Advances in Applied Sciences

| Peer-Reviewed |

Utilization of Long Acting Reversible Contraceptive Methods and Associated Factors Among Female College Students in Debre Berhan Town, Ethiopia

Received: 13 June 2016    Accepted: 24 June 2016    Published: 21 July 2016
Views:       Downloads:

Share This Article

Abstract

Now a day, Adolescent sexual activity, unintended pregnancy, unsafe abortion has become a major issue in Ethiopia. Low levels of use and high unmet need for LARC have led to high levels of unintended pregnancy in Ethiopia. Use of LARC methods are good options for youth to prevent unintended pregnancies and abortions and saves their lives but studies on determinants of LARC utilization among youth groups are limited in the study area. So, this study was aimed to assess the utilization and associated factors of LARC among female college students. An institutional based cross sectional study was conducted using self-administered questionnaire from 10-25 April, 2015 among 427 female college students in Debre Berhan town. Multistage sample technique was used to select the study participants. Binary logistic regression analysis was used to analyses predictors of LARC utilization. Three hundred fifty-eight (83.5%) of the students heard about LARCs. More than half (52.7%) and (43.3%) of the students had good knowledge and positive attitude respectively towards LARC. The overall utilization of LARCs was 23.4%. Source of information for contraceptives from health professionals [AOR 5.028 (95% CI 1.374, 18.353)] and knowledge about implants [AOR 3.325 (95% CI 1.028, 10.751)] were the main predictors of LARC utilization among female college students. Even though the level of knowledge and attitude of this study was satisfactory, the utilization of LARCs among college students was relatively low. Knowledge about implants and getting information from health professionals were the predictor factors of LARC. Promotion about the potential benefits of LARC methods should be made to increase the utilization among college students.

DOI 10.11648/j.aas.20160101.13
Published in Advances in Applied Sciences (Volume 1, Issue 1, August 2016)
Page(s) 18-23
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Long Acting, Reversible Contraceptive, Utilization, Debre Berhan, Ethiopia

References
[1] Health Communication Capacity Collaborative, “Barriers to LARC Uptake Among Youth,” 2014.
[2] C. Oringanje, M. Mm, H. Eko, E. Esu, A. Meremikwu, and E. Je, “Interventions for preventing unintended pregnancies among adolescents (Review),” Cochrane Libr., no. 1, 2010.
[3] D. Mesce, “Unsafe Abortion, facts and figures,” 2005.
[4] World Health Organization, “Unsafe abortion: Global and regional estimates of the incidence of unsafe abortion and associated mortality in 2003,” 5th edition, 2007.
[5] The American College of Obstetrician and Gynecologists, “Long-Acting Reversible Contraception (LARC),” 2016.
[6] P. MacDonald, “Approaches for expanding choice and access to long-acting reversible contraceptives and permanent methods of family planning.”
[7] C. S. Agency, “Ethiopia Mini Demographic and Health Survey 2014,” Addis Ababa, Ethiopia, 2014.
[8] Central Statistical Agency and ICF International, “Ethiopia Demographic and Health Survey 2011,” Addis Ababa, Ethiopia and Calverton Maryland, USA, 2012.
[9] Guttmacher Institute, “Benefits of Meeting the Contraceptive Needs of Ethiopian Women,” 2010.
[10] World Health Organization, “Trends in Maternal Mortality : 1990 to 2013: Estmates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Division,” Geneva, 2014.
[11] R. Smith, L. Ashford, J. Gribble, and D. Clifton, “Family Planning saves lives, fourth edition,” Washington, DC, USA, 2009.
[12] R. Anguzu, R. Tweheyo, J. N. Sekandi, V. Zalwango, C. Muhumuza, S. Tusiime, and D. Serwadda, “Knowledge and attitudes towards use of long acting reversible contraceptives among women of reproductive age in Lubaga division, Kampala district, Uganda,” BMC Res. Notes, vol. 7, no. 1, pp. 1–9, 2014.
[13] M. Alemayehu, T. Belachew, and T. Tilahun, “Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia,” BMC Pregnancy Childbirth, vol. 12, no. 1, p. 6, 2012.
[14] B. S. Zafiro and A. M. I. Rodriguez, “Adolescents and Long-Acting Reversible Contraception : Lessons from Mexico,” Matern. Child Health J., 2016.
[15] A. O. I. Fabamwo adetokunbo Olusegun, Wright Kikelomo Ololade, “Knowledge and practice among students.,” Res. J. Med. Sci., vol. 6, no. 4, pp. 181–186, 2012.
[16] H. Gebremichael, F. Haile, A. Dessie, A. Birhane, M. Alemayehu, and H. Yebyo, “Acceptance of long acting contraceptive methods and associated factors among women in Mekelle city, Northern Ethiopia,” Sci. J. Public Heal., vol. 2, no. 4, pp. 349–355, 2014.
[17] Y. W. Mohammed Amin Abdrahman, Shegaw Getinet, Nadew Kemaw, Tamrat Kansa, Zeru Getachew, Desta Hailu, “Long Acting Contraceptive Method Utilization and Associated Factors among Reproductive Age Women in Arba Minch Town, Ethiopia,” Greener J. Epidemiol. Public Heal., vol. 2, no. 1, pp. 023–031.
[18] S. W. Gudaynhe, D. T. Zegeye, T. Asmamaw, and G. D. Kibret, “Factors Affecting the use of Long-Acting Reversible Contraceptive Methods among Married Women in Debre Markos Town, Northwest Ethiopia 2013,” Glob. J. Med. Res., vol. 14, no. 5, 2014.
[19] M. Asnake, E. G. Henry, Y. Tilahun, and E. Oliveras, “Addressing unmet need for long-acting family planning in Ethiopia : Uptake of single-rod progestogen contraceptive implants (Implanon) and characteristics of users,” Int. J. Gynecol. Obstet., vol. 123, no. October 2009, pp. e 29–e 32, 2013.
[20] Violet Nyambo, “Factors influencing long acting reversible contractive use in Malawi,” Witwatersrand, 2013.
[21] Federal Democratic Republic of Ethiopia Ministry of Health, “A Situation Analysis of Family Planning in Ethiopia, June 2011.”
[22] Federal Democratic Republic of Ethiopia Ministry of Health, “National guideline for family planning services in Ethiopia,” 2011.
[23] E. Okpo, L. Allerton, and S. Brechin, “‘But you can’t reverse a hysterectomy !’ Perceptions of long acting reversible contraception (LARC) among young women aged 16 - 24 years : a qualitative study,” Public Health, vol. 128, no. 10, pp. 934–939, 2014.
[24] C. C. Garrett, L. A. Keogh, A. Kavanagh, J. Tomnay, and J. S. Hocking, “Understanding the low uptake of long acting reversible contraception by young women in Australia : a qualitative study,” BMC Womens. Health, vol. 15, no. 72, pp. 1–10, 2015.
Cite This Article
  • APA Style

    Kalayu Birhane, Wintana Tsegaye, Ayelign Mulaw, Chala Nemomsa, Getaw Abebe, et al. (2016). Utilization of Long Acting Reversible Contraceptive Methods and Associated Factors Among Female College Students in Debre Berhan Town, Ethiopia. Advances in Applied Sciences, 1(1), 18-23. https://doi.org/10.11648/j.aas.20160101.13

    Copy | Download

    ACS Style

    Kalayu Birhane; Wintana Tsegaye; Ayelign Mulaw; Chala Nemomsa; Getaw Abebe, et al. Utilization of Long Acting Reversible Contraceptive Methods and Associated Factors Among Female College Students in Debre Berhan Town, Ethiopia. Adv. Appl. Sci. 2016, 1(1), 18-23. doi: 10.11648/j.aas.20160101.13

    Copy | Download

    AMA Style

    Kalayu Birhane, Wintana Tsegaye, Ayelign Mulaw, Chala Nemomsa, Getaw Abebe, et al. Utilization of Long Acting Reversible Contraceptive Methods and Associated Factors Among Female College Students in Debre Berhan Town, Ethiopia. Adv Appl Sci. 2016;1(1):18-23. doi: 10.11648/j.aas.20160101.13

    Copy | Download

  • @article{10.11648/j.aas.20160101.13,
      author = {Kalayu Birhane and Wintana Tsegaye and Ayelign Mulaw and Chala Nemomsa and Getaw Abebe and Gebeyaw Derese and Kalkidan Assefa and Wassie Negash},
      title = {Utilization of Long Acting Reversible Contraceptive Methods and Associated Factors Among Female College Students in Debre Berhan Town, Ethiopia},
      journal = {Advances in Applied Sciences},
      volume = {1},
      number = {1},
      pages = {18-23},
      doi = {10.11648/j.aas.20160101.13},
      url = {https://doi.org/10.11648/j.aas.20160101.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.aas.20160101.13},
      abstract = {Now a day, Adolescent sexual activity, unintended pregnancy, unsafe abortion has become a major issue in Ethiopia. Low levels of use and high unmet need for LARC have led to high levels of unintended pregnancy in Ethiopia. Use of LARC methods are good options for youth to prevent unintended pregnancies and abortions and saves their lives but studies on determinants of LARC utilization among youth groups are limited in the study area. So, this study was aimed to assess the utilization and associated factors of LARC among female college students. An institutional based cross sectional study was conducted using self-administered questionnaire from 10-25 April, 2015 among 427 female college students in Debre Berhan town. Multistage sample technique was used to select the study participants. Binary logistic regression analysis was used to analyses predictors of LARC utilization. Three hundred fifty-eight (83.5%) of the students heard about LARCs. More than half (52.7%) and (43.3%) of the students had good knowledge and positive attitude respectively towards LARC. The overall utilization of LARCs was 23.4%. Source of information for contraceptives from health professionals [AOR 5.028 (95% CI 1.374, 18.353)] and knowledge about implants [AOR 3.325 (95% CI 1.028, 10.751)] were the main predictors of LARC utilization among female college students. Even though the level of knowledge and attitude of this study was satisfactory, the utilization of LARCs among college students was relatively low. Knowledge about implants and getting information from health professionals were the predictor factors of LARC. Promotion about the potential benefits of LARC methods should be made to increase the utilization among college students.},
     year = {2016}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Utilization of Long Acting Reversible Contraceptive Methods and Associated Factors Among Female College Students in Debre Berhan Town, Ethiopia
    AU  - Kalayu Birhane
    AU  - Wintana Tsegaye
    AU  - Ayelign Mulaw
    AU  - Chala Nemomsa
    AU  - Getaw Abebe
    AU  - Gebeyaw Derese
    AU  - Kalkidan Assefa
    AU  - Wassie Negash
    Y1  - 2016/07/21
    PY  - 2016
    N1  - https://doi.org/10.11648/j.aas.20160101.13
    DO  - 10.11648/j.aas.20160101.13
    T2  - Advances in Applied Sciences
    JF  - Advances in Applied Sciences
    JO  - Advances in Applied Sciences
    SP  - 18
    EP  - 23
    PB  - Science Publishing Group
    SN  - 2575-1514
    UR  - https://doi.org/10.11648/j.aas.20160101.13
    AB  - Now a day, Adolescent sexual activity, unintended pregnancy, unsafe abortion has become a major issue in Ethiopia. Low levels of use and high unmet need for LARC have led to high levels of unintended pregnancy in Ethiopia. Use of LARC methods are good options for youth to prevent unintended pregnancies and abortions and saves their lives but studies on determinants of LARC utilization among youth groups are limited in the study area. So, this study was aimed to assess the utilization and associated factors of LARC among female college students. An institutional based cross sectional study was conducted using self-administered questionnaire from 10-25 April, 2015 among 427 female college students in Debre Berhan town. Multistage sample technique was used to select the study participants. Binary logistic regression analysis was used to analyses predictors of LARC utilization. Three hundred fifty-eight (83.5%) of the students heard about LARCs. More than half (52.7%) and (43.3%) of the students had good knowledge and positive attitude respectively towards LARC. The overall utilization of LARCs was 23.4%. Source of information for contraceptives from health professionals [AOR 5.028 (95% CI 1.374, 18.353)] and knowledge about implants [AOR 3.325 (95% CI 1.028, 10.751)] were the main predictors of LARC utilization among female college students. Even though the level of knowledge and attitude of this study was satisfactory, the utilization of LARCs among college students was relatively low. Knowledge about implants and getting information from health professionals were the predictor factors of LARC. Promotion about the potential benefits of LARC methods should be made to increase the utilization among college students.
    VL  - 1
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia

  • Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia

  • Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia

  • Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia

  • Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia

  • Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia

  • Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia

  • Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia

  • Sections