scholarly journals Knowledge and factors influencing long acting reversible contraceptive use among women of reproductive age in Nigeria

2020 ◽  
Vol 3 ◽  
pp. 7
Author(s):  
Obasanjo Afolabi Bolarinwa ◽  
Olalekan Seun Olagunju
Keyword(s):  
Logistic Regression ◽  
Contraceptive Use ◽  
Target Population ◽  
Household Wealth ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Unintended Pregnancies ◽  
Factors Influencing ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive

Background: Approximately 48% of unintended pregnancies occur as a result of contraceptive failure around the world, which is largely due to incorrect use, poor adherence and/or technology failure. Long-acting reversible contraceptive (LARC) methods have been developed to close this gap because it’s not dependent on compliance with a pill-taking regimen; remembering to change patch or ring; or fixing an appointment with physicians. The main aim of this study is to identify the factors influencing the women associated with use of LARC and to examine the relationship between knowledge of LARC and its current use. Methods: This study assessed the PMA2020 methodology and secondary dataset using female datasets from PMA 2016 (Round 3) exercise. PMA 2016 was a survey carried out in seven states of Nigeria. The target population for this study was women of reproductive age (15-49 years) currently using contraception prior to the survey. The sample size of women meeting inclusion criteria in this study was 1927. The data were analyzed using frequency distribution, chi-square and logistic regression at 5% level of significant. Results: The results showed that 21.0% of women were using traditional methods. Concerning LARC methods, the table showed that 14.8% of the sampled women were using LARC methods. Findings further showed that at both levels of analyses there is a significant relationship (P<0.05 and P=0.00 for binary and multivariable logistic regression, respectively) between knowledge of LARCs and uses in this study. This means that knowledge of LARC & other socio-demographic variables among women of reproductive age in Nigeria can influence the use of it. Conclusions: From the result of the study we concluded that 14.8% of women using contraception were using LARC. Additionally, level of education, age of women, household wealth and number of living children were significantly associated with using LARC.

scholarly journals Knowledge and factors influencing long acting reversible contraceptive use among women of reproductive age in Nigeria

2019 ◽  
Vol 3 ◽  
pp. 7 ◽  
Author(s):  
Obasanjo Afolabi Bolarinwa ◽  
Olalekan Seun Olagunju
Keyword(s):  
Logistic Regression ◽  
Human Error ◽  
Contraceptive Use ◽  
Target Population ◽  
Household Wealth ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Unintended Pregnancies ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive

Background: Over a month when contraception is used, approximately 48% of unintended pregnancies occur as a result of human error, which is largely due to incorrect use, poor adherence and/or technology failure. Long-acting reversible contraceptive (LARC) methods have been developed to bridge this gap because it’s not dependent on compliance with a pill-taking regimen; remembering to change patch or ring; or fixing an appointment with physicians. The main aim of this study is to examine the characteristics of women associated with use of LARC and also to examine the relationship between knowledge of LARC and its current use. Methods: This study assessed the PMA2020 secondary dataset using female datasets from PMA 2016 (Round 3) exercise. PMA 2016 was a survey carried out in seven states of Nigeria. The target population for this study was women of reproductive age (15-49 years) currently using any method of contraception prior to the survey. The weighted sample size of women meeting inclusion criteria in this study is 1927. The data were analyzed using frequency distribution, chi-square and logistic regression. Results: The results showed that 21.0% of women were using traditional methods. Concerning LARC methods, the table showed that 14.8% of the sampled women were using LARC methods. Findings further revealed that at both levels of analysis there is a significant relationship (P<0.05 and P=0.00 for binary and multivariable logistic regression, respectively) between knowledge of LARCs and uses in this study. This means that the use of LARC is being influenced by its knowledge among women of reproductive age in Nigeria. Conclusions: This study concludes that 14.8% of women using any methods of contraceptive were using LARC. Additionally, after controlling for other confounding factors, level of education, age of women, household wealth and number of living children were significantly associated with using LARC.

scholarly journals Knowledge and factors influencing long-acting reversible contraceptives use among women of reproductive age in Nigeria

2020 ◽  
Vol 3 ◽  
pp. 7
Author(s):  
Obasanjo Afolabi Bolarinwa ◽  
Olalekan Seun Olagunju
Keyword(s):  
Logistic Regression ◽  
Target Population ◽  
Household Wealth ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Chi Square ◽  
Women Health ◽  
Unintended Pregnancies ◽  
Long Acting ◽  
Living Children

Background: Approximately 48% of unintended pregnancies occur as a result of contraceptives failure around the world, which is mostly due to incorrect use, poor adherence, and/or technology failure. Long-acting reversible contraceptive (LARC) methods have been developed to close this gap. The main aim of this study is to identify factors associated with the use of LARCs among women of reproductive age and to examine the relationship between knowledge of LARCs and the current use of LARCs in Nigeria. Methods: This study assessed the PMA2020 methodology and secondary dataset using female datasets from PMA 2016 (Round 3) exercise. The survey was conducted out in seven states of Nigeria. The target population for this study was women of reproductive age (15-49 years) currently using contraception prior to the survey. The sample size of women that met the inclusion criteria was 1927. The data were analyzed using frequency distribution, chi-square, and logistic regression at a 5% level of significance. Results: The results showed that 21.0% of women were using traditional methods. 14.8% of the sampled women were using LARCs methods. Findings further showed that at both levels of analyses, there is a significant relationship (P<0.05 and P=0.00 for binary and logistic regression, respectively) between knowledge of LARCs and the use of LARCs. This means that knowledge of LARCs and socio-demographic variables among women of reproductive age in Nigeria can influence the use of LARCs. Conclusions: We concluded in this study that 14.8% of women using contraception were using LARCs. Additionally, the level of education, age of women, household wealth, and the number of living children were significantly associated with using LARCs in Nigeria. Also, when discussing contraception with women, health care practitioners should discuss the risks and benefits of LARCs with women of reproductive age and recommend them as a first-line method.

scholarly journals Determinants Of Long-Acting Reversible Contraceptive Methods Utilization Among Married Women Of Reproductive Age Group In Ambo Town, Oromia Region, West Ethiopia, 2016: A Case Control Study

2019 ◽  
Author(s):  
Dawit Regassa Soboka ◽  
Fasil Tessema ◽  
Mamo Nigatu
Keyword(s):  
Positive Attitude ◽  
Wealth Quintile ◽  
Married Women ◽  
Reproductive Age ◽  
Age Group ◽  
Contraceptive Methods ◽  
Women Of Reproductive Age ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive ◽  
Reproductive Age Group

Abstract Background: Long-acting reversible contraceptive methods are the most effective, safe, convenient and cost-effective compared to other modern contraceptive methods. The prevalence of long-acting reversible contraceptive methods utilization among married women in the study area was only 5% out of users of all methods and eligible group, which is comparatively low compared to the regional and national targets. Objective: To identify determinants of long-acting reversible contraceptive methods utilization among married women of the reproductive age group in Ambo town, 2016 Methods: Community based unmatched case-control study was conducted in Ambo town among married women of reproductive age group. 140 users and 280 non-users were randomly included. Bivariable and multivariable logistic regression was used to identify candidate variables and independent predictor variables respectively. Adjusted odds ratios together with their corresponding 95% CI were calculated to assess the strength of association and statistical significance. Result: 139 users and 279 non-users were interviewed giving a response rate of 99%. Moderate level of knowledge on long-acting reversible contraceptive methods (AOR= 8.73, 95%CI: 3.08 - 24.77), Good level of knowledge (AOR=13.99, 95%CI: 4.93-39.71), spousal discussion on long-acting reversible contraceptive methods (AOR=2.88, 95%CI: 1.3-6.36), positive attitude toward long-acting reversible contraceptive methods (AOR=7.07, 95% CI: 3.77-13.24), Women from households in the poorest wealth quintile (AOR= 6.83, 95%CI: 2.68-17.38), Women from households in the medium wealth quintile (AOR=5.83, 95%CI: (2.23- 15.23) were positive determinants ,whereas intention to give birth in the future (AOR=0.09, 95%CI: 0.02- 0.36) and woman’s expectation of restriction to methods use (AOR=0.2, 95%CI: 0.08- 0.48) were negative determinants of long-acting reversible contraceptive methods utilization. Conclusion: Good knowledge, moderate knowledge, positive attitude, wealth index and spousal discussion were positive determinants, while intention to give birth in the future and woman’s expectation of restriction to method use were negative determinants of long-acting reversible contraceptive methods utilization. Stakeholders should emphasize behavioral change communication to increase knowledge on long-acting reversible contraceptive methods, strengthen inter-spousal discussion and bring a positive attitude toward long-acting reversible contraceptive methods. Keywords: long-acting reversible contraceptive methods, married women of reproductive age, Ambo town

scholarly journals Geographic variation and associated factors of long-acting contraceptive use among reproductive-age women in Ethiopia: a multi-level and spatial analysis of Ethiopian Demographic and Health Survey 2016 data

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Oumer Abdulkadir Ebrahim ◽  
Ejigu Gebeye Zeleke ◽  
Atalay Goshu Muluneh
Keyword(s):  
Spatial Analysis ◽  
Geographic Variation ◽  
Associated Factors ◽  
Contraceptive Use ◽  
Reproductive Age ◽  
High Fertility ◽  
Fertility Rates ◽  
Unintended Pregnancies ◽  
Reproductive Age Women ◽  
Long Acting

Abstract Background High fertility rates and unintended pregnancies are public health concerns of lower and middle income countries such as Ethiopia. Long acting contraceptives (LACs) take the lion’s share in reducing unintended pregnancies and high fertility rates. Despite their numerous advantages, the utilization of LACs remains low in Ethiopia. This study is aimed to explore the geographic variation and associated factors of long acting contraceptive use among reproductive-age women in Ethiopia. Methods This is a secondary data analysis of 2016 Ethiopian Demographic and Health Survey (EDHS) data. A total of weighted sample sizes of 10,439 reproductive-age women were included in the final analysis. To clean and analyze the none-spatial data Stata 14 was used while ArcGIS 10.6 and SaTScanTM version 9.6 software were used for spatial analysis. Multilevel Mixed-effect Logistic regression model was used to identify associated factors of LACs utilization. An Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was reported to identify significant variables. Results Long acting contraceptive utilization was non-random (Moran’s I: 0.30, p-value < 0.01). Statistically, clusters with significant low utilization of LACs were found in Somali, Afar, Gambela, northern Amhara, eastern Oromia and western part of Southern Nations Nationalities and Peoples (SNNP) regions. Adjusting for other factors such as being married (AOR = 2.51, 95% CI: 1.29–4.87), having one to two (AOR = 2.14, 95% CI: 1.43–3.22), and three to four children (AOR = 1.68, 95% CI: 1.02–2.76), urban (AOR = 1.59, 95% CI: 1.16–2.19), want no more children (AOR = 1.40, 95% CI: 1.08–1.83), working status of women (AOR = 1.33, 95% CI: 1.07–1.65) increased the odds of LACs utilization. While previous history of abortion (AOR = 0.56, 95% CI: 0.39–0.80), and living in the pastoralist community (AOR = 0.22, 95% CI: 0.14–0.35) reduced the odds of LACs utilization in Ethiopia Conclusions Significant geographic variation of LACs utilization was observed in Ethiopia. Spots with Low LACs utilization were found in the eastern, north eastern and western part of the country. Socio-demographic and pregnancy related factors were significant determinants of LACs utilization. Designing intervention programs targeting the identified hot spot clusters, and variables that can hinder the utilization of LACs is very important to increase the utilization.

scholarly journals Demographic and socio-cultural factors influencing contraceptive uptake among women of reproductive age in Tamale Metropolis, Northern Region, Ghana

2020 ◽  
Vol 54 (2) ◽  
pp. 64-72
Author(s):  
Marijanatu Abdulai ◽  
Ernest Kenu ◽  
Donne Ameme ◽  
Delia Bandoh ◽  
Phillip Tabong ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Cultural Factors ◽  
Northern Region ◽  
Reproductive Age ◽  
Community Members ◽  
Women Of Reproductive Age ◽  
Factors Influencing ◽  
Tamale Metropolis ◽  
Reproductive Aged Women ◽  
Contraceptive Uptake

Background: This study assessed some demographic and socio-cultural factors that influence contraceptive uptake among reproductive-aged women in Tamale Metropolis of the Northern Region, GhanaDesign: This was a cross-sectional study conducted from February to March 2015Setting: All three sub Metropolis in TamaleParticipants: All community members and women of reproductive age (15-49years)Intervention: The study used cluster sampling to recruit women who were interviewed using a structured questionnaire. Nine focus group discussions (FGDs) were also held among community members who were purposively selected.Main outcome measures: contraceptive uptake (use of contraceptive)Results: The mean age of the women was 26 years. The prevalence of contraceptive uptake among reproductive-age women was 36.8% (165/448). Women with secondary school education [AOR=4.4(95%CI:1.6-12.4)], and those in homes where decisions on having children were made by both partners [AOR=2.1(95%CI:1.1-04.42)] were more likely to use contraceptives. Unemployed women [AOR=0.3(95%CI:0.1-0.8)], women whose husbands were unaware of their contraceptive use [AOR=0.4(95%CI:0.2-0.9)] and those having a culture or religion that frowns on contraceptive use [AOR=0.4(95%CI:0.2-0.8)] were less likely to use contraceptive among women in the Tamale Metropolis.Conclusion: The study found a contraceptive prevalence rate (CPR) in Tamale Metropolis, Northern Ghana to be 36.8%. Education and living in a home where childbearing decisions are made together were identified as positive factors influencing contraceptive uptake.Keywords: Contraceptive Uptake; Tamale Metropolis; Reproductive-aged women; socio cultural factors; Contraceptive prevalenceFunding: This work was funded by the authors

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