Acceptance of Long Acting Reversible Contraceptive Methods and Associated Factors Among Reproductive Age Women in Adama Town, Oromia Regional State, Ethiopia
Clinical Medicine Research
Volume 6, Issue 2, March 2017, Pages: 53-63
Received: Nov. 28, 2016; Accepted: Dec. 16, 2016; Published: Mar. 18, 2017
Views 1847      Downloads 110
Ebrahim Mohammed, Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Legese Tadese, Department of Public Health, Arsi University College of Health Sciences, Asella, Ethiopia
Gabi Agero, Department of Public Health, Arsi University College of Health Sciences, Asella, Ethiopia
Article Tools
Follow on us
The global population is expected to reach between 7.5 and 10.5 billion by the year 2050. Ethiopia is the second most populous country in Sub-Saharan Africa next to Nigeria. Total Fertility Rate of Ethiopia is 4.1 children per women; contraceptive prevalence rate is 29% for all child bearing age women. The prevalence of long acting reversible contraceptive methods (LARCs) in Ethiopia was very low (4.2%). The cause for low prevalence of LARCs is not known. Thisstudy assessed the acceptance and factors associated with acceptance of long acting reversible contraceptive methods (LARCs) among reproductive age women in Adama Town, Oromia regional state, Ethiopia, 2016. Institution-based cross-sectional study was employed. A total of 644 women attending family planning clinics in health facilities in Adamatownin March 2016 were randomly selected. Structured, pretested and interviewer administered questionnaire was used to collect data. Univariateand Multivariable logistic regression analysis was employed to identify factors associated with acceptance of LARCs methods. Adjusted Odds ratios (AOR) with 95% confidence interval (CI) were used to assess the association among study variables. The acceptance of LARCs methods was found 27.9% Respondents` age (25-34 years) (AOR, 0.19; 95% CI: 0.07, 0.54) were negatively associated, occupation (govern employed) (AOR, 8.80; 95% CI: 1.38, 56.13), Supportive partners attitude (AOR, 30.26; 95% CI: 10.52, 87.03), time taken to arrive the health facility (AOR, 5.68; 95% CI: 2.11, 15.27), partners discussion (AOR, 23.23; 95% CI: 8.55, 63.08) and ever using LARCs before (AOR, 5.50; 95% CI: 2.11, 14.31) were found to have significant and positive association with acceptance of LARCs. CurrentLARCs acceptance is low (27.9%). Regional Health Bureau, Adama Town Health Office and other stakeholders should continue promotion of LARCs. Health professionals should teach both the clients and their partners about the benefits and disadvantage of LARCs. Partners should discus on benefits of using LARCs.
Acceptance, Long Acting Reversible Contraceptive, Adama, Ethiopia
To cite this article
Ebrahim Mohammed, Legese Tadese, Gabi Agero, Acceptance of Long Acting Reversible Contraceptive Methods and Associated Factors Among Reproductive Age Women in Adama Town, Oromia Regional State, Ethiopia, Clinical Medicine Research. Vol. 6, No. 2, 2017, pp. 53-63. doi: 10.11648/j.cmr.20170602.15
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Secretariat, World Population Prospects; The 2008 Revision.[cited 20122/10/2012]; Available from: June 2009.
United Nations, The World Population Situation in 2014: A Concise Report. 2014: New York.
FMoH of Ethiopia, Health and Health Related Indicators. 2012/2013: Addis Ababa.
Institute of Development Studies (IDS) at the University of Sussex, Horizon Future issues for development; Population Growth, Environment and Food Security: What Does the Future Hold? PILOT ISSUE AUGUST 2009; . IDS knowledge Service,. August 2009.
WHO, Trends in Maternal Mortality: 1990 to 2013. Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division. 2013: Geneva.
Population Reference Bureau, World Population Data Sheet. 2014: New York.
World Health Organization, Success Factors for Women’s and Children’s Health. 2015: Geneva.
Central Statistics Agency, Ethiopia Demographic and Health Survey. 2011,: Addis Ababa.
USAID/HPI, Achiving the MDGs: the contribution of family planning.. 2012: Addis Ababa, Ethiopia.
United Nations, World Contraceptive Patterns, DoEaSA UN. New York, NY 10017. United States of America. Fax number: 1 212 963 2147. Published by the United Nations. 2013: New York.
Janet Fleischman and Moore A, International Family Planning; A Common-Ground Approach to an Expanded U.S. Role. 2009: Washington DC,.
ICF International, The DHS Program. USA; telephone: +1 301-572-0577; fax: +1 301-407-6501; email: . 2015.
Ministry of health of Ethiopia, National Guideline For Family Planning Service in Ethiopia. 2011: Addis Ababa,.
SHFP. A, Long-Acting Reversible Contraceptives. 2012: Australia: Australia SHFP.
Ramchandran D and U. U. Implants:, The Next Generation. Population Reports. Series K: Injectables and Implants 7: 1-19.. 2007. p. 1-19.
Cleland K ZH, et al., The efficacy of intrauterine devices for emergency contraception: A systematic review of 35 years of experience. Hum Reprod 2012. 27(7): p. 1994-2000.
Heather D, Boonstra Leveling the Playing Field. The Promise of Long-Acting Reversible Contraceptives for Adolescents. Gut tmacher,, 2013. 16(4).
CSA Ethiopia, Mini Demographic and Health Survey, C. s. o. Ethiopia, Editor. August 2014: Addis Ababa, Ethiopia.
Anguzu et al, Knowledge and attitudes towards use of long acting reversible contraceptives among women of reproductive age in Lubaga division, Kampala district, Uganda. BMC Research Notes,, 2014. 7: p. 153.
W., M. C., et al., Who Is Using Long-Acting Reversible Contraceptive Methods? Findings from Nine Low-Fertility Countries. Perspect Sex Reprod Health., 2014 September. 46(3): p. 149-155.
Hailay Gebremichael FH AD, et al., Acceptance of Long Acting Contraceptive Methods and Associated Factors among Women in Mekelle City, Northern Ethiopia Science Journal of Public Health,, 2014. 2(4): p. 349-55.
Taye A WM and Sinaga M (2014), Predictors of Long Acting Reversible Contraceptive use among Married Women Visiting Health Facilities in Jimma Town. J Women’s Health Care, 2014. 4(217).
Yalew et al, Demand for long acting contraceptive methods and associated factors among family planning service users, Debre Tabor town, north west Ethiopia, Health facility based cross-sectional study. BMC research note,, 2015. 8(29): p. DOI 10.1186/13104-0974-6.
Kabalo, M., Utilization of reversible long acting family planning methods among married 15-49 years women in Areka town, Southern Ethiopia. Int J Sci Rep, 2016. 2(1): p. 1-6.
Sahilemichael A and Temesgen K, (2015) G. Determinants of Long Acting Reversible Contraceptives Use among Child Bearing Age Women in Dendi District, Western Ethiopia. J Women’s Health Care, 2015. 4: p. 242: doi: 10.4172/2167-0420.1000242.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186