Gujo Amelo Bolka, Kare Assefa Philipos
Department of Social and Population Health, Yirgalem Hospital Medical College, Yirgalem, Sidama Region, Southern Ethiopia.
Health Serv Res Manag Epidemiol. 2021 Mar 17;8:23333928211002401. doi: 10.1177/23333928211002401. eCollection 2021 Jan-Dec.
Utilization of family planning services improves women's reproductive health outcomes. Long-acting reversible contraceptive (LARCs) methods, in particular, prevent unwanted pregnancy and significantly reduce maternal mortality and morbidity. In Ethiopia utilization of LARCs was very low. Therefore, this study was aimed at assessing the utilization of LARCs and associated factors among reproductive-age women in Wondo Genet District, Southern Ethiopia.
Institution based cross-sectional study was conducted from 15 May to 15 August 2020 among reproductive-age women. A systematic sampling method was applied to recruit 376 women and the sample size was allocated to health centers proportionally. Data collection was conducted by trained collectors using pretested and structured questionnaires. Data coded and entered into EPI Info 7 and the analysis was done using SPSS version 25. Binary and multiple logistic regression analyses were done. Statistical significance was declared with P < 0.05.
The utilization of LARCs was 37.8% (95% CI: 32.9-42.7). The multivariable analysis showed that odds of the utilization of LARCs were increased among reproductive-aged ≥25 years (Adjusted odds ratio (AOR) = 2.21, 95% CI: 1.04, 4.41), gave birth to ≥3 live births (AOR = 2.2, 95% CI: 1.2, 4.04), employed (AOR = 1.92, 95% CI: 1.17, 3.14), earned high monthly income (AOR = 2.02, 95% CI: 1.25, 3.26) and discussed contraceptive methods with their husbands (AOR = 2.87, CI: 1.68, 4.89].
Utilization of LARCs was low. The odds of the utilization of LARCs were increased in women aged ≥25 years, gave birth to 3 or more children, earned high monthly income, and discussed with their husbands about contraception methods.
计划生育服务的使用可改善妇女的生殖健康状况。特别是长效可逆避孕（LARC）方法，可预防意外怀孕并显著降低孕产妇死亡率和发病率。在埃塞俄比亚，LARC的使用率非常低。因此，本研究旨在评估埃塞俄比亚南部翁多杰内特区育龄妇女中LARC的使用情况及相关因素。
2020年5月15日至8月15日，在育龄妇女中开展了基于机构的横断面研究。采用系统抽样方法招募376名妇女，并按比例将样本量分配到各健康中心。由经过培训的收集人员使用预先测试和结构化的问卷进行数据收集。数据编码后录入EPI Info 7，并使用SPSS 25版进行分析。进行二元和多因素逻辑回归分析。P<0.05表示具有统计学意义。
LARC的使用率为37.8%（95%CI：32.9-42.7）。多变量分析显示，年龄≥25岁的育龄妇女（调整优势比（AOR）=2.21，95%CI：1.04，4.41）、生育≥3个活产婴儿（AOR=2.2，95%CI：1.2，4.04）、就业（AOR=1.92，95%CI：1.17，3.14）、月收入高（AOR=2.02，95%CI：1.25，3.26）以及与丈夫讨论避孕方法（AOR=2.87，CI：1.68，4.89）的妇女使用LARC的几率增加。
LARC的使用率较低。年龄≥25岁、生育3个或更多孩子、月收入高以及与丈夫讨论避孕方法的妇女使用LARC的几率增加。
