Tegegne Kaleab Tesfaye, Teferi Girma, Wudu Tadele Kassahun, Abinew Yideg, Tegegne Eleni Tesfaye, Tessema Mekibib Kassa
Department of Public Health, College of Health Science, Debark University, Debark, Ethiopia.
Department of Nursing, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
Biomed Res Int. 2024 Feb 22;2024:9978336. doi: 10.1155/2024/9978336. eCollection 2024.
The world is in a dramatic expansion of population that resulted from the continued high birth rates in developing countries. At present, only a handful of countries have reduced fertility rates. That is enough to make gains as a result of reduced fertility or to ensure that their population will stabilize unforeseeable future. Ethiopia is the second largest country by population in Africa, but contraceptive use in Ethiopia is still low.
The main objective of the study was to assess knowledge, attitude, and practice and associated factors towards implant use among married reproductive age group women.
An institutional-based cross-sectional study design was used to collect the data from 272 married reproductive age group women attending the family planning clinic at Ejere Health Center from October 9, 2021 to November 24, 2021. A systematic random sampling technique was used to select and approach the study subjects. The collected data was analyzed using SPSS window version 21, and bi variable, multivariable logistic regression was used to test the association between independent and dependent variables. A value of less than 0.05 and 95% CI was considered to be statistically significant. Finally, the result was presented using tables and graphs.
The finding shows that most of the respondents know implant (87.6%). Concerning the practice of implants, the overall prevalence of implants was 51 (20.6%), and in attitude towards implant utilization among study clients, most of them wrongly believed that using implant can result in irregular uterine bleeding and cause pain during insertion and removal. Mothers who attended primary school 2.580 times (AOR = 2.580, 95% CI: 1.255-5.305, value =0.01) had more positive attitudes than those who could not read and write. Mothers having positive attitude were 2.066 times (AOR = 2.066, 95% CI: 1.185-3.600, value =0.01) knowledgeable about implant than those with negative attitudes.
Even if most of the respondents were knowledgeable, practice and attitude towards implant utilization were low. To overcome this gap, we recommended adequate early counseling, on possible side effects, and creating awareness on implant contraceptive services and refresher courses for health workers regarding implant contraception should be given regularly regarding reproductive issues.
由于发展中国家持续的高出生率，世界人口正在急剧增长。目前，只有少数国家降低了生育率。这足以因生育率降低而取得成果，或确保其人口在可预见的未来实现稳定。埃塞俄比亚是非洲人口第二多的国家，但埃塞俄比亚的避孕药具使用率仍然很低。
该研究的主要目的是评估已婚育龄妇女对植入式避孕器使用的知识、态度、实践及相关因素。
采用基于机构的横断面研究设计，从2021年10月9日至2021年11月24日在埃杰雷健康中心计划生育诊所就诊的272名已婚育龄妇女中收集数据。使用系统随机抽样技术选择并接触研究对象。使用SPSS 21.0版本对收集的数据进行分析，并使用双变量、多变量逻辑回归来检验自变量和因变量之间的关联。P值小于0.05和95%置信区间被认为具有统计学意义。最后，结果以表格和图表形式呈现。
研究结果表明，大多数受访者了解植入式避孕器（87.6%）。关于植入式避孕器的使用情况，植入式避孕器的总体使用率为51人（20.6%），在研究对象对植入式避孕器使用的态度方面，大多数人错误地认为使用植入式避孕器会导致子宫不规则出血，并在插入和取出时引起疼痛。上过小学的母亲的积极态度是不识字母亲的2.580倍（调整后比值比=2.580，95%置信区间：1.255 - 5.305，P值=0.01）。态度积极的母亲对植入式避孕器的了解程度是态度消极母亲的2.066倍（调整后比值比=2.066，95%置信区间：1.185 - 3.600，P值=0.01）。
即使大多数受访者了解相关知识，但对植入式避孕器的使用实践和态度仍然较低。为了克服这一差距，我们建议进行充分的早期咨询，告知可能的副作用，并提高对植入式避孕服务的认识，同时应为卫生工作者定期提供关于植入式避孕的复习课程，内容涉及生殖问题。
