Long Acting Reversible Contraceptive Use and Associated Factors Among Extended Postpartum Mothers in Haramaya District, Eastern Ethiopia

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.