International Journal of Biomedical Materials Research

| Peer-Reviewed |

The Prevalence and Determinants of Preference of Long Term Contraceptive Methods among Married Women in Arba Minch Town, Ethiopia

Received: Jun. 18, 2018    Accepted: Jul. 04, 2018    Published: Jul. 27, 2018
Views:       Downloads:

Share This Article

Abstract

Ethiopia is one of the sub-Saharan African countries with alarming population growth rate and high total fertility rate. To reduce high population growth and high fertility, the usage of modern contraceptive methods which classified as short term and long term methods is crucial among women. Despite widespread adoption of family planning in the developing world, the usage of modern contraceptive methods and preference of long term method is still relatively very low in sub-Saharan Africa including Ethiopia. Hence, the general objective of this study was assessing the prevalence of modern contraceptive methods and identifying the potential factors influencing the preferences of long term contraceptive methods among married women of reproductive age (15-49) in Arba Minch town. Community based cross sectional study design was employed. A single stage simple random sampling was used as sampling technique and sample of 990 women was determined using a formula for estimation of single population proportion. Descriptive analysis was employed to estimate the prevalence and potential predictors were selected by using chi-square test of association between preference of the modern contraceptive methods and predictors. Those predictors that showed p-value less than or equal to 0.25 were taken to binary logistic regression analysis to identify the determinants. From a descriptive analysis, out of 990 sampled married women about 57.9% (573) were modern contraception methods users. Among these 573 modern contraceptive method users, 147 (27.73%) were long term methods users, like injectable, implant and intrauterine devices. From binary logistic regression analysis, age of the respondent, religion of women, number of children in a family, education level of women, desire for more child, experience on modern contraceptive use, frequency of watching television, availability of service in nearby place and service provider were found to be statistically significant predictors of preference of long term contraceptive methods among married women of reproductive age in Arba Minch town.

DOI 10.11648/j.ijbmr.20180602.11
Published in International Journal of Biomedical Materials Research ( Volume 6, Issue 2, June 2018 )
Page(s) 26-34
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Binary Logistic Regression, Modern Contraceptive Methods, Long Term Contraceptive Method, Married Women of Reproductive Age

References
[1] USAID: United States Agency for International Development. Using Quantification to Support Introduction and Expansion of Long-Acting and Permanent Methods of Contraception. 2010. http://www.respond-project.org/archive/files/3/3.3/Using-Quantification-to-Support.pdf Accessed October 2010.
[2] Bradley SEK, Croft TN, Rutstein SO. The impact of contraceptive failure on unintended births and induced abortions: Estimates and Strategies for Reduction, in DHS analytical studies 22. ICF Macro: Calverton, Maryland, USA; 2011. https://dhsprogram.com/pubs/pdf/AS22/AS22.pdf. Accessed September 2011.
[3] Nancy Y, Stella B. Factors underlying the use of long-acting and permanent methods of contraception (LA/PMS) in Cambodia, Malawi and Nigeria. Qualitative Study. USAID, Respond Project. 2011. http://www.respond-project.org/archive/files/4/4.1/4.1.3/Study5-2012-Factors-Underlining.pdf.
[4] USAIDS/FHI. Addressing unmet need for family planning in Africa: The case for long-acting and permanent methods. 2007.
[5] Janowitz B, Gmach R, Otterness C. The commercial sector’s role in providing long-acting and permanent methods. Private Sector Partnerships-One Project/Abt Associates Inc. 2006. http://pdf.usaid.gov/pdf_docs/Pnadh604.pdf. Accessed August 2006.
[6] Central Statistical Agency Ethiopia and ORC Macro Ethiopia Demographic and Health Survey. Addis Ababa, Ethiopia and Calverton, Maryland. USA: Central Statistical Agency and ORC Macro; 2011. p. 93-99. https://dhsprogram.com/pubs/pdf/FR255/FR255.pdf. Accessed March 2012.
[7] WHO, UNICEF, UNFPA and The World Bank. Trends in maternal mortality: 1990-2010. World Health Organization: Geneva; 2012. http://www.who.int/reproductivehealth/publications/monitoring/9789241503631/en/.
[8] Maggwa N. The case for long acting and permanent methods. United States Agency for International Development (USAID) FHI; 2008.
[9] Acquiring Knowledge Project. Acquiring knowledge by applying lessons learned to strengthen FP/RH services. Acquire project: New York; 2008.
[10] Blumenthal P, Shah N, Jain K, Saunders A, Clements C. Revitalizing long-acting reversible contraceptives in settings with high unmet need: a multicounty experience matching demand creation and service delivery. Contraception. 2012; 87:170-175.
[11] Kavanaugh ML, Jerman J, Hubacher D, Kosk K, Finer L. Characteristics of women in the United States who use Long acting Reversible Contraceptive methods. Obstet Gynecol. 2011; 117: 1349-1357.
[12] United States Agency for International Development. Long-acting and permanent methods of contraception: Meeting Clients’ Needs. Issue Brief Washington, DC: USAID; 2006.
[13] Central Statistical Agency Ethiopia and ORC Macro Ethiopia Demographic and Health Survey (2010). Addis Ababa, Ethiopia and Calverton, Maryland. USA: Central Statistical Agency and ORC Macro; 2011. p. 41-91.
[14] Cochran WG. Sampling Techniques. 3rd Edition. John Wiley & Sons Inc: New York; 1977.
[15] Agresti A. Categorical Data Analysis. John Wiley & Sons, Inc; 2002.
[16] Hosmer D, Cessie S, Lemeshow S. A Comparison of Goodness-of-fit: Tests for The Logistic Regression Model. Epidemiology, University of Massachusetts: Arnold House; 1989.
[17] Hosmer D, Lemeshow S. Applied Logistic Regression (2nd Edition). New York: John Wiley and Sons; 2000.
[18] Abebe G, Nigatu R. Family planning service utilization in Mojo town, Ethiopia: A population based study. Journal of Geography and Regional Planning. 2011; 4 (6):355-363.
[19] Fekadu H, Kumera A, Yesuf EA, Hussien G, Tafa M. Prevalence and Determinant Factors of Long Acting Contraceptive Utilization among Married Women of Reproductive Age in Adaba Town, West Arsi Zone, Oromia, Ethiopia. J Women's Health Care. 2017; 6:60. doi:10.4172/2167-0420.1000360.
[20] Alemu SM, Tesfalidet T, Desalegn W. Determinants of long acting and permanent contraceptive methods utilization among married women of reproductive age groups in western Ethiopia: A cross-sectional study. Pan African Medical Journal. 2015. ISSN: 1937- 8688.
[21] Alemayehu M, Belachew T, Tilahun T. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, North Ethiopia. 2012; 12: 6.
[22] Central Statistical Agency Ethiopia and ORC Macro Ethiopia Demographic and Health Survey (2011). Addis Ababa, Ethiopia and Calverton, Maryland. USA: Central Statistical Agency and ORC Macro. 2012; p. 93-99.
[23] Central Statistical Agency, Ethiopia. Ethiopia Mini Demographic and Health Survey, Addis Ababa; 2014.
[24] Gebreyesus B, Berhe S, Bayray A. Assessment of long acting and permanent contraceptive method utilization and associated factors among married women of reproductive age group in Adigrat town, Tigray region, Ethiopia. 2015; 2:36-45.
[25] Alemayehu S, Abebach A. Determinants of long acting contraceptive use among reproductive age women in Ethiopia: Evidence from EDHS 2011. Science Journal of Public Health. 2015; 3 (1):143-149.
[26] Yirgaw ET, Ewenat G, Mesele DA. Determinants of Long Acting Reversible Contraceptive Method Use among Mothers in Extended Postpartum Period, Durame Town, Southern Ethiopia: Across Sectional Community Based Survey. Scientific Research Publishing: Health. 2015; 7:1315-1326.
[27] Rahayu R, Utomo I, McDonald P. Contraceptive Use Pattern among Married Women in Indonesia; the International Conference on Family Planning; Uganda. Research and Best Practices. 2009; 15-18.
[28] Alemu E, Abebaw G, and Teresa K. Determinants of Long Acting and Permanent Contraceptive Methods Utilization among Married Women in Hossana Town, Southern Ethiopia: A Case-Control Study. J Preg Child Health. 2015; 2:3.
[29] Moreau C, Bohet A, Mireille Le G, Bajos N. Trends and barriers of use of long acting reversible contraception in France: Results from a population based survey. 2012.
[30] Dibab Y. Child Spacing and Fertility Planning Behavior among Women in Mana District, Jimma Zone, South West Ethiopia. Ethiopian Journal of Health Science. 2010; 20:83-90.
Cite This Article
  • APA Style

    Tariku Tesfaye Haile, Belay Belete Anjullo. (2018). The Prevalence and Determinants of Preference of Long Term Contraceptive Methods among Married Women in Arba Minch Town, Ethiopia. International Journal of Biomedical Materials Research, 6(2), 26-34. https://doi.org/10.11648/j.ijbmr.20180602.11

    Copy | Download

    ACS Style

    Tariku Tesfaye Haile; Belay Belete Anjullo. The Prevalence and Determinants of Preference of Long Term Contraceptive Methods among Married Women in Arba Minch Town, Ethiopia. Int. J. Biomed. Mater. Res. 2018, 6(2), 26-34. doi: 10.11648/j.ijbmr.20180602.11

    Copy | Download

    AMA Style

    Tariku Tesfaye Haile, Belay Belete Anjullo. The Prevalence and Determinants of Preference of Long Term Contraceptive Methods among Married Women in Arba Minch Town, Ethiopia. Int J Biomed Mater Res. 2018;6(2):26-34. doi: 10.11648/j.ijbmr.20180602.11

    Copy | Download

  • @article{10.11648/j.ijbmr.20180602.11,
      author = {Tariku Tesfaye Haile and Belay Belete Anjullo},
      title = {The Prevalence and Determinants of Preference of Long Term Contraceptive Methods among Married Women in Arba Minch Town, Ethiopia},
      journal = {International Journal of Biomedical Materials Research},
      volume = {6},
      number = {2},
      pages = {26-34},
      doi = {10.11648/j.ijbmr.20180602.11},
      url = {https://doi.org/10.11648/j.ijbmr.20180602.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijbmr.20180602.11},
      abstract = {Ethiopia is one of the sub-Saharan African countries with alarming population growth rate and high total fertility rate. To reduce high population growth and high fertility, the usage of modern contraceptive methods which classified as short term and long term methods is crucial among women. Despite widespread adoption of family planning in the developing world, the usage of modern contraceptive methods and preference of long term method is still relatively very low in sub-Saharan Africa including Ethiopia. Hence, the general objective of this study was assessing the prevalence of modern contraceptive methods and identifying the potential factors influencing the preferences of long term contraceptive methods among married women of reproductive age (15-49) in Arba Minch town. Community based cross sectional study design was employed. A single stage simple random sampling was used as sampling technique and sample of 990 women was determined using a formula for estimation of single population proportion. Descriptive analysis was employed to estimate the prevalence and potential predictors were selected by using chi-square test of association between preference of the modern contraceptive methods and predictors. Those predictors that showed p-value less than or equal to 0.25 were taken to binary logistic regression analysis to identify the determinants. From a descriptive analysis, out of 990 sampled married women about 57.9% (573) were modern contraception methods users. Among these 573 modern contraceptive method users, 147 (27.73%) were long term methods users, like injectable, implant and intrauterine devices. From binary logistic regression analysis, age of the respondent, religion of women, number of children in a family, education level of women, desire for more child, experience on modern contraceptive use, frequency of watching television, availability of service in nearby place and service provider were found to be statistically significant predictors of preference of long term contraceptive methods among married women of reproductive age in Arba Minch town.},
     year = {2018}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - The Prevalence and Determinants of Preference of Long Term Contraceptive Methods among Married Women in Arba Minch Town, Ethiopia
    AU  - Tariku Tesfaye Haile
    AU  - Belay Belete Anjullo
    Y1  - 2018/07/27
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ijbmr.20180602.11
    DO  - 10.11648/j.ijbmr.20180602.11
    T2  - International Journal of Biomedical Materials Research
    JF  - International Journal of Biomedical Materials Research
    JO  - International Journal of Biomedical Materials Research
    SP  - 26
    EP  - 34
    PB  - Science Publishing Group
    SN  - 2330-7579
    UR  - https://doi.org/10.11648/j.ijbmr.20180602.11
    AB  - Ethiopia is one of the sub-Saharan African countries with alarming population growth rate and high total fertility rate. To reduce high population growth and high fertility, the usage of modern contraceptive methods which classified as short term and long term methods is crucial among women. Despite widespread adoption of family planning in the developing world, the usage of modern contraceptive methods and preference of long term method is still relatively very low in sub-Saharan Africa including Ethiopia. Hence, the general objective of this study was assessing the prevalence of modern contraceptive methods and identifying the potential factors influencing the preferences of long term contraceptive methods among married women of reproductive age (15-49) in Arba Minch town. Community based cross sectional study design was employed. A single stage simple random sampling was used as sampling technique and sample of 990 women was determined using a formula for estimation of single population proportion. Descriptive analysis was employed to estimate the prevalence and potential predictors were selected by using chi-square test of association between preference of the modern contraceptive methods and predictors. Those predictors that showed p-value less than or equal to 0.25 were taken to binary logistic regression analysis to identify the determinants. From a descriptive analysis, out of 990 sampled married women about 57.9% (573) were modern contraception methods users. Among these 573 modern contraceptive method users, 147 (27.73%) were long term methods users, like injectable, implant and intrauterine devices. From binary logistic regression analysis, age of the respondent, religion of women, number of children in a family, education level of women, desire for more child, experience on modern contraceptive use, frequency of watching television, availability of service in nearby place and service provider were found to be statistically significant predictors of preference of long term contraceptive methods among married women of reproductive age in Arba Minch town.
    VL  - 6
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Department of Statistics, Arba Minch University, Arba Minch, Ethiopia

  • Department of Statistics, Arba Minch University, Arba Minch, Ethiopia

  • Section