FACTORS INFLUENCING UTILIZATION OF INTRA-UTERINE CONTRACEPTIVE DEVICE AMONG WOMEN IN ADDIS ABABA ETHIOPIA
DOI:
https://doi.org/10.25159/2520-5293/44Abstract
Intra-uterine contraceptive device is one of the safest, most effective and least expensive contraceptives available in the world. It is a reversible contraceptive claimed to be better or more effective for pregnancy prevention than female sterilization, injectables and implants because once inserted, it is convenient and maintenance free. Intra-uterine contraceptive device is used worldwide by 14% of married women. However, it is noted that the percentage of women using this devise in Africa is only 1% which is the lowest in the world. The purpose of this study was to explore factors influencing utilization of intra-uterine contraceptive device among family planning clients in Addis Ababa. The study was based on a quantitative, cross sectional descriptive design approach. Data was collected using structured questionnaires administered by trained interviewers to a total of 366 family planning clients. Data were analysed using Statistical Package for Social Sciences research version 19. The findings indicated that the level of education, occupation, parity and fertility plan have significant (p<0.05) association with utilization of Intra-uterine contraceptive device. There is a link between socio-demographic aspects and the utilization of Intra-uterine contraceptive device. There is low utilization of Intra-uterine contraceptive device by family planning clients at Addis Ababa as compared to other method of contraceptives. It is further noted that community members lack awareness and knowledge of the benefit and side effects of the device. Therefore, community members need education to promote adherence and effective use of Intra-uterine contraceptive device.Metrics
References
Amy, B., Gilliam, L., Melissa, R., Martins, S. & Weston, S. 2012. Factors influencing uptake of intrauterine devices among post-partum adolescents: a qualitative study. American Journal of Obstetrics and Gynecology, 40:400–403.
Araujo, F.F., Barbieri, M., Guazzelli, C.A.F. & Lindsey, P.C. 2008. The T 380A intrauterine device: A retrospective 5-year evaluation. Contraception, 78(6):474–478.
Central Statistical Agency [Ethiopia] and ICF International. 2012. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International.
Crosignani, P.G. 2008. Intra uterine devices and intra uterine system. Human Reproduction Update, 14(3):197–208.
Dehlendorf, C., Levy, K., Ruskin, R. & Steinauer, J. 2010. Health care provider’s knowledge about contraceptive evidence: a barrier to quality family planning care? Contraception, 81(4):292–298.
Deans, E.I. & Grimes, D.A. 2008. Intra uterine devices for Adolescents: A systematic review. Contraception, 79(6):418–423.
Espeut, D., Renju, J. & Wubshet, T. 2010. What drives family planning use in Ethiopia? London: Marie Stopes International
Espey, E., Finer, L. & Hubacher, D. 2010. Renewed interest in intra uterine contraception in the United States: Evidence and explanation. Contraception, 83:291–294.
Gutin, S.A., Mlobeli, R., Moss, M., Buga, G. & Morroni. C. 2011. Survey of Knowledge, attitudes and practices surrounding the intrauterine device in South Africa. Contraception, 83(2):145–150.
Hubacher, D., Jacobstien, R., Rivera, R., Shelton, J. & Salem, R. 2009. Essential knowledge about copper T 380A IUCD. USAID Maximizing access and quality Initiative, 1:1–18.
Joubert, G. & Ehrlich, R. 2007. Epidemiology: A research manual for South Africa, 2nd Edition. Cape Town: Oxford University Press.
Jacobstein, R. 2007. Long acting and permanent contraception. An international development service delivery perspective. Journal of Midwifery and Women’s Health, 52(4):361–367.
Lamvu, G., Steiner, M.J., Condon, S. & Hartmann, K. 2006. Consistency between most important reasons for using contraception and current method used: The influence of health care providers. Contraception, 73(4):399–403.
Rosenberg, M.J. & Hovland, C.I. 1960. Cognitive, affective and behavioural components of attitude. In Rosenberg, M.J, Hovland, C.I, McGuire, W.J, Abelson, R.P. & Brehm, J.W. (eds.), Attitude organisation and change: An analysis of consistency among attitude components. New York: Yale University Press Haven CT.
Speidel, J., Harper, C. & Shields, W. 2008. The potential of long acting reversible contraception to decrease unintended pregnancy. Contraception, 78:197–200.
Sonfield, A. 2007. Popularity Disparity: Attitudes about the IUCD in Europe and the United States, Guttmacher Policy Review, Fall 2007 10(4). Available at http://www.guttmacher.org/
pubs/gpr/10/4/gpr100419.html (Accessed 24 May 2012).
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Accepted 2015-08-17
Published 2016-01-05