Department of Public Health, College of Medicine and Health Sciences, Madawalabu University, Bale-Goba, Ethiopia.
Reprod Health. 2014 Mar 16;11(1):24. doi: 10.1186/1742-4755-11-24.
Despite the increase in contraceptive use worldwide over the last decade, there is still discrepancy in the need to limit birth and utilization of modern contraceptives specifically long acting and permanent contraceptive methods in sub-Saharan Africa including Ethiopia. Intention to use long acting and permanent methods of contraception is an important indicator of the potential demand for family planning services.
To assess intention to use long acting and permanent contraceptive methods (LAPMs) and identifying associated factors among currently married women in Adigrat town.
A community based cross sectional study design complemented with a qualitative method was conducted in three selected Kebeles of Adigrat town. A total of 594 study subjects were interviewed. Systematic random sampling method was used to select study subjects. Quantitative data were analyzed using SPSS version 16. Open code software version 3.6.2.0 was used to facilitate coding of the qualitative data. Factors associated with intention were identified using logistic regression model and content analysis was done on the qualitative data.
Intention to use LAPMs was 48.4%. Intention to use LAPMs was higher among women who knew at least one of LAPMs (AOR = 4.7, 95% CI = 1.58, 14.01) and women who do not want to have birth within the next 2 years (AOR = 1.9, 95% CI = 1.22, 3.13). Intention to use LAMPs was less among women who perceive poor support from their husbands (AOR = 0.2, 95% CI = 0.09, 0.45) and those who perceive LAPMs are harmful for the womb (AOR = 0.24, 95% CI = 0.14, 0.41). Similarly, participants in the focus group discussion have expressed their concern on the return of fertility after using implants or IUCD as well as insertion and removal procedures.
The magnitude of intention to use LAPMs in the study area was low. The main limiting factors were fear of side effect, infertility after LAPMs use, knowledge on LAPMs and perception on partner's support of LAPMs use. To further promote the use of LAPMs addressing associated misconceptions through effective communication strategies and involving spouses in family planning programs is essential.
尽管过去十年全球避孕措施的使用有所增加，但在撒哈拉以南非洲（包括埃塞俄比亚），对于限制生育和具体使用现代避孕方法（包括长效和永久性避孕方法）的需求仍存在差异。使用长效和永久性避孕方法的意愿是对计划生育服务潜在需求的重要指标。
评估阿迪格拉特镇已婚妇女使用长效和永久性避孕方法（LAPMs）的意愿，并确定相关因素。
采用社区为基础的横断面研究设计，并辅以定性方法，在阿迪格拉特镇的三个选定的 kebeles 进行。共对 594 名研究对象进行了访谈。采用系统随机抽样方法选择研究对象。使用 SPSS 版本 16 对定量数据进行分析。使用 Open code 软件版本 3.6.2.0 对定性数据进行编码。使用逻辑回归模型确定与意愿相关的因素，并对定性数据进行内容分析。
使用 LAPMs 的意愿为 48.4%。在至少知道一种 LAPMs 的妇女（AOR=4.7，95%CI=1.58，14.01）和在未来 2 年内不希望生育的妇女（AOR=1.9，95%CI=1.22，3.13）中，使用 LAPMs 的意愿更高。在认为丈夫支持度差的妇女（AOR=0.2，95%CI=0.09，0.45）和认为 LAPMs 对子宫有害的妇女（AOR=0.24，95%CI=0.14，0.41）中，使用 LAPMs 的意愿较低。同样，焦点小组讨论的参与者也对使用植入物或 IUCD 以及插入和取出程序后生育能力的恢复表示担忧。
在研究区域，使用 LAPMs 的意愿程度较低。主要限制因素是对副作用的恐惧、使用 LAPMs 后不孕、对 LAPMs 的了解以及对伴侣支持使用 LAPMs 的看法。要进一步促进 LAPMs 的使用，需要通过有效的沟通策略来解决相关的误解，并让配偶参与计划生育项目。
