Reproductive Health | |
Demand for long acting and permanent methods of contraceptives and factors for non-use among married women of Goba Town, Bale Zone, South East Ethiopia | |
Mezgebu Yitayal2  Getu Degu1  Abulie Takele3  | |
[1] School of Public Health, Gondar College of Medical Sciences, University of Gondar, Gondar, Ethiopia;School of Public Health, Gondar of University, Gondar, Ethiopia;College of Medicine & Health Sciences, Madawalabu University, Robe, Bale, Ethiopia | |
关键词: Contraception; Implants; Utilization; Unmet need; Demand; Long Acting and Permanent Methods; | |
Others : 812015 DOI : 10.1186/1742-4755-9-26 |
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received in 2012-08-23, accepted in 2012-10-23, 发布年份 2012 | |
【 摘 要 】
Background
Contraceptive use including short acting, long acting and permanent methods positively influence the socio-economic development of a nation by allowing families to space and limit their family size to their economic capacity. Demand for LAPMs of contraception as detrmined by utilization and unmet need for LAPMs of contraception can provide realiable information for providers.
Objective
To determine the utilization of long acting and permanent contraception and its associated factors among married women of Goba town, South East Ethiopia.
Methods
A cross sectional community based study was conducted among 734 systematically selected married women of reproductive age in Goba town in September/ 2009. A structured and pretested, interview questionaire was used to collect data on socio-demographic, behavioral factors and data related to demand for LAPMs of contraception. Data were analyzed using EPI INFO and SPSS version 16.
Result
The demand for Long Acting and Permanent Methods (LAPMs) of contraception was 18.1%. Utilization of LAPMs of contraception in the town was 64 (8.7%) and the unmet need for LAPMs was 69 (9.4%). Information on LAPMs in the town was 636 (86.6%). Media (radio and television) was the major sources of information 641 (87.3%). The use of LAPMs was significatly associated with ever use AOR[17.43, 95% CI:9.19, 33.03], number of times discussions made on methods AOR[4.6, 95% CI: 1.72,12.17] and main decider of using methods AOR[ 2.2, 95% CI:1.03, 4.65]. It was not associated with socio-demographic variables.
Conclusion and recommendation
The utilization of LAPMs in the town was less although higher than the Ethiopian demographic and health survey 2005 result. Moreover, there was a considerable unmet need. Increase the method mix of LAPMs by incorporating varaies of implnats in order to increase utilization. Proper counseling of client and partners discussion were some of the recommendation forwarded.
【 授权许可】
2012 Takele et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20140709075401818.pdf | 220KB | download |
【 参考文献 】
- [1]United Nations Population Fund: International Conference on Population Development. 2005. Accessed on 1/05/2009. Available at: URL http://www.unfpa.org/about webcite
- [2]Central Statistical Agency [Ethiopia] and ICF International: Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International; 2012.
- [3]Contraceptive security brief hormonal implants. Accessed on 6/05/2009.Available at: URL: http://deliver.jsi.com/dlvr_content/resources/allpubs/logisticsbriefs/CSBrie_HormImpl.pdf webcite
- [4]Peterson Herbert B, Curtis Kathryn M: Long acting methods of contraception. Accessed on 13/06/2009. Available at: URL: http://content.nejm.org/cgi/content/short/353/20/2169 webcite
- [5]Asnake M, Walie L, Melkamu Y: Improving the range of contraceptive choices in rural Ethiopia. EJHD 2006, 20(20):74-78.
- [6]Kebede Y: Contraceptive prevalence and factors associated with usage of contraceptive around Gondar Town. EJHD 2000, 14(3):327-334.
- [7]Merle stop’s International Long-acting and permanent methods:: MSI’s global impact. Accessed on 6/06/2009 Available at: URL: http://www.mariestopes.org/documents/Longacting20methods20factsheet20FINAL20lo-res.pdf webcite
- [8]USDIA and Pathfinder International:: Knowledge, Attitude and Practice in PF results from September 2004 survey of Amhara, Oromiya, SNNP and Tigray regions. Accessed on 20/06/2009. Available at: URL: http://www: pathFind.org/site/Docserver/CPR survey report- final-June-24pdf webcite.
- [9]Family health international: A forum for putting knowledge in to practice. Family Health Research. Accessed on 6/06/2009. Available at: URL: http://www.fhi.org/NR/rdonlyres/evwqxemmr22e4riesd4rjqh7mnvs5y7hghajp2cbcknhgnwanlzwhoyuzlposxnwl7lipybzmxcm7i/LAPMbrief1.pdf webcite.
- [10]Rosalyn C-DW: Family health International Long-acting and permanent methods of contraception benefit many. Nairobi Kenya; Accessed on 25/05/2009. Available at: URL: http://www.fhi.org/NR/rdonlyres/ewei7t4ttwn6km4uchms3mok336eiotwdytqsnaky2vpwmofcn2kvazlqj62fg3kz265mraemxyjdj/Mera0803.pdf webcite.
- [11]Family health international: The case for Long -Acting and Permanent methods [online]. Accessed on 13/05/2009. Available at: URL: http://www.fhi.org/NR/rdonlyres/evwqxemmr22e4riesd4rjqh7mnvs5y7hghajp2cbcknhgnwanlzwhoyuzlposxnwl7lipybzmxcm7i/LAPMbrief1.pdf webcite.
- [12]Carlos B, Berta T: Availability and acceptability of IUD in Guatemala. 2003. Accessed on 10/06/2009. Available at: URL: http://www.maqweb.org/iudtoolkit/country_cases/guatemalaiudfinalreport.pdf webcite
- [13]Thapa S, De Silva V, G Far M: Potential acceptors of Norplant implants in comparison with recently sterilized women in Sri Lanka Available Family health international and family planning association of Sirlanca. Accessed on 9/05/2009. Available at: URL: http://www.popline.org/docs/0943/071438.html webcite.
- [14]Ortayli N: Users’ perspectives on implantable contraceptives for women. Accessed on 7/06/2009. Available at: URL: http://www.contraceptionjournal.org/article/s0010-7824(01)00281-5/abstract webcite
- [15]Save L, Alleviate P, Spur Development: Invest in Long-acting and permanent Methods of contraception. Advocacy No 1. Accessed on 06/23/2009. Available at: URL: http://www.maqweb.org/iudtoolkit/policies_guidelines/savelives.pdf webcite.
- [16]Hall E, Arcanges P: Long acting methods of fertility regulation. Accessed on 11/06/2009. Available at: URL: http://worldpubliclibrary.org/Members.3/World_Health_Collection/publications/1988/9241561203_(chp9-10).pdf webcite.
- [17]Jacobstein R: Long-Acting and Permanent Contraception: An International Development, Service Delivery Perspective. Madescape CME. Accessed on 9/06/2009. Available at: URL: http://www.medscape.com/viewarticle/56096 webcite.
- [18]Mitchel MJ, Thistle P: Acceptability of levonorgestrel subdermal implants versus tubal ligation for long-term contraception in a rural population of Zimbabwe. Accessed on 20/06/2009. Available at: URL: http://www.contraceptionjournal.org/article/S0010-7824(04)00153-2/abstract webcite.
- [19]Emaway D: Demand for family planning among women voluntary counseling and testing clients: The need for integretion, Dessie town North East Ethiopia.. Ethiopia: AAU; 2009. Unpublished, J. Joseph Speidel
- [20]Joseph SJ, Harper Cynthia C, Shields Wayne C: The potential of long-acting reversible contraception to decrease unintended pregnancy. Accessed on 9/06/2009. Available at: URL: http://www.popline.org/docs/1802/328332.html webcite.