Reta Lemessa
The resulting high rate of population growth has led many countries to adopt population policies aimed at reducing the prevailing high birth rate. It is important to identify existing gaps and propose supplementary strategies to improve the availability, accessibility and utilization of LAC methods in Ethiopia. To examine the relationship between socioeconomic factors affecting the use of LAC methods among women of reproductive age in Guto Gida District, East Wollega Ethiopia. A cross sectional study was conducted from first February to March 14, 2016. Data was collected on 246 among reproductive age women through face to face interview using structured questionnaire. Individuals in the study were selected by systematic sampling method. Logistic regression was used to examine the effects that some demographic, socio-economic, and cultural characteristics had on the using long acting contraceptives methods. The AOR with respective 95% confidence intervals of using LAC methods for the age categories 15-24 and 25-34 years were, respectively, 0.28(0.04-2.01) and 0.05(0.09-0.31) (referent age category of 35-49 years). The use of LAC methods influenced by women’s education for no education, primary education and secondary education 0.06(0.05, 08), 0.37(0.08-1.56) and 0.56(0.14- 2.17) (referent category no formal education). The AOR for women who were housewife and self-employment 0.08(0.01-1.54) 0.48(0.17-1.38) compared to merchant /trade whereas employed to government women were 1.04(0.29-3.64) as merchant /trade women. The respective AORs for heard from health professionals higher than who heard from media 2.52(0.87-7.28) and women heard from neighbors and husband less compare to referent category 0.80(0.19-3.38) and 0.44(0.08-2.29) respectively. With women having four or more children taken as the referent group, it was observed that AOR=0.34(0.09-1.14) for women who had no children; for women with 1-3 children AOR=0.58(0.20-1.34). In the case of women’s attitudes who had good attitudes about LAC methods AOR=10.05(3.72-27.16) and 0.32(0.09-1.13) compared to fearing women. Educational status of the women, source of information (from health professionals), number of living children, good attitude and women’s occupation were found to be predictors. Encourage women to pursue their education, community base health care workers should strengthen information, education and communication to ensure that women have higher knowledge and positive attitude towards long acting contraception methods.
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