0.29; 95%CI (0.09-0.85)) and having a plan to
have a child (AOR=0.40; 95%CI (0.17-0.94)) were less likely associated with the LARC
utilization. Conclusions: The magnitude of LARC use was low. Participant’s monthly income of the
family, age at first delivery, history of previous cesarean delivery, attend postnatal care, having a plan to have child in future and history of ever use LARC were significantly
associated factors with LARC use. We recommended a district to provide and strengthening
the existing reproductive health care/services to mothers during extended postpartum period
and delaying adolescent pregnancy.
