Current Utilization of Long Acting and Permanent Contraceptive Methods among rural and urban residents of Kersa District and Harar Town, Eastern Ethiopia: Evidence from Kersa and Harar Health and Demographic Surveillance Sites

  • Abdulbasit Musa
  • Addisu Shunu
  • Hirbo Shore
  • Negga Aseffa
Keywords: Long Acting and Permanent Contraceptive Method, Rural and Urban HDSS, East Ethiopia

Abstract

Background: Ethiopia has one of the highest maternal mortality rates in the world. Evidence indicates that 44% of maternal mortality can be averted by the provision of contraceptives. Regardless of its convenience and effectiveness, Long Acting and Permanent Contraceptives Methods (LAPCM) are the least utilized methods in Ethiopia. Hence, this analysis is aimed at assessing the current utilization of LAPCM among urban and rural residents of Kersa district and Harar Town, Eastern Ethiopia.
Method: The analysis used data from all reproductive age group women residing in Kersa (841) and Harar (339) Health and Demographic Surveillance Sites (HDSS) that are operated by Kersa Demographic Surveillance and Health Research Center, under Haramaya University. Kersa HDSS is distinctly rural while Harar HDSS is distinctly urban. Data were collected by using Kersa Health and Demographic Surveillance System questionnaire. Both bivariate and multivariate analyses were used to identify associated factors.
Results: The prevalence of a long acting and permanent contraceptive methods was found to be 10.6% among rural and 20.1% among urban residents. During the study overall, 157(13.3%) women were using one of these contraceptive methods. The most commonly used method was implants (145 (12.3%)), followed by IUCD (11 (0.9%)). In this study the odds of using the method is 2.8 times higher in urban HDSS residents than their counter part in rural HDSS (AOR=2.77, 95% CI=1.54, 4.96). The women with a family income of 1600 birr and above were 4 times (AOR=4.02, 95% CI=2.34, 6.90) more likely to use LAPCM than those who had an income of less than 549.99 Ethiopian birr.
Conclusions: The study found the prevalence of LAPCM was low. Having a higher income and living in an urban area were significantly associated with its utilization. Ensuring LAPCM service accessibility and availability, focusing on rural settings and on women of low income, would improve its uptake.

Downloads

Download data is not yet available.

References

Alemayehu, M., Belachew, T., Tilahun, T. 2012. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia. BMC pregnancy and childbirth, 12:6.
Alemayehu, M., Kalayu, A., Desta, A., Gebremichael, H., Hagos, T., Yebyo, H. 2015. Rural women are more likely to use long acting contraceptive in Tigray region, Northern Ethiopia: a comparative community-based cross sectional study. BMC Women's Health, 15(71).
Bogale, B., Wondafrash, M., Tilahun, T., Girma, E. 2011. Married women’s decision making power on modern contraceptive use in urban and rural southern Ethiopia. BMC Public Health; 11(342).
Bulto, G. A., Zewdie, A., Beyen, T. K. 2014. Demand for long acting and permanent contraceptive methods and associated factors among married women of reproductive age group in Debre Markos Town, North West Ethiopia. BMC Womens Health, 14(1):46.
CSA (Central Statistical Agency, Ethiopia). 2015. News release of CSA, 30th Januray 2015. (Available at http://www.csa.gov.et/images/banners/csa2) Accessed 28 April 2016.
CSA [Ethiopia], & ICF. (2016). Ethiopia Demographic and Health Survey 2016: Key Indicators Report. Retrieved from Addis Ababa, Ethiopia, and Rockville, Maryland, USA:
CSA (Central Statistical Agency, Ethiopia), and ORC Macro. 2006. Ethiopia Demographic and Health Survey (EDHS) 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro
FMoH (Federal Ministry of Health). 2010. Health Sector Development Program IV, 2010-2014. Addis Ababa; p. 27.
More inside the PDF
Published
2018-11-01