Intention to Shift from Short to Long Term Family Planning Methods and Associated Factors Among Women of Reproductive Age Utilizing Short Acting Family Planning in Assosa Zone, West Ethiopia

Abstract

Background: The intention of women in reproductive age group from short to long-acting family planning method is a common phenomenon. Out of 182 million pregnancies estimated to occur annually in low-income countries, more than one-third were unintended. However, Data on the magnitude of the intession to shift from short term to long term family planning methods were limited in low-income countries including the study setting. Objective: To assess the magnitude of Intention to Long Term Family Planning Methods and associated Factors among Women of Reproductive Age Utilizing Short Acting Family Planning in Assosa Zone, West Ethiopia from May21 –June20/ 2017. Methods: - A Health facility based cross-sectional study design was used. Data were collected systematically selected 796 womens from randomly selected 3 health centers by proportionate allocation from May 21 to June 20/2017. Data entry and analysis were done using Epidata version 3.1 and SPSS Version 20.0 statistical softwares respectively. Bi-variable logistic regression analyses were done to see the association between dependent and each independent variable. Odds ratio along with 95% confidence interval were estimated to identify factors associated with the intention Result: Intention to shift from short to long-term family planning methods in the future was 68.3%, 95%CI (65%, 71.5%) of womens. Being Muslim [(AOR=1.45, 95% CI= 1.01-2.086)], Protestant & Catholic followers [(AOR=2.97, 95% CI= 1.24-5.74)]. Household monthly income of 4001-5000 [(AOR=3.41, 95% CI= 1.26-9.22)]. Decision making by herself [(AOR=0.3495%CI=0.17-0.71)]. Transportation cost up to 10 Birr [(AOR= 0.38, 95%CI=0.25-0.59)]. Had one child, had two children [(AOR=1.89, 95%CI=1.41-2.45)], [(AOR=1.9, 95%CI= 1.52-2.96)] respectively. Had no male child, had one male child, had two male children [(AOR=5.73, 95%CI=1.93-17)], [(AOR=7.56, 95%CI= 3.51-16.29)], [(AOR=2.13, 95%CI= 1.19-3.8)] respectively. Had no female child, had one female child, had two female children [(AOR=10.18, 95%CI=4.24-24.4)], [(AOR=12.98, 95%CI= 6.19-27.22)], [(AOR=2.39, 95%CI= 1.21-4.73)] respectively were the factors significantly associated with the intension to shift to long acting family planning methods. . ConculussionandRecommendations: -Intention to long-term family planning methods was 68.3%. Religion, household monthly income, Decision-making, transportation up to 10 Birr, having total children, number of male children, number of female children, were the factors significantly associated. xv Therefore, encouraging relatives and religious leader’s involvement, the use of mobile familyplanningshouldbestrenghened.