Mesfin Yonatan Moges, Kibret Kelemu Tilahun
Department of Public Health, College of Medical and Health Science, Haramaya University, Harar, Ethiopia.
Department of Public Health, College of Medical and Health Science, Wollega University, Nekemte, Ethiopia.
Reprod Health. 2016 Jun 21;13(1):78. doi: 10.1186/s12978-016-0194-0.
The long acting and permanent contraceptive methods (LAPCMs) has not used unlike that of short-acting methods in Ethiopia. Ethiopia is the second most populous country in Sub Saharan Africa with a high total fertility rate, and high maternal and child mortality rates. This study summarized the evidence of practice and intention to use long acting and permanent family planning methods among women in Ethiopia using systemic review and meta-analysis.
A systematic review and meta-analysis of the published and unpublished observational studies were conducted. Original studies were identified using databases of Medline/Pubmed, and Google Scholar. Heterogeneity across studies was checked using Cochrane Q test statistic and I(2)test. The pooled proportion of intention to use and the practice of long acting and permanent contraceptive methods were computed using a/the random effect model.
Based on the ten observational studies included in the meta-analysis, the pooled prevalence of intention to use long acting and permanent contraceptive methods among married women according to the random effect model was 42.98 % (95 % CI 32.53, 53.27 %). On the other hand, the pooled practice of long acting and permanent methods of contraceptive among the study participants was 16.64 % (95 % CI 12.4 to 20.87 %).
This meta-analysis revealed that women's intention to use LAPCMs is generally good but their utilization is low. It is recommended, therefore, that LAPMCs must be made more readily available and accessible to women at the lower level of health service delivery who are in need of it.
在埃塞俄比亚，长效和永久性避孕方法（LAPCMs）的使用情况与短效避孕方法不同。埃塞俄比亚是撒哈拉以南非洲人口第二多的国家，总生育率高，孕产妇和儿童死亡率也高。本研究通过系统评价和荟萃分析总结了埃塞俄比亚女性使用长效和永久性计划生育方法的实践证据及意愿。
对已发表和未发表的观察性研究进行系统评价和荟萃分析。通过Medline/Pubmed数据库和谷歌学术搜索确定原始研究。使用Cochrane Q检验统计量和I²检验检查研究间的异质性。使用随机效应模型计算使用长效和永久性避孕方法的意愿及实践的合并比例。
基于荟萃分析纳入的十项观察性研究，根据随机效应模型，已婚女性中使用长效和永久性避孕方法的意愿合并患病率为42.98%（95%置信区间32.53，53.27%）。另一方面，研究参与者中长效和永久性避孕方法的合并使用率为16.64%（95%置信区间12.4至20.87%）。
该荟萃分析表明，女性使用长效和永久性避孕方法的意愿总体良好，但使用率较低。因此，建议在较低级别的卫生服务机构中，使长效和永久性避孕方法更易于有需求的女性获得和使用。
