Enyew Ermias Bekele, Tareke Abiyu Abadi, Ngusie Habtamu Setegn, Kasaye Mulugeta Desalegn, Kebede Shimels Derso, Feyisa Mahider Shimelis
Department of Health Informatics, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Amref Health Africa in Ethiopia, West Gondar Zonal Health Department, Gondar, Ethiopia.
Front Glob Womens Health. 2025 Feb 3;6:1444784. doi: 10.3389/fgwh.2025.1444784. eCollection 2025.
The campaign to encourage sexually active women to utilize family planning is one of the primary initiatives being undertaken globally to reduce unintended pregnancies and fertility rates. Evidence suggests that family planning measures can lower this maternal mortality ratio by nearly 25%. According to our literature search, there is no known study that has reported on the study area to assess utilization and factors associated with the use of long-acting contraceptive methods (LACMs) among women of reproductive age. Therefore, this study aimed to assess long-acting contraceptive method uptake and its associated factors among women of reproductive age in East Africa.
A weighted total of 50,525 women of reproductive age were included in this study. A community-based cross-sectional study was conducted on the most recent Demographic and Health Surveys in 12 East African countries. The pooled prevalence of long-acting contraceptive uptake with a 95% confidence interval (CI) was reported and presented in a forest plot for East African countries using STATA version 14.1. Intraclass correlation coefficient, likelihood ratio (LR) test, median odds ratio, and deviance (-2 log-likelihood) values were used for model comparison and fitness. Adjusted odds ratios (AOR) with a 95% CI and -value ≤0.05 in the multilevel logistic model were used to declare significant factors associated with long-acting contraceptive uptake.
The overall prevalence of long-acting contraceptive methods in East African countries was 19.41% (95% CI 19.07%-19.76%). In the multilevel logistic regression analysis, women in the age group of 35-49 years (AOR 1.09, 95% CI 1.06-1.17), women who were married (AOR 1.31, 95% CI 1.10-1.56), and women who were exposed to media (AOR 1.06, 95% CI 1.00-1.13) were significantly associated with LACM uptake. Moreover, living in urban areas (AOR 1.23, 95% CI 1.14-1.32) and living in the highest household wealth index (AOR 1.09, 95% CI 1.01-1.17) were also significantly associated with long-acting contraceptive uptake.
The overall utilization of acting contraceptive methods was low. Therefore, future interventions should be planned to target women in younger age groups, with lower socioeconomic backgrounds, and those living in rural areas to improve LACM uptake.
鼓励性活跃女性使用计划生育的运动是全球为减少意外怀孕和生育率而开展的主要举措之一。有证据表明，计划生育措施可使孕产妇死亡率降低近25%。根据我们的文献检索，尚无已知研究报道过在研究区域评估育龄妇女长效避孕方法（LACMs）的使用情况及其相关因素。因此，本研究旨在评估东非育龄妇女长效避孕方法的采用情况及其相关因素。
本研究共纳入加权后的50525名育龄妇女。基于社区的横断面研究在12个东非国家的最新人口与健康调查中进行。使用STATA 14.1版本报告并在森林图中呈现东非国家长效避孕采用率及其95%置信区间（CI）。组内相关系数、似然比（LR）检验、中位数优势比和偏差（-2对数似然值）用于模型比较和拟合优度评估。在多水平逻辑模型中，使用95% CI且p值≤0.05的调整后优势比（AOR）来确定与长效避孕采用相关的显著因素。
东非国家长效避孕方法的总体采用率为19.41%（95% CI 19.07%-19.76%）。在多水平逻辑回归分析中，年龄在35-49岁组的女性（AOR 1.09，95% CI 1.06-1.17）、已婚女性（AOR 1.31，95% CI 1.10-1.56）以及接触过媒体的女性（AOR 1.06，95% CI 1.00-1.13）与长效避孕采用显著相关。此外，居住在城市地区（AOR 1.23，95% CI 1.14-1.32）和处于家庭财富指数最高组（AOR 1.09，95% CI 1.01-1.17）也与长效避孕采用显著相关。
长效避孕方法的总体使用率较低。因此，未来干预措施应针对年龄较小、社会经济背景较低以及居住在农村地区的女性，以提高长效避孕方法的采用率。
Zotero 插件