Demand For Long Acting Reversible Contraceptive Method And Associated Factors Among Married Women In Sebeta Townoromia Regional Stateethiopia2018.

Background: - Demand for long acting contraceptive methods is one of the key factors for totalrnfertility rate and reproductive health issues. Report globally and in Africa including Ethiopia,rnabout 210 million women become pregnant worldwide and one-third of pregnancies ends inrnmiscarriage and stillbirth. Based on the reports in 2012 contraceptive use prevented 218 millionsrnof unplanned pregnancies in developing countries in turn, 55 millions of unplanned births, 138rnmillions of abortions , 25 million miscarriages and 118,000 maternal deaths.rnThe Sub-Sahara Africa region’s unmet need for family planning is the highest in the world (48.8rnmillion women) and half of the married women of reproductive age (MWRA) want to space orrnlimit the number of children they have. However, only 2.7 million MWRA use long-actingrncontraception. A comparison of results from the past EDHS surveys reveals that the largestrnincrease was observed in the use of short acting(from 3% to 23%),where as the increment of longrnacting methods were very low(Implanon increase from1% to 8% and IUD to 2%) until 2016rnObjective: The aim of this study was to assess demand for long acting reversible contraceptivernand associate factors among married women in Sebeta town, Oromia Regional State, South WestrnEthiopia.rnMethod: A community based cross sectional study was conducted, from December 2018 –rnFebruary 2019. Multi stage sampling technique (Town-kebele-Got-House hold)was used to selectrn518 study participants. Pre tested structured Amharic version questionnaire was used to collect therndata through face to face interview. Data was entered in to Epi Info and analyzed by using SPSSrnversion 21. Bivariate and multivariate analyses were applied to identify factors associated torndemand for long acting contraceptive methods by using logistic regression model. Odds ratio withrn95% CI was used to assess the association between the independent variables and demand forrnlong acting contraceptive methods.rnResult:- The total demand for LARCs was 262 (51.1%). Of which 149(29.04%)of thernrespondents, had unmet need for LARCs and 113(22.03%) of the respondents were met need.rnBeing merchant in occupations (AOR=2.1,95%CI=[1.14,3.45]), college and above educationalrnlevel [AOR=3.13;95%CI;8.44,11.631], women married at age greater than or equal to 18yearsrn[AOR=2.37;95%CI;1.18,4.76], having three or four children(AOR = 10.32, 95% CI =rn[2.98,59.45]), time to desire for child after two years [AOR = 4.05; 95% CI: 1.74,9.45], heardrnabout LARCs method in the last three months [AOR = 7.95; 95% CI: 4.41,14.36] and jointrndecision maker[AOR=5.66,95% CI: 1.39,22.97]. were factors significantly associated withrndemand for LARCs.rnConclusions: The study showed that more than half of respondents had demand for LARC.rnVariables such as being merchants in occupation, college and above educational level, age at firstrnmarriage, number of alive children, time to desire for child after 2 years, decision maker, andrnheard about LARCs in the last three months were significantly associated with having higherrndemand for LARCs.rnRecommendation:- Based on this study the demand and unmet need for LARC was found high,rnso it is better to increase contraceptive utilization. The government should promote education ofrnwomen beyond secondary school. Strengthening information about LARC and empoweringrnwomen to participate in decision making are very important.

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