Long Acting Reversible Contraceptive Methods Switching and Associated Factors among Women Attending Family Planning Clinic at Public Health Facilities of Dilla Town, Southern Ethiopia
Keywords:
Contraceptive, Switching, Reproductive Age, Dilla town, public health facilityAbstract
When a switch is made to another contraceptive method, there is often a period of time between the switch when a person is at risk for unprotected intercourse. Choice of a less effective method increases the risk of an unplanned pregnancy, as does using a method incorrectly or inconsistently. Hence, the purpose of this study was to determine the magnitude of long acting reversible contraceptive method switching and associated factors among reproductive age women attending family planning clinic at public health facilities of Dilla town Southern Ethiopia 2019. An institution-based cross-sectional study was conducted among 381 reproductive age women attending public health facilities of Dilla town from March 1-29, 2019. A structured interviewer-administered questionnaire was used. Bivariable and multivariable analyses were carried out using binary logistic regression to assess the association between explanatory variables and Switching from long acting reversible contraceptive methods to short acting contraceptive methods. Statistical significance was declared at p-value < 0.05. Overall, the magnitude of long acting reversible contraceptive method switching was 27.6% (CI): 0.253, 0.298). Having primary education [adjusted odds ratio (AOR): 3.652, 95% CI: 1.412, 9.443], being unmarried [AOR: 12.019; 95% CI; 4.250, 33.993], having plan to space birth [AOR: 0.197; 95% CI; 0.076, 0.511], partner opposition [AOR: 3.071, 95% CI: 1.297,7.268], having age 20 and above at first pregnancy [AOR: 0.401, 95% CI: 0.217,0.740], were significantly associated with long acting reversible contraceptive method switching.
Switching from long-acting reversible contraceptive methods to short acting methods was high in the study area. Thus, empowering women and involving partner in family planning service are invaluable to addressee the problem.
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