Background:
Despite the increase in contraceptive use worldwide over the last decade, there is still discrepancy
in the need to limit birth and utilization of modern contraceptives specifically long acting and permanent
contraceptive methods in sub-Saharan Africa including Ethiopia. Intention to use long acting and permanent
methods of contraception is an important indicator of the potential demand for family planning services.
Objective:
To assess intention to use long acting and permanent contraceptive methods (LAPMs) and identifying
associated factors among currently married women in Adigrat town.
Methods:
A community based cross sectional study design complemented with a qualitative method was
conducted in three selected Kebeles of Adigrat town. A total of 594 study subjects were interviewed. Systematic
random sampling method was used to select study subjects. Quantitative data were analyzed using SPSS version
16. Open code software version 3.6.2.0 was used to facilitate coding of the qualitative data. Factors associated with
intention were identified using logistic regression model and content analysis was done on the qualitative data.
Results:
Intention to use LAPMs was 48.4%. Intention to use LAPMs was higher among women who knew at least
one of LAPMs (AOR = 4.7, 95% CI = 1.58, 14.01) and women who do not want to have birth within the next 2 years
(AOR = 1.9, 95% CI = 1.22, 3.13). Intention to use LAMPs was less among women who perceive poor support
from their husbands (AOR = 0.2, 95% CI = 0.09, 0.45) and those who perceive LAPMs are harmful for the womb
(AOR = 0.24, 95% CI = 0.14, 0.41). Similarly, participants in the focus group discussion have expressed their concern
on the return of fertility after using implants or IUCD as well as insertion and removal procedures.
Conclusions:
The magnitude of intention to use LAPMs in the study area was low. The main limiting factors were
fear of side effect, infertility after LAPMs use, knowledge on LAPMs and perception on partner
’
s support of LAPMs
use. To further promote the use of LAPMs addressing associated misconceptions through effective communication
strategies and involving spouses in family planning programs is essential.