College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Debremarkos Town Health Office, Bahir Dar, Ethiopia.
Biomed Res Int. 2019 Nov 3;2019:5850629. doi: 10.1155/2019/5850629. eCollection 2019.
Sub-Saharan Africa, including Ethiopia, faces serious population and reproductive health challenges, indicated by a higher unmet need for family planning, especially for long-acting contraceptive methods, higher fertility, and population growth rates. The utilization of long-acting reversible contraceptive methods in Ethiopia and in particular in the study area is low.
This study aimed to assess the utilization of long-acting reversible contraceptive methods among female health care workers in the reproductive age group in East Gojjam Zone, Northwest Ethiopia, in 2018.
Institutional-based cross-sectional study was conducted from 1 to 30 March 2018. A total of 392 female health care workers have participated. Data were collected by a structured, pretested, and self-administered questionnaire, then entered into Epi-info Version 7, and analyzed by SPSS Version 21. Bivariable and multivariate binary logistic regression analyses were carried out. value <0.05 was considered to declare statistically significant variables.
The current utilization of long-acting contraceptive methods among female health workers was found to be 22.7%. Supportive attitude of their husbands/partners (AOR at 95% CI 4.62 (1.52-14.09)), having <5000 EBrr monthly family income (AOR at 95% CI 2.813 (1.04-7.57)), supportive attitude towards the utilization of long-acting contraceptive methods (AOR at 95% CI 5.13 (2.03-12.95)), and the desire to have 0-2 children (AOR at 95% CI 5.34 (1.80-15.80)) were positively associated factors towards the utilization of long-acting contraceptive methods.
The current utilization of long-acting contraceptive methods was found low. Husbands/partners' supportive attitude, the number of children they want to have, attitude, and monthly family income were identified as significant factors. The East Gojjam Zonal Health Department and other stakeholders should work on the promotion of partners/husbands' involvement in the utilization of long-acting contraceptive methods among reproductive age women, including health care workers.
撒哈拉以南非洲（包括埃塞俄比亚）面临着严重的人口和生殖健康挑战，表现为计划生育需求未得到满足的情况更为严重，尤其是对长效避孕方法的需求，以及更高的生育率和人口增长率。在埃塞俄比亚，特别是在研究地区，长效可逆避孕方法的使用率较低。
本研究旨在评估 2018 年在埃塞俄比亚东戈贾姆地区生育年龄组的女性卫生保健工作者中使用长效可逆避孕方法的情况。
这是一项 2018 年 3 月 1 日至 30 日进行的基于机构的横断面研究。共有 392 名女性卫生保健工作者参与。数据通过结构化、预测试和自我管理的问卷收集，然后输入 Epi-info 版本 7，并使用 SPSS 版本 21 进行分析。进行了单变量和多变量二元逻辑回归分析。 值<0.05 被认为是具有统计学意义的变量。
研究发现，目前女性卫生工作者使用长效避孕方法的比例为 22.7%。其丈夫/伴侣的支持态度（95%CI 的比值比[OR]为 4.62[1.52-14.09]）、每月家庭收入<5000 埃比尔（95%CI 的 OR 为 2.813[1.04-7.57]）、对使用长效避孕方法的支持态度（95%CI 的 OR 为 5.13[2.03-12.95]）和希望生育 0-2 个孩子（95%CI 的 OR 为 5.34[1.80-15.80]）是使用长效避孕方法的积极因素。
目前长效避孕方法的使用率较低。丈夫/伴侣的支持态度、他们希望生育的孩子数量、态度和每月家庭收入是重要的因素。东戈贾姆地区卫生部门和其他利益相关者应努力促进伴侣/丈夫参与生育年龄妇女，包括卫生保健工作者，使用长效避孕方法。
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