Abstract:
Background:-Evidence suggests that there is a substantial unmet need/
unsatisfied demand for LAPMs in sub-Saharan Africa. A discrepancy exists between
the proportion of women who wish to stop having children (unmet need for limiting)
and the proportions that are using LAPM (met need); however, there is limited
evidence to show demand for LAPMs and associated factors in Ethiopia. So,
assessing the demand and identifying the factors are important for implementation.
Objective:- To assess demand for long acting and permanent contraceptive
methods and associated factors among currently married women in Fitche Town,
North Showa Zone, Oromia Regional state, Central Ethiopia, 2012.
Methods: - Community based cross-sectional survey was conducted from April 10
to 30 on 746 currently married women living in Fitche town to assess demand for
long acting and permanent contraceptive methods and associated factors. Cluster
sampling technique was used to select study subjects. Data was collected through
interviewing by using structured questionnaire. Data was entered and analyzed by
SPSS version 16 and Bivariate and multivariate logistic regression analysis was
conducted to identify factors associated with demand for LAPMs.
Results: - From 746 women of the study participant, 291(39%) of the respondents
were using family planning method. Among study participants, 84(11.3%),
203(27.2%) and 4(0.5%) were used LAPMs, short acting and natural methods
respectively. sixty five (8.71%) women had unmet need for LAPMs. The total
demand of LAPMs was 149(19.97%). Desired numbers of children, discussion with
husband and hearing information about LAPMs were found to have association with
use of LAPMs.
Conclusion and recommendation: - The findings of this study showed that
there was a gap between women who want to space/limit their child birth and utilize
LAPMs. Even though the met need in the study area was greater than unmet need,
it was not an indication of high utilization of LAPMs rather it indicates women has
less demand for LAPMs for different reasons. Demand creation by Strengthening
IEC campaign and disseminating correct and detailed information about LAPMs is a
crucial to increase utilization of LAPMs.
