Long-acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in Ethiopia: A multilevel analysis.

<h4>Objective</h4>This study aimed to investigate long-acting reversible and permanent contraceptives (LARPCs) utilization and its associated factors among married women who desire no more children in Ethiopia.<h4>Methods</h4>Secondary datasets from the 2016 Ethiopian Demogra...

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Main Authors: Nuhamin Tesfa Tsega, Wondimnew Mersha Biset, Getie Mihret Aragaw, Saron Abeje Abiy, Tilahun Nega Godana, Abera Dessie Dagnaw, Gashaw Awoke Haile, Daniel Gashaneh Belay, Berihun Agegn Mengistie
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0316799
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author Nuhamin Tesfa Tsega
Wondimnew Mersha Biset
Getie Mihret Aragaw
Saron Abeje Abiy
Tilahun Nega Godana
Abera Dessie Dagnaw
Gashaw Awoke Haile
Daniel Gashaneh Belay
Berihun Agegn Mengistie
author_facet Nuhamin Tesfa Tsega
Wondimnew Mersha Biset
Getie Mihret Aragaw
Saron Abeje Abiy
Tilahun Nega Godana
Abera Dessie Dagnaw
Gashaw Awoke Haile
Daniel Gashaneh Belay
Berihun Agegn Mengistie
author_sort Nuhamin Tesfa Tsega
collection DOAJ
description <h4>Objective</h4>This study aimed to investigate long-acting reversible and permanent contraceptives (LARPCs) utilization and its associated factors among married women who desire no more children in Ethiopia.<h4>Methods</h4>Secondary datasets from the 2016 Ethiopian Demographic and Health Survey was used for the study. A total weighted sample of 3,756 married or in union reproductive age women who desire no more children were included in the analysis. Data was cleaned, weighted, and analyzed using STATA Version 14 software. A multi-level logistic regression analysis was conducted to consider the hierarchal nature of the demographic and health survey data. In a multivariable multilevel logistic regression model, an adjusted odds ratio (AOR) with a corresponding 95% confidence interval (CI) and p value <0.05 was used to declare the significant associated factors of LARPCs utilization.<h4>Results</h4>The overall utilization of LARPCs among married women who desire no more children was 12% [95%CI: 10.99, 13.07]. In the multivariable multilevel analysis; being female household heads [AOR = 0.60; 95%CI: 0.40, 0.92], husband primary level of education [AOR = 1.57; 95%CI: 1.18, 2.07], employed women [AO R = 1.34; 95%CI: 1.04, 1.74], women from middle wealth index [AOR = 1.45; 95%CI: 1.02, 2.07], women who visited health facility in the last 12 months [AOR = 0.69; 95%CI: 0.54, 0.88], women residing in small peripherals [AOR = 0.20, 95%CI: 0.05, 0.82], and women from communities with low poverty [AOR = 2.25, 95%CI: 1.26, 3.99] were significantly associated with LARPCs utilization.<h4>Conclusion</h4>In Ethiopia, LARPCs utilization among married women who desire no more children was very low. Both individual and community-level factors were significantly associated with LARPCs utilization. Thus, individual and community-level interventions that encourage husband education, maternal occupation, and giving special attention for women who live in small peripheral areas and female-headed households are better.
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spelling doaj-art-77285653e50543c58b394b1718b14c872025-02-05T05:32:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031679910.1371/journal.pone.0316799Long-acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in Ethiopia: A multilevel analysis.Nuhamin Tesfa TsegaWondimnew Mersha BisetGetie Mihret AragawSaron Abeje AbiyTilahun Nega GodanaAbera Dessie DagnawGashaw Awoke HaileDaniel Gashaneh BelayBerihun Agegn Mengistie<h4>Objective</h4>This study aimed to investigate long-acting reversible and permanent contraceptives (LARPCs) utilization and its associated factors among married women who desire no more children in Ethiopia.<h4>Methods</h4>Secondary datasets from the 2016 Ethiopian Demographic and Health Survey was used for the study. A total weighted sample of 3,756 married or in union reproductive age women who desire no more children were included in the analysis. Data was cleaned, weighted, and analyzed using STATA Version 14 software. A multi-level logistic regression analysis was conducted to consider the hierarchal nature of the demographic and health survey data. In a multivariable multilevel logistic regression model, an adjusted odds ratio (AOR) with a corresponding 95% confidence interval (CI) and p value <0.05 was used to declare the significant associated factors of LARPCs utilization.<h4>Results</h4>The overall utilization of LARPCs among married women who desire no more children was 12% [95%CI: 10.99, 13.07]. In the multivariable multilevel analysis; being female household heads [AOR = 0.60; 95%CI: 0.40, 0.92], husband primary level of education [AOR = 1.57; 95%CI: 1.18, 2.07], employed women [AO R = 1.34; 95%CI: 1.04, 1.74], women from middle wealth index [AOR = 1.45; 95%CI: 1.02, 2.07], women who visited health facility in the last 12 months [AOR = 0.69; 95%CI: 0.54, 0.88], women residing in small peripherals [AOR = 0.20, 95%CI: 0.05, 0.82], and women from communities with low poverty [AOR = 2.25, 95%CI: 1.26, 3.99] were significantly associated with LARPCs utilization.<h4>Conclusion</h4>In Ethiopia, LARPCs utilization among married women who desire no more children was very low. Both individual and community-level factors were significantly associated with LARPCs utilization. Thus, individual and community-level interventions that encourage husband education, maternal occupation, and giving special attention for women who live in small peripheral areas and female-headed households are better.https://doi.org/10.1371/journal.pone.0316799
spellingShingle Nuhamin Tesfa Tsega
Wondimnew Mersha Biset
Getie Mihret Aragaw
Saron Abeje Abiy
Tilahun Nega Godana
Abera Dessie Dagnaw
Gashaw Awoke Haile
Daniel Gashaneh Belay
Berihun Agegn Mengistie
Long-acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in Ethiopia: A multilevel analysis.
PLoS ONE
title Long-acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in Ethiopia: A multilevel analysis.
title_full Long-acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in Ethiopia: A multilevel analysis.
title_fullStr Long-acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in Ethiopia: A multilevel analysis.
title_full_unstemmed Long-acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in Ethiopia: A multilevel analysis.
title_short Long-acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in Ethiopia: A multilevel analysis.
title_sort long acting reversible and permanent contraceptives utilization and its associated factors among married women who desire no more children in ethiopia a multilevel analysis
url https://doi.org/10.1371/journal.pone.0316799
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