Unmet need of long-acting and permanent family planning methods among women in the reproductive age group in shashemene town, Oromia region, Ethiopia: a cross sectional study
Unmet need of long-acting and permanent family planning methods among women in the reproductive age group in shashemene town, Oromia region, Ethiopia: a cross sectional study
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DOI：
10.1186/s12905-015-0209-y
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发表时间：
2015-07-15
影响因子：
2.5
通讯作者：
Getachew, Biniam
中科院分区：
文献类型：
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作者：
Mota, Kuma;Reddy, Surender;Getachew, Biniam
背景：许多国家的生育率仍然很高，预计到2100年世界人口的增长大部分来自这些国家。在计划生育方法中，长效法和永久法方便使用者，有效预防怀孕。本研究的目的是评估在埃塞俄比亚奥罗米亚地区沙什梅内镇卫生机构使用避孕药具的育龄年龄组（15-49岁）妇女对长效和永久性避孕方法的需求未得到满足的相关因素。方法：采用基于设备的横断面定量研究和分层抽样技术。2012年1月，共有382名育龄女性入组研究。采用预测、结构化、封闭式问卷对研究参与者进行访谈。采集数据采用EPI Info 17录入，采用SPSS 20版统计软件进行统计分析。结果：沙石梅内镇长效避孕方法使用率为28.4%（104/366）。从研究参与者中，71.6%（262/366）使用短效方法，在这些目前的短效使用者中，127（41.5%）希望使用lapm，未满足lapm需求的122（33.3%）。与未满足避孕需求有显著相关的因素有：妇女受教育程度（<中等水平）AOR [3.8, 95% CI: 2.9, 7.6；P < 0.001]；伴侣间缺乏讨论AOR [2.9, 95% CI: 1.8, 9.6；P = 0.01]；女性AOR缺乏适当的咨询[5.3,95% CI: 1.7, 11.2；P = 0.04]；和妇女职业为家庭主妇AOR [4.7, 95% CI: 3.1, 11.3；P = 0.02]。结论：沙什梅内镇卫生机构避孕药物未满足率较高。妇女教育、伴侣讨论和适当的客户咨询是影响妇女使用LAPMs的主要因素。
Background: Many countries continue to have high fertility rates and most of the predicted increase in the world's population until 2100 comes from these countries. Among family planning methods, Long Acting and Permanent Methods are convenient for users and effectively prevent pregnancy. The objective of this study was to assess factors associated with unmet need of Long Acting and Permanent Methods of contraception among women in the reproductive age group (15-49) using contraception in health facilities of Shashemene town, Oromia Region, Ethiopia.Methods: Facility based cross sectional quantitative study and stratified sampling technique was used. Total of 382 females in reproductive age group were enrolled in the study in January 2012. Pretested, structured and close-ended questionnaire was used to interview study participants. Collected data was entered by using EPI Info 17 and analyzed by SPSS version 20 statistical software.Results: Utilization of Long Acting and Permanent Methods (LAPMs) of contraception in Shashemene town was found to be 28.4 % (104/366). From study participants, 71.6 % (262/366) used short acting methods and from these current short acting users, 127(41.5 %) desired to use LAPMs and unmet need of LAPMs was 122(33.3 %). Factors significantly associated with unmet need of LAMPs of contraception were: Education of women (< secondary level) AOR [3.8, 95 % CI: 2.9, 7.6; P < 0.001]; lack of discussion between partners AOR [ 2.9, 95 % CI: 1.8, 9.6; P = 0.01]; lack of proper counseling for women AOR [5.3, 95 % CI: 1.7, 11.2; P = 0.04]; and women's occupation as a housewife AOR [4.7, 95 % CI: 3.1, 11.3; P = 0.02].Conclusion: Unmet need of LAPMs of contraception in health facilities in Shashemene town was high. Women education, partner discussion and proper client counseling were found the main factors associated women LAPMs utilization.