埃塞俄比亚东南伯勒地区戈巴镇已婚妇女对长效和永久性避孕方法的需求以及不使用避孕方法的因素。
Demand for long acting and permanent methods of contraceptives and factors for non-use among married women of Goba Town, Bale Zone, South East Ethiopia.
机构信息
College of Medicine & Health Sciences, Madawalabu University, Robe, Bale, Ethiopia.
出版信息
Reprod Health. 2012 Oct 29;9:26. doi: 10.1186/1742-4755-9-26.
BACKGROUND
Contraceptive use including short acting, long acting and permanent methods positively influence the socio-economic development of a nation by allowing families to space and limit their family size to their economic capacity. Demand for LAPMs of contraception as detrmined by utilization and unmet need for LAPMs of contraception can provide realiable information for providers.
OBJECTIVE
To determine the utilization of long acting and permanent contraception and its associated factors among married women of Goba town, South East Ethiopia.
METHODS
A cross sectional community based study was conducted among 734 systematically selected married women of reproductive age in Goba town in September/ 2009. A structured and pretested, interview questionaire was used to collect data on socio-demographic, behavioral factors and data related to demand for LAPMs of contraception. Data were analyzed using EPI INFO and SPSS version 16.
RESULT
The demand for Long Acting and Permanent Methods (LAPMs) of contraception was 18.1%. Utilization of LAPMs of contraception in the town was 64 (8.7%) and the unmet need for LAPMs was 69 (9.4%). Information on LAPMs in the town was 636 (86.6%). Media (radio and television) was the major sources of information 641 (87.3%). The use of LAPMs was significatly associated with ever use AOR[17.43, 95% CI:9.19, 33.03], number of times discussions made on methods AOR[4.6, 95% CI: 1.72,12.17] and main decider of using methods AOR[ 2.2, 95% CI:1.03, 4.65]. It was not associated with socio-demographic variables.
CONCLUSION AND RECOMMENDATION
The utilization of LAPMs in the town was less although higher than the Ethiopian demographic and health survey 2005 result. Moreover, there was a considerable unmet need. Increase the method mix of LAPMs by incorporating varaies of implnats in order to increase utilization. Proper counseling of client and partners discussion were some of the recommendation forwarded.
背景
通过允许家庭根据经济能力来规划生育间隔和限制家庭规模，使用包括短期、长期和永久方法在内的避孕措施对一个国家的社会经济发展产生积极影响。避孕长效和 （或） 永久方法的利用情况和对这些方法的未满足需求，可以为提供者提供可靠的信息。
目的
确定戈巴镇已婚育龄妇女使用长效和永久避孕方法的情况及其相关因素。
方法
2009 年 9 月在戈巴镇进行了一项基于社区的横断面研究，对 734 名有生育能力的已婚妇女进行了系统选择。使用结构化和预测试的访谈问卷收集社会人口统计学、行为因素以及与长效和永久避孕方法需求相关的数据。使用 EPI INFO 和 SPSS 版本 16 对数据进行分析。
结果
对长效和永久避孕方法的需求为 18.1%。该镇长效和永久避孕方法的利用率为 64 例（8.7%），未满足的长效和永久避孕方法需求为 69 例（9.4%）。该镇对长效和永久避孕方法的信息为 636 例（86.6%）。媒体（广播和电视）是主要的信息来源，有 641 例（87.3%）。使用长效和永久避孕方法与曾经使用的关联度显著（AOR[17.43，95%CI：9.19，33.03]）、关于方法的讨论次数（AOR[4.6，95%CI：1.72，12.17]）和方法的主要决策者（AOR[2.2，95%CI：1.03，4.65]）有关。它与社会人口统计学变量无关。
结论和建议
尽管该镇的长效和永久避孕方法的利用率低于 2005 年埃塞俄比亚人口和健康调查结果，但利用率仍然较低。此外，还有相当大的未满足需求。为了提高利用率，在长效和永久避孕方法中增加各种植入物。向客户提供适当的咨询，并促进客户及其伴侣之间的讨论，这些都是我们提出的建议。
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