Womens Attitude Barriers And Intention To Use Long Acting And Permanent Contraceptive Methods Among Short Term Users Wolaita Zone Southern Ethiopia

Background: In Africa the use of long acting and permanent family planning methods (LAPMs) has notrnkept pace with that of short-acting methods, such as oral contraceptives and injectables. The utilization ofrncontraceptive methods was dominated by short-term methods in Ethiopia as 21% of women usedrninjectables, 3.4% used implants, 0.5% used female sterilization and 0.3% used intrauterine devices. rnObjective: To assess the association of women’s awareness, attitude and barriers with the intention to usernLAPMs among short term users in Wolaita zone, Southern Ethiopia. rnMethods: A cross-sectional study using both quantitative and qualitative methods was conducted in publicrnhealth institutions of Wolaita zone from October 2012 to May 2013. Among six health institutions in thernstudy three were chosen by systematic random sampling technique from rural while the other three reformrntown health centers were included. A total sample size of 416 was used for the quantitative study. Elevenrnin-depth interviews held to explore women’s and provider’s perceptions and opinions. Data were enteredrninto EPI Info version 3.5.3 and it was also edited, cleaned, and analyzed using SPSS version 16.0.rnMoreover, bivariate and multivariate logistic regression model with crude and adjusted OR along with theirrn95% confidence interval were used. rnResults: Among 411 women participated in the study, only 156(38%) had the intention to use LAPMs inrnthe future. More than half 216 (52.6%) had a negative attitude to use these methods. Furthermore, 276rn(67.2%) had myths and misconception about these methods. Women who had no myths and misconceptionrnon LAPM were (AOR= 1.71: 95% CI (1.08, 2.72) times more likely to use LAPMs compared with thosernwho had myths and misconception. Moreover, the odds of women’s intention to use LAPMs werern(AOR=2. 10: 95% CI (1.11, 3.98) and AOR=2.80: 95% CI (1.15, 6.77) times higher among women whornattained secondary and higher level of education compared with women with no education, respectively.rnLikewise, the women who had positive attitude were (AOR =2. 47: 95% CI (1.48, 4.11) times more likelyrnto desire LAPMs compared with a woman who had a negative attitude on these methods. rnConclusion and recommendations: Most of the women had low intention to use LAPMs. Similarly, morernthan half of the participants had a negative attitude, myths & misconception on these methods. Therngovernment should focus on empowering women and increasing their educational level. There must berngreat emphasis on educating communities to change the attitude, myths and misconceptions.

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