Intention To Use Long Acting And Permanent Contraceptive Methods And Factors Affecting It Among Married Women In Adigrat Town Tigray Ethiopia January 2012

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Introduction: Despite the increase in contraceptive use worldwide over the last decade, there isrnstill discrepancy in the need to limit birth and utilization of modern contraceptives specificallyrnlong acting and permanent contraception methods in sub-Saharan Africa including Ethiopia.rnIntention to use long acting and permanent methods of contraception is an important indicator ofrnthe potential demand for family planning services.rnObjective: To assess intention to use long acting and permanent contraceptive methods andrnfactors affecting it among married women in the reproductive age group in Adigrat townrnMethod: A quantitative cross sectional study design complemented by qualitative method wasrnconducted. The total 594 sample size was proportionally allocated to each of the three selectedrnkebeles. Systematic random sampling was used to reach at the study subjects. Structuredrnquestionnaire and guides were used for the quantitative and qualitative method respectively. Datarnwas entered in to Epi Info version 3.5.1 and analyzed using Statistical Package for SocialrnSciences version 16. Multivariate logistic regression was done to control effect of confounders.rnOpen code software was used to carry out content analysis of the qualitative data.rnResult: Intention to use LAPMs was 48.4%. The main reasons for not intending to use were fearrnof side effect and infertility after use. Participants perception on husbands support for LAPMsrnuse (AOR=0.2, 95% CI=0.09, 0.45) and LAPMs can harm the womb (AOR=0.24, 95% CI=0.14,rn0.41), knowledge of LAPMs (AOR=4.7, 95% CI=1.58, 14.01) were significantly associated withrnintention to use LAPMs. Desire to have birth within the next 2 years (AOR=1.9, 95% CI=1.22,rn3.13), ideal desired number of children (AOR=0.7, 95% CI=0.62, 0.88), partner’s education andrnparticipants occupation status were also significantly associated with intention.rnConclusion: The magnitude of intention to use LAPMs in the study area was low. The mainrnlimiting factors were fear of side effect and infertility after LAPMs use, knowledge on LAPMsrnand perception on partner’s support. This needs more effort from the family planning providersrnand program facilitators to address misconceptions that exist about LAPMs and highlight thernbenefits of LAPMs and not only women but also their spouses should be included in familyrnplanning programs.

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Intention To Use Long Acting And Permanent Contraceptive Methods And Factors Affecting It Among Married Women In Adigrat Town Tigray Ethiopia January 2012

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