This thesis assesses the utilization of long-acting reversible contraceptive methods and their associated factors among women of the reproductive age group in Bishoftu’s public health facilities. A health facility based cross-sectional study was conducted from March 16th to 30th 2020. A systematic random sampling technique was applied, in a total of 227 randomly selected women in the reproductive age group who attend Bishoftu’s public health facilities.
A structured questionnaire was developed using questionnaires that were applied in different studies related to family planning previously. The data was entered in a computer by using EPI-Info 7 version and cleaned then exported to SPSS version 20. Bivariate and multivariate logistic regression was employed to determine independent predictors of long acting and reversible contraceptive utilization.
WHO reports indicated that, in 2017 alone, over 295,000 maternal deaths that resulted from pregnancy and delivery related complication were reported worldwide indicating a decline of 45% from 1990. The sub-Saharan Africa region accounted for 62% of maternal death followed by South-Asian countries (24%). Provision of family planning is one of the most effective interventions that prevent unwanted and ill spaced pregnancies by reducing maternal mortality and morbidity. Given its effectiveness and associated fewer visits to health facilities, LARC are very important in tackling maternal mortality and morbidity. However, little is known regarding its prevalence in Bishoftu eastern Ethiopia.
Table of Contents
1. Introduction
1.1. Background
1.2. Statement of the problem
2. Literature Review
2.1 Magnitude of utilization of modern contraceptive and long acting and Reversible contraceptive methods (LARCMs)
2.2 Factors affecting utilization of Long Acting and Reversible contraceptive methods.
3. Significant of the study
3.1. Justification of the study
4. Objectives
4.1 General objective
4.2 Specific Objectives
5. Materials and Methods
5.1 Study area
5.2 Study period
5.3 Study design
5.4 Source population
5.5 Study population
5.6 Inclusion and Exclusion Criteria
5.7 Sample size Determination
5.8. Sampling procedure
5.10 Operational definition
5.11 Data Collection tools and procedures
5.12 Data processing and analysis
5.13 Data quality control
5.14 Ethical considerations
5.15 Data dissemination plan
6. Results
6.1 Socio-demographic characteristics of the respondents
6.2 Reproductive history of the respondent
6.3 Knowledge of respondents on modern contraceptive and LARMs
6.4 Methods preferred and reasons for not using LARMs among women in the reproductive age group
6.5 Factors affecting utilization of Long Acting and reversible contraceptive methods
6.6. Predictors of utilization of LARMs
7. DISCUSSION
8. STRENGTH AND LIMITATION
8.1 Strength
8.2 Limitation
9. CONCLUSION AND RECOMMENDATION
9.1 Conclusion
9.2 Recommendation
Research Objectives and Core Themes
This study aims to assess the utilization of long-acting reversible contraceptive (LARC) methods and identify the factors associated with their use among women of reproductive age in public health facilities in Bishoftu town, Oromia, Ethiopia. The research seeks to address the gap between the perceived need for family planning and the actual uptake of highly effective, long-acting methods, which remain underutilized compared to short-acting contraceptives.
- Magnitude of utilization of long-acting reversible contraceptive methods.
- Socio-demographic determinants of contraceptive choice.
- Impact of husband/partner attitudes and communication on method uptake.
- Barriers to LARC use, including myths, misconceptions, and fear of side effects.
- Role of healthcare provider counseling in contraceptive decision-making.
Excerpt from the Book
1.1. Background
Improving women’s health and reducing maternal mortality has been a global public health priority for the United Nations international development agenda [1, 2]. Maternal death during pregnancy, after pregnancy and child birth were estimated 295,000 in 2017. This figure shows that a cut in 45% of the same case which has been assessed in 1990. In Africa the highest maternal death was seen in sub-Saharan region which is about 179,000 deaths or (62%) of the total global maternal death followed by Southern Asia of 69,000 or 24% of the Global. The global MMR in 2017 were 211 per 100,000 live births, down from 342 maternal deaths per 100 000 live births in 2000[3].
The MMR in developing regions (230) was 14 times higher than in developed regions. Fortunately, the vast majority of maternal and newborn deaths can be prevented with proven interventions to ensure that every pregnancy is wanted using modern contraceptive and every birth is safe [4]. In Ethiopia despite family planning (FP) interventions of the Ethiopian federal ministry of health (EFMOH), including the Health Extension Program have significantly improved access to FP services [5], 22% of currently married women have an unmet need for family planning according to Ethiopian demographic health survey (EDHS) 2016 [6]. A disparity exists between contraceptive use rates in rural and urban areas, with less than half as many women in rural areas as in urban areas using modern methods (22% vs nearly 50%).
Summary of Chapters
1. Introduction: Provides an overview of the global and local context of maternal mortality and the importance of modern family planning in reducing unintended pregnancies.
2. Literature Review: Synthesizes existing evidence on the prevalence of long-acting reversible contraceptive (LARC) utilization and the socio-demographic, cultural, and provider-related factors influencing these trends.
3. Significant of the study: Discusses the rationale for the research, emphasizing the need for evidence-based insights to help health managers and policymakers address low uptake of LARC methods.
4. Objectives: Outlines the general and specific goals of the research, focusing on quantifying LARC utilization and identifying independent predictors in the study area.
5. Materials and Methods: Details the cross-sectional study design, sampling techniques, and analytical procedures used to collect and evaluate data from health facilities in Bishoftu.
6. Results: Presents the primary findings, including demographic profiles, prevalence rates of LARC use, and bivariate/multivariate analyses of factors associated with the adoption of these methods.
7. DISCUSSION: Compares the study's findings with regional and national benchmarks, analyzing the cultural and behavioral drivers behind contraceptive choices.
8. STRENGTH AND LIMITATION: Evaluates the methodological rigor of the study while acknowledging potential limitations, such as the facility-based design and cross-sectional nature.
9. CONCLUSION AND RECOMMENDATION: Summarizes the key findings and provides actionable recommendations for health authorities and stakeholders to improve LARC promotion and counseling.
Keywords
Long acting reversible contraceptive, LARC, family planning, maternal health, reproductive health, contraceptive prevalence, Bishoftu, Ethiopia, unintended pregnancy, contraceptive methods, socio-demographic factors, healthcare providers, reproductive history, implant, IUCD.
Frequently Asked Questions
What is the core focus of this research?
The research focuses on assessing the utilization of long-acting reversible contraceptive (LARC) methods and identifying the factors that influence their adoption among women of reproductive age in Bishoftu, Ethiopia.
What are the primary thematic areas addressed?
The core themes include the prevalence of LARC methods, socio-demographic influences, the impact of partner attitudes, knowledge and misconceptions, and the role of healthcare provider engagement in family planning decisions.
What is the ultimate goal of the study?
The goal is to provide evidence-based insights that local health authorities and policymakers can use to design better-tailored interventions to increase LARC uptake and decrease unintended pregnancies.
Which scientific method was employed?
The study utilized a health-facility-based cross-sectional design, employing systematic random sampling to survey 227 women. Data were analyzed using binary logistic regression (bivariate and multivariate analysis).
What does the main body of the work cover?
The main body covers a comprehensive literature review, detailed study design and methodology, extensive descriptive statistics of participants, and sophisticated regression analyses to determine the predictors of LARC use.
What keywords define this work?
Key terms include long-acting reversible contraceptive, maternal health, family planning, reproductive age, Bishoftu, Ethiopia, and contraceptive prevalence.
How does the prevalence of LARCs in Bishoftu compare to other regions?
The study found a LARC utilization rate of 28.6% in Bishoftu, which is generally higher than rates reported in previous studies in other Ethiopian towns like Goba or Debremarkos, but still lower than the utilization of short-acting methods like injectables.
What role do husbands play in contraceptive adoption according to this study?
The study indicates that partner communication and husband support are statistically significant factors; women whose husbands approve of or discuss LARC methods are significantly more likely to utilize them.
- Arbeit zitieren
- Barie Daba (Autor:in), 2020, Utilization of Long Acting Reversible Contraceptive Methods. Associated Factors among Women of Reproductive Age, München, GRIN Verlag, https://www.grin.com/document/950115
