Utilization of Implant Contraceptive Methods and Associated Factors among Reproductive-Age Women in Ethiopia

Abstract

Implants are more effective, enable women to control their reproductive lives better, and are better options of contraception than other long-term family planning methods. Researches are required to provide up-to-date evidence for policymakers, and other stakeholders working on the family planning program in Ethiopia as the evidence from different studies conducted in Ethiopia on implants contraceptive method utilization was highly varied and not conclusive. Therefore, the current study aims to determine the magnitude of implant contraceptive utilization and its associated factors among reproductive-age women in Ethiopia. A population-based cross-sectional study has conducted using secondary data analysis from the EDHS 2016. A total of 14,593 reproductive-age women participated in this study. The analysis was performed using the SPSS version 20 statistical package. Bivariate and multivariable logistic regression analysis was performed to identify independent predictors of implant contraceptive methods utilization. Statistical significance was declared at p-value <0.05. The prevalence of implant contraceptive utilization among reproductive-age women in Ethiopia was 9.4% (95% CI: 8.8, 10.0). The results of multivariable logistic regression showed that marital status, place of residence, number of living children, history of a terminated pregnancy, husband desire for more children, decision making on contraceptive use, knowledge on contraceptives, discussed FP with the healthcare worker and heard family planning message on television were independent predictors of implants contraceptive use among reproductive-age women in Ethiopia. The study showed that the magnitude of implant contraceptive utilization among reproductive-age women in Ethiopia is very low as compared with the national 2020 plan. The finding of this study suggests any intervention strategy which is designed and being implemented to promote implants contraceptive method utilization should consider the aforementioned factors for its better success. Besides, the provision of quality counseling and information on FP, and women empowerment should be promoted so that women can freely decide on the type of contraceptive they would like to use. Moreover, emphasis should be given to rural women and no television access to implants contraceptive method utilization.