Meskele Mengistu, Mekonnen Wubegzier
School of Public Health, College of Health Sciences, Wolaita Sodo University, PO Box: 138, Wolaita Sodo, Ethiopia.
BMC Womens Health. 2014 Sep 12;14:109. doi: 10.1186/1472-6874-14-109.
The use of long acting and permanent contraceptive methods (LAPMs) has not kept step with that of short-acting methods such as oral pills and injectable in Africa. This study explores the association between women's awareness, attitude and barriers with their intention to use LAPMs among users of short term methods, in Southern Ethiopia.
A cross-sectional study design of mixed methods was conducted in the public health facilities of Wolaita zone, Southern Ethiopia, in January 2013. Women who were using short term contraceptive methods were the study population (n = 416). Moreover, 12 in-depth interviews were conducted among family planning providers and women who have been using short term methods. Data were entered into EPI Info version 3.5.3 and exported to SPSS version 16.0 for analysis. The odds ratios in the binary logistic regression model along with 95% confidence interval were used.
One hundred fifty six (38%) of women had the intention to use LAPMs while nearly half of them (n = 216) had a negative attitude to use such methods. Moreover, two-third of study participants (n = 276) held myths and misconceptions about such methods. The women who had a positive attitude were found to be 2.5 times more intention to use LAPMs compared to women who had a negative attitude (AOR =2. 47; 95% CI: 1.48- 4.11). Women who had no myths and misconceptions on LAPMs were found to be 1.7 times more intention to use LAPMs compared to women who had myths and misconceptions (AOR = 1.71; 95% CI: 1.08- 2.72). Likewise, women who attained secondary and higher level of education were found to be 2 and 2.8 times more intention to use LAPMs compared to women with no education, respectively (AOR = 2. 10; 95% CI: 1.11- 3.98) and AOR = 2. 80; 95% CI: 1.15- 6.77).
Intention to use LAPMs was low and nearly half of women had a negative attitude to use such methods. Positive attitude, absence of myths and misconceptions on LAPMs and secondary and plus level of education predicts intention to use LAPMs. Educating communities to change the attitude, myths and misconceptions on LAPMs should be aggressively done.
在非洲，长效和永久性避孕方法（LAPMs）的使用未能跟上口服避孕药和注射剂等短效方法的使用步伐。本研究探讨了埃塞俄比亚南部短期避孕方法使用者中，女性的知晓度、态度和障碍与其使用LAPMs意愿之间的关联。
2013年1月，在埃塞俄比亚南部沃莱塔地区的公共卫生机构中进行了一项混合方法的横断面研究设计。使用短期避孕方法的女性为研究人群（n = 416）。此外，对计划生育服务提供者和使用短期避孕方法的女性进行了12次深入访谈。数据录入EPI Info 3.5.3版本，并导出到SPSS 16.0版本进行分析。使用二元逻辑回归模型中的比值比及95%置信区间。
156名（38%）女性有使用LAPMs的意愿，而其中近一半（n = 216）对使用此类方法持消极态度。此外，三分之二的研究参与者（n = 276）对这类方法存在误解。与持消极态度的女性相比，持积极态度的女性使用LAPMs的意愿高出2.5倍（调整后比值比[AOR]=2.47；95%置信区间：1.48 - 4.11）。与对LAPMs存在误解的女性相比，对LAPMs没有误解的女性使用LAPMs的意愿高出1.7倍（AOR = 1.71；95%置信区间：1.08 - 2.72）。同样，与未受过教育的女性相比，接受过中等及以上教育的女性使用LAPMs的意愿分别高出2倍和2.8倍（AOR = 2.10；95%置信区间：1.11 - 3.98）和（AOR = 2.80；95%置信区间：1.15 - 6.77）。
使用LAPMs的意愿较低，近一半女性对使用此类方法持消极态度。对LAPMs持积极态度、不存在误解以及接受中等及以上教育预示着使用LAPMs的意愿。应积极开展社区教育，以改变对LAPMs的态度、误解。
