Intention to use Long-acting and Permanent Family Planning Methods among Married 15-49 years Women in Debremarkos Town, Northwest Ethiopia
Family Medicine & Medical Science Research
Sample size determination The sample size was determined using a single population proportion formula with the following assumptions: prevalence of LAPCM by married women 15-49 years to be 12.3%  ; therefore, (p=0.12), level of significance 5% (α=0.05), Z α/2 =1.96, 5% (d=0.05) margin of error, design effect of 2 and 10% non-response rate. Accordingly, the total sample size was 343 married 15-49 years women. Sampling procedure A multi-stage sampling technique was used to select the sampling
... nits. There were 6 kebeles in the town. The sample size for each of the selected 3 kebeles was determined proportionally to the size of the household (HH). The first HH was selected using simple random Abstract Introduction: Access to high quality modern contraceptives and women's education are the two central issues in the Ethiopian government development strategy. Demand, access and use of the provider-dependent, long-acting and permanent contraceptive methods, have lagged behind, despite high effectiveness and popularity among users. Thus, this study assessed the intention and factors associated with long-acting and permanent family planning methods among married 15-45 years women in Debre markos town to look at the local context. Methods: A community-based cross-sectional study was conducted to assess the intention and factors associated with long-acting and permanent family planning methods in June 2013. The total sample size was 343 and samples were allotted proportionally for randomly selected three kebeles. Data were collected after ethical clearance had been obtained from research and publication directorate of Debre markos University and analysed descriptively and using logistic regression analyses. Results: Almost one in five 157 (45.9%) married 15-49 years women intended to use long-acting and permanent family planning either to space or limit birth. Lack of method mix was considered as the main reason not to intend the methods. Age, educational status, discussion on family planning methods with husband, desire for live children, ever and current use of any modern contraceptive methods and shifting from one method to the other were factors associated with intention to use long-acting family planning methods. Conclusion: Generally, long-acting and permanent methods intention was found to be high among married women either to space or limit their pregnancy. Health promotion activities on the benefits of long-acting and permanent family planning must be undertaken to increase women's awareness towards the methods.